Evidence-Based Project
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Name of Article |
Name of Article |
Name of Article |
Name of Article |
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Levels of Evidence |
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Study Design |
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Variable to be studied |
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Variable to be studied |
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Variable to be studied
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Compare template above to my table below. At a glance you can see the names of the most important articles I choose, the level of evidence of that study, what the design was, and what variables were important to know about in each article. As you study the table, the reader can clearly see more studies in support of BiPAP than IS along with other information that would be of interest to the provider to support standards of care.
Table 2 Synthesis of IS and NIPPV Evidence /Types of Surgery
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EBP Synthesis Table 2
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Guimaraes M. 2008 |
Gosseling, R. 2000 |
Joris, J. 1997 |
Ebeo, C. 2002 |
Westwood K. 2007 |
Leech, C 2007 |
Freitas, E. 2007 |
Overend, R. 2001 |
Sungur, M. 2007 |
Bourne, R.
2007 |
El Solh 2006 |
National Guideline Clearing House 2004 |
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Levels of Evidence |
I |
II |
II |
II |
III |
VII |
I |
I |
VII |
IV |
III |
I |
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Design
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Systematic Review |
RTC |
RCT |
RCT |
Observational Study-Non Randomized |
Case Report |
RTC |
Systematic Review |
Expert Comment |
Retrospective Quantitative |
Prospective Control Trial |
NGC/AHRQ Guideline |
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Evidence does not support IS in prevention of PPCs |
X |
X |
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X |
X |
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Evidence supporting use of IS to prevent PPCs |
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X |
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Evidence Supporting Use of NIPPV to Prevent PPCs |
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X |
X |
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X |
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X |
X |
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X |
X |
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NIPPV/BiPAP Treatment 12/4 12-24hrs Post-op 2 out of 3 hrs |
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X |
X |
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Intraoperative & 3hrs post-op |
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48 hrs post extubation 5 on out of 6 hrs BiPAP S/T-D |
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Obese Related Surgery |
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X |
X |
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X
Hip |
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X |
X |
X Obese patients |
X (OSA & surgery) |
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Abdominal Surgery |
X |
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X |
X |
X |
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X |
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Thoracic Area/Cardiac |
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X |
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X |
X |
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QRTC= quasi-experimental -nonrandomized controlled trials CD=cross-over design CS=case series PCS= prospective cohort study RCS=retrospective case series MA=meta-analysis
NIPPV=Noninvasive positive pressure ventilation BiPAP=Bi-level positive airway pressure hrs=hours