Examinando por Materia "Terapia Respiratoria"

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Acceso abierto
Effectiveness of bronchodilator administration methods via inhalation compared to nebulization in pediatric patients with asthma attacks
(Universidad Privada Norbert Wiener, 2019-02-17) Martinez Capillo, Elizabeth; Valencia Veliz, Melissa Lorena; Bonilla Asalde, César Antonio
Objective: Systematize the evidence on the effectiveness of inhalation bronchodilator administration methods compared to nebulization in pediatric patients with asthma attacks. Methodology: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the GRADE evaluation to identify their level of evidence. Results: The systematic review of 10 scientific articles, only 60% affirm that bronchodilators are effective either by inhalation or nebulization, therefore, 40% affirm that the inhalation route is more effective, this was found in the following database data Pubmed, Medline, Elservier, Google Scholar. Conclusions: Of the 10 articles reviewed, 60% (n=6/10) systematic review agree that the method of administering bronchodilators by nebulizer produced results that were not significantly better than inhalers with a spacer chamber in children with asthma attacks. . Inhalers may have some advantages compared to nebulizers for children with acute asthma.
Acceso abierto
Effectiveness of the recruitment maneuver to reduce mortality in patients with acute respiratory distress syndrome
(Universidad Privada Norbert Wiener, 2019-02-17) Alarcon Yauri, Jhonatan Israel; Uturunco Vera, Milagros Lizbeth
Objective: To systematize the evidence on the effectiveness of the recruitment maneuver to decrease mortality in patients with acute respiratory distress syndrome (ARDS). Material and Methods: This is a systematic observational and retrospective review, critically analyzed and using the GRADE evaluation system to identify the level of evidence in the articles. The articles were published in the following databases: SCIELO, EPISTEMONIKOS, SCIENCEDIRECT, PUBMED, and RESEARCHGATE. Of the 10 articles systematically reviewed, 30% (3/10) are meta-analyses, 20% (2/10) are systematic reviews, 40% (4/10) are randomized controlled trials, and 10% (1/10) is quasi-experimental. Results: 60% (6/10) (17, 18, 19, 22, 23, 24) indicate that the recruitment maneuver is effective in reducing mortality in patients with ARDS. 40% (4/10) (16, 20, 21, 25) indicate that the recruitment maneuver is not effective in reducing mortality in these patients. Conclusion: The study concluded that the recruitment maneuver is effective in reducing mortality in patients with ARDS, due to alveolar reopening, improving the ventilation/perfusion ratio, and promoting gas exchange.