La efectividad de la posición prona en acute respiratory distress syndrome: revisión sistemática
DOI:
https://doi.org/10.37914/riis.v6i1.231Palabras clave:
decúbito ventral, síndrome de dificultad respiratoriaResumen
Marco contextual: posición prona es una práctica clínica, basada en evidencia, conocida en pacientes con Síndrome de Dificultad Respiratoria Aguda con ventilación mecánica invasiva. Hay poca evidencia en pacientes no entubados. La creciente tasa de síndrome de distrés respiratorio agudo originó la necesidad de desarrollar esfuerzos para conocer su efectividad en pacientes no intubados. Objetivo: conocer la efectividad del decúbito prono en el tratamiento del síndrome de distrés respiratorio agudo en adultos no intubados. Metodología: revisión sistemática basadas en el manual del Instituto Joanna Briggs y mediante la estrategia PICO. La búsqueda ocurrió en agosto 2021 en las plataformas de acceso Web of Science, PubMed y EBSCO Host. Selección realizada por previa eliminación de duplicados, lectura de títulos, resúmenes y textos completos de acuerdo con el diagrama Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Resultados: se identificaron 741 resultados, siete incluyeron la revisión. Conclusión: la posición prona temprana demostró ser ventajosa en pacientes no intubados con Síndrome de Dificultad Respiratoria Aguda leve y moderado. Intervención riesgosa en pacientes no intubados con Síndrome de Dificultad Respiratoria Aguda grave. Indicadores de mortalidad/supervivencia, fisiológicos/clínicos, de eventos/efectos adversos e indicadores funcionales, fueron identificados como predictores de éxito/fracaso de la posición prono.
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Derechos de autor 2023 Sílvia Marlene Barradas Ramos, Aramid José Fajardo Gomes, Ana Luisa Rego, Pedro Ezequiel Martins Pimenta, José António Pinho Silva, Silvana Peixoto Martins, Ana Catarina da Costa Maia, Ana Paula Macedo
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
