Examinando por Materia "Solutions"

Mostrando 1 - 12 de 12

Acceso abierto
Corrosion of surgical instruments due to the use of common water vs distilled water
(Universidad Privada Norbert Wiener, 1905-07-09) Castillo Sánchez, Rosa María; Gómez Gonzales, Walter Edgar
Objective: Determine if the corrosion of surgical instruments is produced by the use of common water vs. distilled water. Materials and Methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: In the final selection, 13 articles were chosen, we found that 31% (4) correspond to Spain, 14% (2) correspond to Colombia and Chile, with 7% (1) Cuba, Mexico, Peru were found. , Venezuela and Brazil respectively. 69% were experimental studies from the countries of Spain, Peru, Mexico, Colombia, Venezuela and Chile. With 31% we have cross-sectional studies belonging to Brazil, Chile, Spain, and Cuba. Of the total number of articles analyzed, 80% concluded that plain water causes corrosion in surgical instruments. It was evident in the reviewed research that stainless steel instruments should not be subjected to cleaning, disinfection and sterilization processes, whose dilution component is common water, nor should they be immersed in a physiological salt solution. Prolonged contact and immersion in the solution causes corrosion pitting and forms stress corrosion cracking. Conclusion: It is recommended to use distilled water to avoid corrosion of surgical instruments, especially for final rinsing, after cleaning and disinfection.
Acceso abierto
Effectiveness of high-flow central venous catheter sealing with antimicrobials and VS anticoagulants. sealing with anticoagulant in the prevention of infections
(Universidad Privada Norbert Wiener, 2020-02-22) Sosa Vilcachagua, Gladys Alicia; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize the studies found regarding the difference between sealing with antimicrobial and anticoagulant solutions vs. sealing with anticoagulant for the prevention of high-flow central venous catheter infections. Materials and Methods: the search was restricted to studies of complete accessibility, articles that in total were 10 were classified according to high and moderate quality of evidence, and/or according to the type of study. 20% correspond to meta-analysis studies, 50% to systematic reviews, both types of studies with high evidence and strength of recommendation. 50% corresponds to Spain, 20% corresponds to the US and Chile, 10% corresponds to China. Results: 50% reported that the exclusive use of antibiotics reduces the risk of high-flow catheter infection, 30% reported that the use of antibiotics plus anticoagulant not only reduces the risk of catheter infection but also prevents dysfunctional catheters. and 10% that the use of antibiotics to seal the catheter favors antibiotic resistance. Conclusions: Seals with solutions containing antibiotics and antimicrobials are more effective in preventing high flow catheter infection, but if an anticoagulant is added they are better.
Acceso abierto
Effectiveness of sealing high-flow central venous catheter with antimicrobials and anticoagulants vs sealing with anticoagulant in the prevention of infections
(Universidad Privada Norbert Wiener, 2020-02-22) Piscoya Paulino, Mariela Patricia; Sosa Vilcachagua, Gladys Alicia; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize the studies found regarding the difference between sealing with antimicrobial and anticoagulant solutions vs. sealing with anticoagulant for the prevention of high-flow central venous catheter infections. Materials and Methods: the search was restricted to studies of complete accessibility, articles that in total were 10 were classified according to high and moderate quality of evidence, and/or according to the type of study. 20% correspond to meta-analysis studies, 50% to systematic reviews, both types of studies with high evidence and strength of recommendation. 50% corresponds to Spain, 20% corresponds to the US and Chile, 10% corresponds to China. Results: 50% reported that the exclusive use of antibiotics reduces the risk of high-flow catheter infection, 30% reported that the use of antibiotics plus anticoagulant not only reduces the risk of catheter infection but also prevents dysfunctional catheters. and 10% that the use of antibiotics to seal the catheter favors antibiotic resistance. Conclusions: Seals with solutions containing antibiotics and antimicrobials are more effective in preventing high flow catheter infection, but if an anticoagulant is added they are better.
Acceso abierto
Effectiveness of sweet solutions for pain control in newborns.
(Universidad Privada Norbert Wiener, 2018-11-10) Pimentel Gonzales, Isela Rosa; Jordán Liza, María Marleni; Millones Gómez, Segundo Germán
Objective: Determine the effectiveness of sweet solutions for pain control during painful procedures in the newborn. Materials and Methods: The systematic study of 10 articles on the effectiveness of sweet solutions for pain control in the neonate was selected through a critical reading of recent and relevant studies. These selected instruments are published in Pubmed, Scielo, Redalyc, Cochrane, Lilacs, Elsevier.; The population was 25 scientific articles and 10 were chosen. The selected articles were subjected to critical reading, using the GRADE system. Results: Of the 10 scientific articles reviewed, 90% show that the use of different sweet solutions is effective for pain control in the newborn. The four meta-analyses affirm that the use of sucrose and dextrose are effective for pain control during painful procedures such as venipuncture, orogastric tube insertion, and heel puncture. Conclusions: Scientific articles systematically reviewed show that the use of sweet solutions contributes to minimizing pain stress in newborns who are subject to painful procedures; It is better to use sweet solutions as it is an easily accessible and low-cost method that has demonstrated fewer side effects.
Acceso abierto
Effectiveness of the use of saline solution compared to the use of heparinized solution to patent the arterial line and avoid obstructions in intensive care unit patients
(Universidad Privada Norbert Wiener, 2020-02-16) Murillo Solis, Jufet Fabriccio; Arce Condor, Miguel Angel; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence about the effectiveness of the use of saline solution compared to the use of heparinized solution to permeabilize the arterial line and avoid obstructions in intensive care unit patients. Method: Review A review of the evidence available in the databases: MEDLINE, PUBMED, SCIELO AND COCHRANE LIBRARY has been carried out, from the years 2010 to 2019; Randomized, quasi-experimental, cross-sectional clinical trials on the use of heparin versus the use of saline to improve the patency of arterial catheters were included. Results: 10 articles were found, which discuss, compare and analyze the use of heparin to improve arterial catheter patency. Conclusions: Studies show that the use of heparin is associated with a lower incidence of arterial catheter obstruction, also increasing its average life and improving its duration. However, some articles showed little difference when choosing whichever solution was used.
Acceso abierto
Efficacy of continuous bladder irrigation in the management of Hematuria
(Universidad Privada Norbert Wiener, 1905-07-09) Rojas Reyes, Luz; Sanchez Espejo, Eloisa Ada; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness and uses of continuous bladder irrigation in the management of urological events. Materials and methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The reviewed articles were found in the databases Scielo, Dialnet, Ebsco, Lilacs, the results show that there is a lower incidence of immediate postoperative complications inherent to the operation of the urethrovesical catheter, in patients left without irrigation, likewise the average day in the hospital stay of these patients was shorter, concluding that continuous bladder irrigation as a post-prostatectomy treatment is not essential. The other authors also agree that the use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended. Conclusions: The reviewed articles show that continuous bladder irrigation as a post-prostatectomy treatment and intervention is not essential in patients. The use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended, it reduces hospital stay, reduces fever and quickly improves the patient's general conditions as well as making cultures negative in a shorter period of time. The management of hematuria of bladder origin through continuous bladder irrigation as a treatment with the application of intravesical bismuth solution is effective in shortening the time of hematuria control.
Acceso abierto
Efficacy of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection
(Universidad Privada Norbert Wiener, 2017-08-05) Lugarte Caballero, Giner Valentin; Revatta Beingolea, Hilda; Rivera Lozada de Bonilla, Oriana
The objective of the research is to systematize the evidence on the effectiveness of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection (TUR). 10 scientific articles were reviewed, including controlled, randomized, cohort, case-control, and experimental trials. 50% evidence was found that irrigated patients present hyponatremia, being less with distilled water, 10% evidence that the use of distilled water reduces perioperative hypothermia and tremors, 10% demonstrates in a comparison of the absorption of irrigation fluids (saline solution ) used during rtu, is a non-significant percentage. 10% conclude that glycine solution increases the transparency of the optics, compared to distilled water, 10% demonstrate that irrigation with water in preventing the recurrence of non-muscle invasive bladder cancer is as effective as mitomycin, 10 % conclude that distilled water is an effective solution as an irrigant in procedures such as percutaneous nephrolithotomy. Concluding that both distilled water and glycine produce hydroelectrolyte disorders when used as irrigant in rtu, where the differences are not statistically significant.
Acceso abierto
Factors associated with phlebitis in peripheral venous catheters of hospitalized patients
(Universidad Privada Norbert Wiener, 2017-03-02) Condori Báez, María Belén; Contreras Rojas, Eva Gisela; Calsin Pacompia, Wilmer
Method: Systematic review, and the population constituted by the bibliographic review of 9 scientific articles published and indexed in scientific databases and that respond to articles published in Spanish, Portuguese and English. Results: The factors associated with phlebitis that were found are the age, weight of the patient, medication that is being infused (drugs with extreme pH and osmolarity solutions), type of infusion and infused solutions, the speed of infusion (using infusion pump ) the quality of infection prevention practices, the length of time the catheter remains in place (no more than five days), caliber of the catheter (the smaller the caliber, the lower the risk of phlebitis), the size of the catheter, the location of insertion, the lack of catheter management protocol, in addition to the time at which the peripheral catheter is placed (day/night shift), having a greater risk of phlebitis on the night shift. Conclusions: According to all the articles reviewed, it is concluded that the factors associated with phlebitis were: the most common was type of medication according to its pH, osmolarity, followed by the place of insertion of the peripheral catheter, length of stay and finally it was considered as a factor. of risk the infusion time of the medication to be infused.
Acceso abierto
Knowledge and nursing care of the percutaneous catheter in the neonatal intensive care unit
(Universidad Privada Norbert Wiener, 2022-11-20) Pérez Altamirano, Miriam; Palomino Taquire, Rewards
Objective: Determine the relationship between knowledge and nursing care of the percutaneous catheter in the neonatal intensive care unit of a public hospital in Lima 2022. Method: Hypothetical deductive, with a quantitative approach, type of applied research, non-experimental, correlational design cross-sectional, the instrument that will be used to measure the first variable knowledge about percutaneous catheter will be the questionnaire that consists of 24 questions with dichotomous answers and three dimensions; maintenance of the percutaneous catheter, administration of solutions, complications of the percutaneous catheter, to measure the second variable percutaneous catheter care, a checklist made up of 36 items with dichotomous responses and three dimensions will be used; before healing, during healing and after healing; A non-probabilistic convenience sampling will be used consisting of 32 nurses who work in the neonatal intensive care area of a public hospital in Lima 2022.
Acceso abierto
Knowledge and practice of central venous catheter care in nurses of the intensive care unit of the AUNA clinic, Lima, 2021
(Universidad Privada Norbert Wiener, 2021-09-26) Arévalo Pinedo, Pamely Elizabeth; Fernández Rengifo, Werther Fernando
Nursing knowledge and practice in the management of the central venous catheter is fundamentally based on preventing its exposure to pathogenic agents, practicing universal biosafety protocols such as hand washing, use of gloves and disinfection of the central catheter, constantly, moreover, avoiding manipulation to a minimum degree if it were not necessary. The primary purpose of the study is to determine the level of knowledge and its relationship with the practice of central venous catheter care of nurses in the intensive care unit of the Auna clinic, Lima, 2021. The population and census sample are the nurses who work at the Auna Clinic during the period October to December 2021. The survey and observation technique is the one that will be applied to collect the observations of both variables. To measure knowledge, the questionnaire created and validated by Herrera in 2019 will be used, an instrument composed of 24 items divided into 3 dimensions: maintenance, solution management and complications, which has a reliability of 0.79 applying Kuder's formula 20 - Richardson. To estimate the nurse's practice in the care of the central venous catheter, the checklist instrument validated by Torres in 2019 will be used through a pilot test and applying Kuder's formula 20 - Richardson obtained a reliability result of 0.88. . The data will be processed using the Excel sheet and then analyzed statistically in SPSS 26 using the chi-square test and the Spearman correlation coefficient, to finally be presented in tables and figures.
Acceso abierto
Knowledge of arterial hypertension and lifestyle in patients of the cardiology service of an armed forces hospital, Lima, 2022
(Universidad Privada Norbert Wiener, 2023-01-15) Velazco Quevedo, Stephany Ruby; Montoro Valdivia, Marcos Antonio
The purpose of the following project is to determine if knowledge of high blood pressure is related to lifestyle in patients of the cardiology service of an armed forces hospital in Lima, 2022. This research will use the hypothetical - deductive procedure, non-experimental design, its approach will be quantitative and its scope will be descriptive - correlational - transversal. The population will be made up of 120 patients over 35 years of age who are hypertensive and who are treated in the cardiology service of an armed forces hospital, the sample will be 92 patients; sampling is simple random; The inclusion criteria will be patients over 35 years of age with a diagnosis of high blood pressure treated at an armed forces hospital and who have given their consent to be part of the study. The exclusion criteria will be patients with a mental health diagnosis, diabetes mellitus, chronic renal failure, and patients who do not wish to be part of the study. Two questionnaires will be used on knowledge and the second on lifestyle, both nationally validated, descriptive statistics and inference, the normality test will be used in order to determine which correlation test will be used in order to demonstrate the solutions.
Acceso abierto
Nursing knowledge and practice in the cleaning and disinfection process of surgical material, Huacho Regional Hospital 2020
(Universidad Privada Norbert Wiener, 2020-11-29) Pichilingue Curioso, Lili Imelda; Fernández Rengifo, Werther Fernando
When asepsis, antisepsis, cleaning, and disinfection were introduced, morbidity and mortality rates decreased considerably from 80% to 10%, but population demand and the current state of health of the population, lifestyles, and the failure of Health systems with respect to the resource of surgical materials increase the morbidity and mortality rate by a large percentage. Also, it is necessary to evaluate if the clinical practice guidelines respond to the needs of the population, or if it is the health personnel who fails in the cleaning and disinfection procedure of the material to be used in surgery. Researchers from all over the world have been interested in the cleaning and disinfection procedure, so they mention that cleaning surgical material is equally effective in reducing germs with an alcoholic solution or with an aqueous solution, referring to the enzymatic detergent. It is necessary to mention that the reuse of surgical instruments carries with it the risk of cross infection, in addition to the fact that the cleaning and disinfection procedure is very cumbersome, takes a lot of time, expensive and prone to error.