Examinando por Materia "Thoracic Injuries"

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  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of non-invasive mechanical ventilation in patients with closed thoracic trauma to prevent endotracheal intubation in those attending the emergency department
    (Universidad Privada Norbert Wiener, 2018-12-16) Perez Izquierdo, Esmilda; Arévalo Castro, Deniz Alberto; Calsin Pacompia, Wilmer
    Objective: Systematize evidence on the effectiveness of early and timely use of non-invasive mechanical ventilation in patients with blunt chest trauma admitted to the emergency service. Materials and methods: In the present work it is a study with a systematic review design, clinical trials and meta-analysis, the population consisted of 15 articles and the sample was 10 articles published and indexed in the database Dialnet, Pubmed Heald, PubMed, Scielo, ScienceDirect. To evaluate the articles, the GRADE method was used, which evaluated the quality of evidence and the strength of recommendation. Results: After the systematic review of the articles, 30% of 100% correspond to the USA; 60% to Cuba and Greece, Italy, Canada, France and China with 10% respectively. In relation to the designs and types of studies, 80% correspond to systematic review and meta-analysis respectively; with 20% corresponding to clinical trials. Conclusions: It was concluded that 60% of the articles reviewed showed that NIV was effective, because it avoids endotracheal intubation, avoids the risk of complications associated with mechanical ventilation and reduces mortality. Leading to a lower incidence of physiological trauma allowing the lung to open and recruit.
  • Miniatura
    ÍtemAcceso abierto
    Level of knowledge and compliance with nursing care in polytraumatized patients in a Lima Clinic, 2021.
    (Universidad Privada Norbert Wiener, 2022-04-24) Segovia Ruiz, Jessica Alexandra; Fernández Rengifo, Werther Fernando
    The increase in polytrauma cases is alarming worldwide, and Peru is not immune to this problem. In 2009, the Andean Community countries reported nearly 12,000 deaths and 116,000 injuries, with one of the leading causes of polytrauma being traffic accidents. Polytrauma is considered one of the leading causes of death, ranking third globally. In response to this issue, healthcare professionals, including nurses, face the significant challenge of being well-prepared, both in terms of knowledge and in the proper management of patients from the first contact in the emergency department. This will allow for timely assessment and quicker response to maximize patient survival chances.Objective: To determine how knowledge relates to the level of compliance with nursing care in polytraumatized patients at a clinic in Lima. Methods: The study will be observational, descriptive, relational, and cross-sectional. The population and sample will be intentional and consist of 20 nursing professionals from a clinic in Lima, meeting the inclusion criteria. A survey on the level of knowledge and an observation guide on nursing care will be used.