NR505 Critique of Systematic Research Review Paper - Running head CRITIQUE OF SYSTEMATIC RESEARCH REVIEW Critique of Systematic Research Review Victoria

NR505 Critique of Systematic Research Review Paper -...

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Running head: CRITIQUE OF SYSTEMATIC RESEARCH REVIEW1Critique of Systematic Research Review Victoria BlauveltChamberlain College of NursingNR505: Advance Research Methods: Evidence-Based PracticeFebruary 2016
CRITIQUE OF SYSTEMATIC RESEARCH REVIEW 2Critique of Systematic Research ReviewA systematic research review (SRR) is a summary of evidence collected that uses a rigorous process for identifying, appraising and synthesizing studies to answer a specific clinical question and draw conclusions about the data gathered (Melynk & Fineout-Overholt, 2011). SRR is utilized in evidence based practice in order to reduce bias from individual studies. The purpose of this paper is to critique a systematic research review related to the use of extracorporeal membrane oxygenation (ECMO) in acute, massive pulmonary embolisms (PE). The review examines the benefits and statistical data related to survival rate of patients that receive ECMO alone or in conjunction with surgical intervention. This paper will describe the relevance of the research problem, critique the rigor of the study, identify the level of evidence and clarity which the study is presented. This paper will describe and summarize the findings and conclude with recommendations for current and future practice. Relevance of ResearchA pulmonary embolism is a blockage of the main artery of the lung that travels through the bloodstream. Pulmonary embolisms can originate from a clot in the leg, air or fat emboli or from intravenous drug use and is a condition that carries a high mortality rate. Patients at any age can exhibit symptoms related to PE such as difficulty breathing, sudden onset chest pain, cyanosis, tachycardia, hypotension, low oxygen saturation and even sudden death. According to authors Yusuff, Zochios and Vuylsteke, a massive PE is characterized by right ventricular dysfunction and systolic blood pressure less than 90 mmHg. There is recorded data to suggest that patients presenting with hypotension or circulatory arrest have a 90-day mortality rate of 52% (2015). ECMO is a life saving option in patients with massive pulmonary embolisms and
CRITIQUE OF SYSTEMATIC RESEARCH REVIEW 3when compared with other causes of cardiac arrest, patients who survived a massive PE presented a good neurological outcome as it is the most reliable and quickest way to reduce ventricular failure, improve hemodynamics and restore oxygen to tissues (Yusuff, et al., 2015).

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