Manejo de vía aérea en pacientes de 18 a 40 años con trauma craneoencefálico en el área de reanimación
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
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El presente trabajo de investigación se abordo sobre el traumatismo craneoencefálico (TCE), tras el impacto que produce un daño progresivo y van apareciendo lesiones cerebrales primarias, pero también lesiones cerebrales secundarias como consecuencia de la activación de cascadas bioquímicas. Esta respuesta puede ser modulada por factores que agravan la lesión cerebral secundaria si ocurren en el período de vulnerabilidad cerebral. Sin embargo el manejo de la vía aérea se vuelve un pilar importante dentro de la intervención primaria en áreas de reanimación, debido a lo cual el objetivo de este trabajo es determinar el correcto manejo de vía aérea previniendo futuras complicaciones en pacientes de 18 a 40 años con accidente cerebro vascular del área de reanimación, este trabajo fue descriptivo y transversal El 90% del personal está de acuerdo por lo tanto se han presentado complicaciones relacionadas a la vía aérea en pacientes, los principales resultados obtenidos fueron: el 100% está totalmente de acuerdo respecto a mejorar el manejo de la vía aérea mejorara la expectativa de recuperación, el 100% del personal estuvo de acuerdo que se implemente una guía, referente a los pacientes el 37,5% tienen de 41 -50 años, el 25% de 31-40años, el 75 % de los pacientes ingresaron de manera inconscientes y el manejo de su vía aérea fue el 37,5 % de los pacientes tuvieron cánula.
The present research work deals with the traumatic brain injury (TBI), after the impact there is a progressive damage and primary brain lesions appear, but also secondary brain injuries as a result of the activation of biochemical cascades. This response can be modulated by factors that aggravate secondary brain injury if they occur in the period of cerebral vulnerability. However, the management of the airway is an important pillar within the primary intervention in areas of resuscitation, due to which the objective of this work is to determine the correct airway management, preventing future complications in patients from 18 to 40 years old. cerebrovascular accident in the area of resuscitation, this work was descriptive and cross-sectional. 90% of the staff agrees. Therefore, there have been complications related to the airway in patients, the main results were: 100% totally agree Regarding improving the management of the airway, the expectation of recovery will improve, 100% of the staff agreed to implement a guide, referring to patients 37.5% are 41 -50 years old, 25% of 31 -40 years, 75% of patients admitted unconsciously and the management of their airway was 37.5% of patients had a cannula.
The present research work deals with the traumatic brain injury (TBI), after the impact there is a progressive damage and primary brain lesions appear, but also secondary brain injuries as a result of the activation of biochemical cascades. This response can be modulated by factors that aggravate secondary brain injury if they occur in the period of cerebral vulnerability. However, the management of the airway is an important pillar within the primary intervention in areas of resuscitation, due to which the objective of this work is to determine the correct airway management, preventing future complications in patients from 18 to 40 years old. cerebrovascular accident in the area of resuscitation, this work was descriptive and cross-sectional. 90% of the staff agrees. Therefore, there have been complications related to the airway in patients, the main results were: 100% totally agree Regarding improving the management of the airway, the expectation of recovery will improve, 100% of the staff agreed to implement a guide, referring to patients 37.5% are 41 -50 years old, 25% of 31 -40 years, 75% of patients admitted unconsciously and the management of their airway was 37.5% of patients had a cannula.
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TRAUMA CRANEOCEREBRAL, REANIMACION, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL DE ESPECIALIDADES GUAYAQUIL DR. ABEL GILBERT PONTON, CANTON GUAYAQUIL, ECUADOR, VIAS AEREAS