Examinando por Materia "Ventilación no Invasiva"
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Ítem Acceso abierto Effectiveness of continuous positive airway pressure in the treatment of respiratory distress syndrome in premature newborns.(Universidad Privada Norbert Wiener, 2018-07-08) Huarancca Nuñez, Denisse Fabiola; Sinche Cuca, Araceli Fresia; Avila Vargas Machuca, Jeannette GiselleObjective: Analyze the available evidence from studies on the effectiveness of continuous positive airway pressure in the treatment of respiratory distress syndrome in premature newborns. Materials and Methods: Systematic reviews of 10 articles. Most of the studies are cohort studies, with 60% primarily from Mexico, Iran, Colombia, and California. Among the meta-analysis, experimental, and controlled reviews, we find studies from Mexico, Iran, the USA, with 20% (02). Additionally, 10% of the studies are clinical trials from Denmark and India. Results: 9 out of 10 articles report that the use of continuous positive airway pressure is effective in treating respiratory distress syndrome in premature newborns; however, 1 out of 10 articles states that the use of CPAP is not effective due to the immaturity of the newborn, causing treatment failure. Conclusions: 9 out of 10 articles recommend the use of continuous positive airway pressure as it is effective in treating respiratory distress syndrome, improves the clinical course of patients, and shortens hospital stays. On the other hand, 1 out of 10 articles does not recommend it due to complications and the probable need for mechanical ventilation, and it reduces the incidence of nosocomial infections.Ítem Acceso abierto Effectiveness of heated humidifiers in reducing dryness of the mucosa in the airways related to non-invasive ventilation(Universidad Privada Norbert Wiener, 2017-12-03) Villagomez Chang, Liz Maribel; Rivera Lozada de Bonilla, OrianaObjective: To systematize the evidence on the efficacy of heated humidifiers in reducing mucosal dryness in the respiratory airways related to non-invasive ventilation. Materials and Methods: Systematic review, observational, and retrospective study. The search was restricted to 14 full-text articles, which were critically reviewed using the GRADE evaluation to determine their level of evidence. The studies were conducted in France, Italy, Japan, Spain, New Zealand, and Australia. In the final selection, 100% (14) were randomized controlled clinical trials, with 28.6% (4) from France and Japan, 21.4% (3) from Italy, and 7.1% (1) from Spain, New Zealand, and Australia. Results: 92.9% (13/14) affirmed the efficacy of heated humidifiers in reducing mucosal dryness in the respiratory airways related to non-invasive ventilation, while 7.1% (1/14) did not recommend using heated humidifiers for this purpose. Conclusions: The 13 studies reviewed show that heated humidifiers are effective in reducing mucosal dryness in the respiratory airways related to non-invasive ventilation, while 1 study does not recommend their use for this purpose.Ítem Acceso abierto Effectiveness of non-invasive ventilation in cardiogenic acute pulmonary edema to reduce mortality in critically ill patients(Universidad Privada Norbert Wiener, 2019-04-07) Zamudio Vicente, Carlos Alexander; Pretell Aguilar, Rosa MaríaObjective: To systematize the evidence on the efficacy of non-invasive ventilation in acute cardiogenic pulmonary edema to reduce mortality in critically ill patients. Material and methods: A systematic review of international research articles was conducted, which were obtained through a search in databases: Epistemonikos, NCBI, PubMed, Elsevier, and SciELO. These articles were selected and analyzed using the GRADE system to determine the respective level of evidence. The articles were searched using DeCS and MeSH descriptors for searches in Spanish and English, respectively. 50% (5/10) of the reviewed articles are from the United States, 20% (2/10) are from China, 20% (2/10) are from the United Kingdom, and 10% (1/10) are from Singapore. Results: 90% (9/10) of the evidence shows that non-invasive ventilation is effective in acute cardiogenic pulmonary edema to reduce mortality in critically ill patients, and 10% (1/10) of the evidence suggests it is not effective. Conclusions: It is found that 9 out of 10 studies conclude that non-invasive ventilation is effective in acute cardiogenic pulmonary edema to reduce mortality in critically ill patients, while 1 out of 10 studies finds it ineffective.Ítem Acceso abierto Eficacia de la presión positiva continua en la vía aérea en el tratamiento del síndrome de distrés respiratorio en el recién nacido prematuro.(Universidad Privada Norbert Wiener, 2018-07-08) Sinche Cuca, Araceli Fresia; Avila Vargas Machuca, Jeannette GiselleObjective: Analyze the available evidence from studies on the effectiveness of continuous positive airway pressure in the treatment of respiratory distress syndrome in premature newborns. Materials and Methods: Systematic reviews of 10 articles. Most of the studies are cohort studies, with 60% primarily from Mexico, Iran, Colombia, and California. Among the meta-analysis, experimental, and controlled reviews, we find studies from Mexico, Iran, the USA, with 20% (02). Additionally, 10% of the studies are clinical trials from Denmark and India. Results: 9 out of 10 articles report that the use of continuous positive airway pressure is effective in treating respiratory distress syndrome in premature newborns; however, 1 out of 10 articles states that the use of CPAP is not effective due to the immaturity of the newborn, causing treatment failure. Conclusions: 9 out of 10 articles recommend the use of continuous positive airway pressure as it is effective in treating respiratory distress syndrome, improves the clinical course of patients, and shortens hospital stays. On the other hand, 1 out of 10 articles does not recommend it due to complications and the probable need for mechanical ventilation, and it reduces the incidence of nosocomial infections.Ítem Acceso abierto Evidence on nursing interventions for preventing facial injuries in patients with non-invasive mechanical ventilation(Universidad Privada Norbert Wiener, 2018-08-26) Pachas Trujillo, Sarela; Pumacayo Apac, Lizet Mayela; Glenni Garay, Zarely ZabeliObjective: Systematize evidence on nursing interventions for the prevention of facial injuries in patients with non-invasive mechanical ventilation in the intensive care unit. Materials and Methods: Systematic Review that synthesizes the results of multiple investigations. The selected articles were subjected to critical reading, using the GRADE System to assign the strength of recommendation and quality of evidence. Results: In the final selection, 10 articles were chosen. Finding that 40% (4) prioritize the use of dressings between the face and the mask, thus reducing the risk of ischemia; 30% (3) emphasize the importance of exhaustive assessment of the skin and the time that the patient maintains contact with the device; 20% (2) give importance to the use of the helmet mask that does not make contact with the device. bony prominence of the face and does not cause injury; 10%(1) present us with a three-dimensional mounting device, which is personalized and incorporates three-dimensional scanning solutions, preventing the appearance of injuries. Conclusions: From 10 scientific evidence analyzed we can conclude that: the use of dressings between the face and the device are very important since they increase blood microcirculation.
