Titulo:

Uso de cánula nasal de alto flujo en falla respiratoria en adultos
.

Sumario:

Introducción. La oxigenoterapia brinda un gran número de beneficios para aquellos pacientes que presentan enfermedades cardiorrespiratorias, mejora procesos fundamentales como ventilación,  oxigenación y perfusión clínica. El objetivo de esta revisión de tema es analizar la evidencia de la literatura relacionada con la utilidad y uso de la cánula nasal de alto flujo, en pacientes adultos bajo cuidado intensivo, con falla respiratoria. Materiales y métodos. Se realizó una revisión bibliográfica de 100 artículos publicados en las bases de datos Science Direct, Scopus, Ovid, Medline, Proquest y Cochrane, durante una ventana de tiempo compren... Ver más

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spelling Uso de cánula nasal de alto flujo en falla respiratoria en adultos
Use of high flow nasal cannula in respiratory failure in adults
Introducción. La oxigenoterapia brinda un gran número de beneficios para aquellos pacientes que presentan enfermedades cardiorrespiratorias, mejora procesos fundamentales como ventilación,  oxigenación y perfusión clínica. El objetivo de esta revisión de tema es analizar la evidencia de la literatura relacionada con la utilidad y uso de la cánula nasal de alto flujo, en pacientes adultos bajo cuidado intensivo, con falla respiratoria. Materiales y métodos. Se realizó una revisión bibliográfica de 100 artículos publicados en las bases de datos Science Direct, Scopus, Ovid, Medline, Proquest y Cochrane, durante una ventana de tiempo comprendida entre 2011 y 2017. Se seleccionaron 50 artículos originales y se excluyeron 50 estudios correspondientes a revisiones de tema, de caso y a la utilización de la cánula nasal en servicios diferentes a la unidad de cuidado intensivo adulto. Resultados. La cánula nasal de alto flujo fue utilizada en mayor proporción para el manejo terapéutico en falla hipoxémica entre leve y moderada, en falla hipercápnica y en procesos de preintubación y postextubación, con lo cual se evidenció mejoría en los parámetros clínicos y gasométricos y en el confort del paciente; además, se convirtió en una alternativa terapéutica que tiene efectos positivos sobre procesos fisiológicos. Conclusiones. El uso de la cánula nasal de alto flujo ha demostrado beneficios en la evolución clínica de los pacientes, gracias a los efectos terapéuticos que genera en procesos como la oxigenación y ventilación, comparados con otros sistemas de oxigenación convencional; sin embargo, es necesario aumentar los estudios que validen los beneficios de este dispositivo, sobre todo en los pacientes con falla respiratoria tipo hipercápnica.
Introduction. Oxygen therapy provides many benefits for patients who have cardiorespiratory diseases improving ventilation, oxygenation and clinical perfusion. The aim of this review is to analyze the evidence of the literature related to the usefulness and the use of the high flow nasal cannula in adults patients who are in critical care. Materials and methods. Was carried out a literature review of 100 published articles in database Science Direct, Scopus, Ovid, Medline, Proquest and, Cochrane, between the years 2011-2017,. We selected 50 articles originals, 50 other studies relevant to subject of case reviews and the use of the nasal cannula in different services to the adult intensive care unit were excluded. Results. High flow nasal cannula was used in greater proportion in hypoxemic between slight and moderate in hypercapnic failure and preintubation and post-extubation processes, demonstrating improvements in clinical and geometrics’ parameters and the comfort of the patient, besides becoming an alternative therapy that has positive effects on physiological processes. Conclusions. The use of the high flow nasal cannula has shown benefits in the clinical evolution of patients, thanks to the therapeutic effects that it generates in processes such as oxygenation and ventilation, compared to other conventional oxygenation systems; however, it is necessary to increase the studies that validate the benefits of this device, especially in patients with hypercapnic respiratory failure.
Valero Ortiz, Adriana
Umbacía Salas, Flor Angela
Palencia Mojica, Clara Lizeth
Suárez Saavedra, Magda Tixiana
Silva Rodriguez, Laura Jimena
fallo respiratorio
oxigenoterapia
cuidado intensivo
cánula nasal
respiratory insufficiency
oxygen inhalation therapy
critical care
cannula
insuficiência respiratória
oxigenoterapia
terapia intensiva
cânula nasal
6
1
Núm. 1 , Año 2019 : Revista Investigación en Salud Universidad de Boyacá
Artículo de revista
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2019-01-11T00:00:00Z
2019-01-11T00:00:00Z
2019-01-11
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Universidad de Boyacá
Revista Investigación en Salud Universidad de Boyacá
2389-7325
2539-2018
https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/406
10.24267/23897325.406
https://doi.org/10.24267/23897325.406
spa
https://creativecommons.org/licenses/by-nc-sa/4.0/
Revista Investigación en Salud Universidad de Boyacá - 2019
170
187
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institution UNIVERSIDAD DE BOYACÁ
thumbnail https://nuevo.metarevistas.org/UNIVERSIDADDEBOYACA/logo.png
country_str Colombia
collection Revista Investigación en Salud Universidad de Boyacá
title Uso de cánula nasal de alto flujo en falla respiratoria en adultos
spellingShingle Uso de cánula nasal de alto flujo en falla respiratoria en adultos
Valero Ortiz, Adriana
Umbacía Salas, Flor Angela
Palencia Mojica, Clara Lizeth
Suárez Saavedra, Magda Tixiana
Silva Rodriguez, Laura Jimena
fallo respiratorio
oxigenoterapia
cuidado intensivo
cánula nasal
respiratory insufficiency
oxygen inhalation therapy
critical care
cannula
insuficiência respiratória
oxigenoterapia
terapia intensiva
cânula nasal
title_short Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_full Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_fullStr Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_full_unstemmed Uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_sort uso de cánula nasal de alto flujo en falla respiratoria en adultos
title_eng Use of high flow nasal cannula in respiratory failure in adults
description Introducción. La oxigenoterapia brinda un gran número de beneficios para aquellos pacientes que presentan enfermedades cardiorrespiratorias, mejora procesos fundamentales como ventilación,  oxigenación y perfusión clínica. El objetivo de esta revisión de tema es analizar la evidencia de la literatura relacionada con la utilidad y uso de la cánula nasal de alto flujo, en pacientes adultos bajo cuidado intensivo, con falla respiratoria. Materiales y métodos. Se realizó una revisión bibliográfica de 100 artículos publicados en las bases de datos Science Direct, Scopus, Ovid, Medline, Proquest y Cochrane, durante una ventana de tiempo comprendida entre 2011 y 2017. Se seleccionaron 50 artículos originales y se excluyeron 50 estudios correspondientes a revisiones de tema, de caso y a la utilización de la cánula nasal en servicios diferentes a la unidad de cuidado intensivo adulto. Resultados. La cánula nasal de alto flujo fue utilizada en mayor proporción para el manejo terapéutico en falla hipoxémica entre leve y moderada, en falla hipercápnica y en procesos de preintubación y postextubación, con lo cual se evidenció mejoría en los parámetros clínicos y gasométricos y en el confort del paciente; además, se convirtió en una alternativa terapéutica que tiene efectos positivos sobre procesos fisiológicos. Conclusiones. El uso de la cánula nasal de alto flujo ha demostrado beneficios en la evolución clínica de los pacientes, gracias a los efectos terapéuticos que genera en procesos como la oxigenación y ventilación, comparados con otros sistemas de oxigenación convencional; sin embargo, es necesario aumentar los estudios que validen los beneficios de este dispositivo, sobre todo en los pacientes con falla respiratoria tipo hipercápnica.
description_eng Introduction. Oxygen therapy provides many benefits for patients who have cardiorespiratory diseases improving ventilation, oxygenation and clinical perfusion. The aim of this review is to analyze the evidence of the literature related to the usefulness and the use of the high flow nasal cannula in adults patients who are in critical care. Materials and methods. Was carried out a literature review of 100 published articles in database Science Direct, Scopus, Ovid, Medline, Proquest and, Cochrane, between the years 2011-2017,. We selected 50 articles originals, 50 other studies relevant to subject of case reviews and the use of the nasal cannula in different services to the adult intensive care unit were excluded. Results. High flow nasal cannula was used in greater proportion in hypoxemic between slight and moderate in hypercapnic failure and preintubation and post-extubation processes, demonstrating improvements in clinical and geometrics’ parameters and the comfort of the patient, besides becoming an alternative therapy that has positive effects on physiological processes. Conclusions. The use of the high flow nasal cannula has shown benefits in the clinical evolution of patients, thanks to the therapeutic effects that it generates in processes such as oxygenation and ventilation, compared to other conventional oxygenation systems; however, it is necessary to increase the studies that validate the benefits of this device, especially in patients with hypercapnic respiratory failure.
author Valero Ortiz, Adriana
Umbacía Salas, Flor Angela
Palencia Mojica, Clara Lizeth
Suárez Saavedra, Magda Tixiana
Silva Rodriguez, Laura Jimena
author_facet Valero Ortiz, Adriana
Umbacía Salas, Flor Angela
Palencia Mojica, Clara Lizeth
Suárez Saavedra, Magda Tixiana
Silva Rodriguez, Laura Jimena
topicspa_str_mv fallo respiratorio
oxigenoterapia
cuidado intensivo
cánula nasal
topic fallo respiratorio
oxigenoterapia
cuidado intensivo
cánula nasal
respiratory insufficiency
oxygen inhalation therapy
critical care
cannula
insuficiência respiratória
oxigenoterapia
terapia intensiva
cânula nasal
topic_facet fallo respiratorio
oxigenoterapia
cuidado intensivo
cánula nasal
respiratory insufficiency
oxygen inhalation therapy
critical care
cannula
insuficiência respiratória
oxigenoterapia
terapia intensiva
cânula nasal
citationvolume 6
citationissue 1
citationedition Núm. 1 , Año 2019 : Revista Investigación en Salud Universidad de Boyacá
publisher Universidad de Boyacá
ispartofjournal Revista Investigación en Salud Universidad de Boyacá
source https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/406
language spa
format Article
rights https://creativecommons.org/licenses/by-nc-sa/4.0/
Revista Investigación en Salud Universidad de Boyacá - 2019
info:eu-repo/semantics/openAccess
http://purl.org/coar/access_right/c_abf2
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