Examinando por Materia "Ventilators, Mechanical"

Mostrando 1 - 13 de 13

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Compliance with the “Care Bundle” application in the prevention of pneumonia associated to mechanical ventilation in patients from the intensive care unit from the Carlos Lanfranco La Hoz hospital, August 2021
(Universidad Privada Norbert Wiener, 2021-10-24) Sánchez Quispe, Douglas José; Cárdenas de Fernández, María Hilda
The present research study aims to define the relationship between the use of care packages for patients in the intensive care unit of the Carlos Lanfranco La Hoz Hospital in the prevention of mechanical ventilation-associated pneumonia (VAP) during August 2021 Materials and methods; Since the relationship between the application of nursing kits and the prevention of ventilator-associated pneumonia (VAP) will be analyzed, this study adopts deductive and observational research methods. We will work with patients who are still in the state of requesting “care package“ throughout the year. From August 2021, the instrument will be used in the intensive care unit area. There are currently about 100 patients. The inclusion criteria will be given by patients admitted to the intensive care unit with invasive mechanical ventilation and patients in the intensive care unit who have not been distinguished from previous pathology, and the exclusion criteria will be given by patients admitted to the intensive care unit with non-invasive mechanical ventilation. Patients with mechanical ventilation and patients admitted to the intensive care unit for pneumonia dx. A checklist will be used as a tool which will comprise six binary response prevention guidelines.
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Conocimiento sobre el manejo del ventilador mecánico y práctica de enfermería en unidad de trauma shock hospital Lima, 2025
(Universidad Privada Norbert Wiener, 2025-03-23) Lozano Vivanco, Jady Katherin; Benavides Silva de Sender, Erika María del Carmen
La presente investigación tiene como objetivo abordar e identificar la relación entre el conocimiento sobre el manejo del ventilador mecánico y la práctica de enfermería en una unidad de trauma shock en un hospital de Lima en 2024. Para ello, se aplicará un enfoque cuantitativo, diseño no experimental y alcance correlacional. La población de estudio está conformada por 80 profesionales de enfermería, quienes serán seleccionados mediante muestreo no probabilístico de tipo censal. La recolección de datos se realizará utilizando cuestionarios y guías de observación validadas, las cuales presentan altos índices de confiabilidad (α=0.86, KR20=0.96). Para medir la primera variable, se aplicará un cuestionario sobre el manejo del ventilador mecánico, mientras que para la segunda variable se utilizará una guía de observación para evaluar la práctica de enfermería en la unidad de trauma shock. Los resultados preliminares serán sometidos a una prueba de normalidad para verificar la distribución de los datos. Posteriormente, se utilizarán herramientas estadísticas apropiadas, como el coeficiente de correlación de Pearson o Spearman, para analizar la relación entre las dos variables finalmente buscando contribuir a mejorar la calidad del manejo del ventilador mecánico en el ámbito hospitalario, específicamente en situaciones críticas como las que se presentan en la unidad de trauma shock, y proporcionar evidencia sobre la importancia de la capacitación continua en los profesionales de enfermería en el manejo de tecnologías de soporte vital respetando y garantizando en todo momento la integridad y confidencialidad de los pacientes a través de los principios de ética establecidos en investigación.
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Effectiveness of aspiration of subglottic secretions in adult patients with artificial airway to reduce complications
(Universidad Privada Norbert Wiener, 2019-09-22) Vila Poma, Ted Jhon; Villanueva Valverde, Arturo Oscar; Rivera Lozada de Bonilla, Oriana
Objectives: Systematize the evidence on the effectiveness of aspiration of subglottic secretions in adult patients with an artificial airway to reduce complications. Methodology and method: systematic and retrospective review studies, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of articles published in PubMed, Sciencedirect, Epistemonikos, Scielo, Researchgate. Results: 80% indicate that aspiration of subglottic secretions is effective in adult patients with an artificial airway to reduce complications. 20% indicate that aspiration of subglottic secretions is not effective. Conclusions: With the aspiration of subglottic secretions, the incidence of pneumonia associated with the ventilator was reduced, and there was a decrease in the incidence of hospital stay.
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Effectiveness of protocolized weaning to reduce the duration of mechanical ventilation in patients in critical units.
(Universidad Privada Norbert Wiener, 2020-02-22) Vera Montalvo, Roberto Carlos; Gordillo Fernández, Juan Carlos; Fernández Rengifo, Werther Fernando
Objective: To systematize the results found on the effectiveness of protocolized weaning compared to non-protocolized weaning to reduce the duration of mechanical ventilation in patients in critical units. Material and Methods: Systematic review based on a critical reading and supported by the GRADE evaluation system to determine the degree of evidence of scientific research that has been consulted in the following databases Researchgate, Elsevier, Scielo, PubMed, Epistemonikos and Wiley Onlinelibrary. Corresponding to 80% of high quality as detailed below: 10% (1/10) are meta-analysis, 40% (4/10) are systematic reviews, 30% (3/10) are randomized controlled trials and 20 % of moderate quality, with 20% (2/10) being cohort studies, coming from the countries of England (20%), followed by Portugal (10%), Ireland (10%), Australia (10%), South Korea (10%), Brazil (10%), Canada (10%), United States (10%) and Turkey (10%). Results: 100% (n=10/10) indicate that protocolized weaning is effective in reducing the duration of mechanical ventilation in patients in critical units. Conclusion: Protocolized weaning is effective in reducing the duration of mechanical ventilation in patients in critical units.
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Effectiveness of the prona position in patients in mechanical ventilation with acute respiratory difficulty syndrome in pressure laceration prevention
(Universidad Privada Norbert Wiener, 2019-08-04) Zavaleta Castro, Magaly Zulay; Carrera Tafur, Isabel Cristina; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of the prone position in patients on mechanical ventilation with acute respiratory distress syndrome in preventing pressure lacerations. Materials and methods: Quantitative research, the design was a systematic review, with a population of 34 articles, sample of 10 articles published in the databases, the instrument was a search in the databases: Cochrane, BVS, Lilacs, Scielo, Pubmed, Epistemonikos, the GRADE system was used to evaluate the quality of evidence and the strength of recommendation. Results: All articles show that the prone position is effective in patients on mechanical ventilation with acute respiratory distress syndrome, but does not prevent the development of pressure lacerations, occurring in areas of the face, chest and legs, the number of hours in this position is an important factor and there was a comparison on the supine and prone position where it was shown that the prone position increases the development of lacerations. Conclusions: 100% of the studies show that ventilation in the prone position improves lung oxygenation in patients with acute respiratory distress syndrome, proving to be a therapeutic measure with excellent results, although it does not prevent the development of pressure lacerations.
Acceso abierto
Effectiveness of types of nursing communication to improve the quality of care in patients with invasive mechanical ventilation without sedation anesthesia in the intensive care unit
(Universidad Privada Norbert Wiener, 2020-02-01) Tarrillo Rubio, José Omar; López López, Jenny Janet; Uturunco Vera, Milagros Lizbeth
Objective: Systematize evidence on the effectiveness of types of communication in nursing to improve the quality of care in patients with invasive mechanical ventilation without sedation in the intensive care unit. Material and Methods: Systematic, cross-sectional reviews, case studies, clinical and observational trials, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, found in the following databases: PubMed, Sciencedirect, Cochrane , Scielo, Wiley Online Library, Elsevier, Epistemonikos. The sample is 10 articles published in English, Portuguese and Spanish, taking into account the age of no more than ten years, search strategies were carried out. Results: 10 articles have been identified that examine methods or strategies on how to communicate with patients on mechanical ventilation without sedation, of which 5 mention verbal communication is the best option in its use and accessibility, 4 of them mention that it can be complemented with additional tools and another 5 mention that it can be helped with devices that allow verbal communication. Conclusion: The most commonly used methods were: use of gestures and body movements, in addition to the use of materials such as pencil, paper, sheets with the alphabet and images, use of sounds or lights; but due to its effectiveness, it must be used with augmentative and alternative communication (AAC) tools, as well as staff must be trained in the use of these various types of communication.
Acceso abierto
Factors that influence the knowledge of nurses in the management of the mechanical ventilator in the Intensive Care Unit of the Edgardo Rebagliati Martins Hospital 2021
(Universidad Privada Norbert Wiener, 2022-03-27) Flores Ponce, Claudia Gabriela; Cárdenas de Fernández, María Hilda
Modernity has allowed the development of technologies that help with many problems that patients have. This fact can be seen more frequently in Intensive Care services, where increasingly complex and sophisticated equipment is used. One of these devices is the so-called mechanical ventilator that artificially replaces the organs responsible for breathing. This also means that the service must be staffed with highly qualified personnel with up-to-date and sufficient knowledge for the proper handling of this equipment. In the daily work in the Intensive Care Unit, it is evident that it is the nursing staff who are most frequently in charge of managing the mechanical ventilator, sometimes ineffective handling of the equipment can be observed, affecting the patient's condition and evolution, which is why in the present project it is proposed to solve the following question: What are the factors that influence the knowledge of nurses in the management of the mechanical ventilator in the intensive care unit of the Edgardo Rebagliati Martíns Hospital 2021? , with the aim of determining the factors that influence the knowledge of nurses in the management of the mechanical ventilator in the intensive care unit of the Edgardo Rebagliati Martíns Hospital 2021 Finally, this project is made up of four sections: number 1 that describes the problem, number 2 that details the theoretical framework, number 3 that develops the methodology and number 4 that indicates the administrative aspects.
Acceso abierto
Knowledge and practice of nurses about the Care Bundle package for the prevention of pneumonia due to mechanical ventilation, in the intensive care unit of a Hospital in Cañete 2022
(Universidad Privada Norbert Wiener, 2022-07-10) Sánchez Gonzales, Mery Jacqueline; Pretell Aguilar, Rosa María
Objective: Determine the relationship that exists between knowledge and practice of nurses about the Care Bundle package for the prevention of pneumonia due to mechanical ventilation, in the intensive care unit. Population: there will be a total of 60 nursing graduates from critical unit services; ICU, NICU, COVID ICU. Sample: the population is finite, the sample will be the total population, that is, 60 nursing graduates. Methodological design: It will be applied. With a quantitative approach, this research will use a hypothetical deductive method. Observational, descriptive, cross-sectional, correlational design. Instruments: To evaluate variable 1, the survey “knowledge about the Care Bundle for the prevention of pneumonia associated with the mechanical ventilator” will be used, modified by Pacheco in 2021. It will be reliable due to the Kuder Richarson coefficient of 0.92, for variable 2: “compliance with the Care Bundle package for the prevention of pneumonia”, being reliable by Crombach's Alpha with 0.799. The technique will be the survey and the checklist. Data processing and analysis: It will be carried out through the application of the statistical description that will present the results according to levels and the inferential statistics through the application of the Spearman's Rho test to verify the hypothesis raised in the study.
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Nosocomial pneumonia in patients with prolonged mechanical ventilator in the intensive care unit of a public hospital in Lima - Peru, 2021
(Universidad Privada Norbert Wiener, 2021-08-22) Latorre Pineda, Diego Armando; Fernández Rengifo, Werther Fernando
Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in the intensive care unit (ICU) and the leading cause of death. Prevention should be a priority because it can reduce morbidity and mortality, reduce costs of care, and improve patient safety. The objective of this research was to determine the probability of acquiring nosocomial pneumonia in patients with prolonged mechanical ventilation in a public hospital in Lima. Material and method: the design is quantitative, with a descriptive and transversal design. The population will be made up of 50 adult patients who are in the intensive care unit and who meet the inclusion criteria and additionally signed the informed consent. In order to collect data, an observation guide was used; structured consists of two parts, such as the questionnaire and the CPIS scoring system is an additive scale, where six types of items are used, from whose value the probability that a clinical condition appeared after admission to a hospital is derived. of nosocomial pneumonia.
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Nursing knowledge about the care of patients with invasive mechanical ventilation and its relationship with the presence of adverse events in an ICU of a hospital in Lima – 2021
(Universidad Privada Norbert Wiener, 2022-10-09) Ccota Estaña, Mónica Marlene; Avila Vargas Machuca, Jeannette Giselle
Objective: Determine the relationship between the level of knowledge of the nursing professional about the care of patients with invasive mechanical ventilation and the presence of adverse events in the ICU service of a hospital in Lima - 2022. MATERIAL AND METHOD: The present study will be carried out quantitative approach, non-experimental if correlational, cross-sectional and hypothetical – Deductive design. The population will be made up of 80 Nursing professionals from the ICU service of the Lima hospital who will work with all the staff; in the same way with patients who have presented any adverse event. The previously validated instruments are questionnaire-type forms. The instrument that will be used is known as the “Questionnaire on Basic Domains on Mechanical Ventilation”. This instrument is comprised of 3 dimensions: Direct care of the adult patient 13 items, Equipment management 6 items, Complications during the use of the ventilator 1 items, indicators respectively finally obtaining 20 items. Whose final value of the knowledge level variable is: Very low, low, Regular, High. While the second instrument that will be used to measure the presence of adverse events is known as the “Adverse Events Form.” Such instrument will be composed of 30 Items. Where the final value will be if it presents EA (1) it does not present EA (0).
Acceso abierto
Respiratory distress syndrome and the use of the mechanical ventilator in neonates, Guillermo Díaz De La Vega Regional Hospital – Abancay 2022
(Universidad Privada Norbert Wiener, 2023-11-13) Urpe Cárdenas, Juana Catalina; Chero Pisfil, Santos Lucio
The purpose of this study is to determine the association between respiratory distress syndrome and the use of mechanical ventilation in neonatal patients. Its implementation will allow the description and analysis of these results, serving as evidence for the causes and consequences that lead to newborns being hospitalized in the Neonatal Intensive Care Unit (NICU). This will enable prevention and avoid morbidity and mortality in newborns, and the results will provide relevant information to make decisions and change the reality in this field.
Acceso abierto
Risk of infections by intrahospital pneumonia in patients with prolonged artifical mechanical fan in the intensive care unit in a Hospital Public of Lima-Perú, 2020.
(Universidad Privada Norbert Wiener, 2020-09-13) Avendaño Silva, Mirley Jesus; Gonzales Saldaña, Susan Haydee
The aim of this research was to determine the risk of nosocomial pneumonia in patients with prolonged mechanical ventilation in a public hospital in Lima. Material and method: The design is quantitative, with a descriptive and cross-sectional design. The population will consist of 50 adult ICU patients who meet the inclusion criteria and signed informed consent. Data collection will be carried out through observation; an instrument consisting of two parts, a questionnaire and the CPIS scoring system, will be used during evaluation. The findings recommend implementing actions to strengthen theoretical knowledge among nursing staff through training and updating, implementing preventive guidelines or procedures to help increase knowledge and modify nursing practices.
Acceso abierto
Sociodemographic factors influencing the level of knowledge of nursing staff in the management of the mechanical ventilator at the Hospital San José de Chincha, 2022
(Universidad Privada Norbert Wiener, 2022-11-06) Chumbiauca Martínez, Sergio Yoel; Mori Castro, Jaime Alberto
This thesis project aims to analyze the influence of sociodemographic factors on the level of knowledge among nursing staff regarding the management of mechanical ventilators at San José de Chincha Hospital, 2022. Materials and Methods: A quantitative, basic, prospective, cross-sectional study will be conducted on a sample of 25 nurses from the intensive care unit of San José de Chincha Hospital. The data will be collected using a survey technique, developed by María Isabel Llerena Otiniano in 2016 in Peru, which assesses the level of knowledge in mechanical ventilator management and the factors influencing its use.