Intervenciones de enfermería en neonatos con presión positiva continua

Reza, Cleotilde García; Mejía-Flores, María Andrea; Pérez, Liliana Guadarrama; Martínez, Verónica

doi:10.11144/javeriana.ie20-1.ienp

Cited by 2 publications

(2 citation statements)

References 4 publications

(7 reference statements)

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“…Six studies described providers’ experiences with setting up CPAP devices and initiation of CPAP treatment [ 33 , 39 , 63 – 66 ]. Nasal prong dislodgment and the need to re-adjust the patient-device interface were common technical challenges during treatment for neonates and infants [ 7 , 45 , 67 ].…”

Section: Resultsmentioning

confidence: 99%

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Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review

Dada¹,

Ashworth

Sobitschka

et al. 2021

PLoS ONE

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Background Continuous positive airway pressure (CPAP) is the gold standard of care in providing non-invasive positive pressure support to neonates in respiratory distress in high-resource settings. While safety has been demonstrated in low-resource settings, there is a lack of knowledge on the barriers and facilitators to proper implementation. Objective To identify and describe the barriers, facilitators, and priorities for future implementation of CPAP for neonates and infants in low-resource settings. Methods A systematic search (database inception to March 6, 2020) was performed on MEDLINE, Embase, Web of Science, CINAHL, Global Health, and the WHO Global Index Medicus using PRISMA-ScR guidelines. Original research articles pertaining to implementation of CPAP devices in low-resource settings, provider or parent perspectives and experiences with CPAP, cost-benefit analyses, and cost-effectiveness studies were included. Inductive content analysis was conducted. Findings 1385 article were screened and 54 studies across 19 countries met inclusion criteria. Six major themes emerged: device attributes, patient experiences, parent experiences, provider experiences, barriers, and facilitators. Nasal trauma was the most commonly reported complication. Barriers included unreliable electricity and lack of bioengineering support. Facilitators included training, mentorship and empowerment of healthcare providers. Device design, supply chain infrastructure, and training models were imperative to the adoption and sustainability of CPAP. Conclusion Sustainable implementation of CPAP in low resource settings requires easy-to-use devices, ready access to consumables, and holistic, user-driven training. Further research is necessary on standardizing metrics, interventions that support optimal provider performance, and conditions needed for successful long-term health system integration.

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Section: Resultsmentioning

confidence: 99%

“…A major finding from this review was that it is essential that CPAP devices are easy to assemble, use, maintain, and have simple bioengineering support [ 33 , 39 ]. Evidence has shown how devices designed in high resource settings are not sustainable as once they break, there is no bioengineering support to fix them [ 74 , 75 ].…”

Section: Discussionmentioning

confidence: 99%

Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review

Dada¹,

Ashworth

Sobitschka

et al. 2021

PLoS ONE

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Manejo de neonatos con Colangiopatía Obstructiva Crónica Neonatal. Cirugía de Kasai

López

Almeida

Quisimalin

et al. 2022

Salud Cienc. Tecnol.

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Introducción: La cirugía de Kasai es un tratamiento clínico relevante para eliminar los defectos de los conductos biliares fuera del hígado. Objetivo: Identificar el manejo de los pacientes neonatos con colangiopatía obstructiva crónica sometidos a cirugía de Kasai y describir la atención, el enfoque, el tratamiento y el manejo de pacientes enmarcada en la línea 4 de investigación epidemiológica de la Faculta de Ciencias de la Salud de la Universidad. Métodos: El estudio se realizó de acuerdo con las directrices PRISMA para revisiones sistemáticas. La metodología es descriptiva y cualitativa. Resultados: El tratamiento demuestra ser efectivo, el cuidado estrecho de las complicaciones postoperatorias tiene un efecto positivo para mejorar el efecto quirúrgico y retrasar la progresión de la enfermedad, a esto se suma la escasa importancia al estado psicológico del cuidador, lo que puede dar lugar a una mala comunicación y coordinación, afectando así al tratamiento y la rehabilitación de los recién nacidos. Conclusión: La colangiopatía obstructiva crónica requiere principalmente cuidados centrados en las necesidades del neonato, una mejor adherencia a la medicación, nutrición y complicaciones postoperatorias. La investigación sobre los cuidados específicos a implementarse en esta patología no está establecida hay pocos estudios relacionados al tema. Por lo tanto, el personal de salud deberá hacer énfasis en la investigación de esta patología para mejorar el nivel de atención enfocándose en la creación de guías clínica que sustenten los procesos aplicados en los neonatos.

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Intervenciones de enfermería en neonatos con presión positiva continua

Cited by 2 publications

References 4 publications

Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review

Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review

Manejo de neonatos con Colangiopatía Obstructiva Crónica Neonatal. Cirugía de Kasai

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