Analizar los gases sanguineos en pacientes sometidos a ventilación mecánica como monitoreo de los parametros del ventilador mecánico estudio a realizar en el Hospital Pediátrico Francisco de Icaza Bustamante período 2013-2014
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
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La gasometría arterial es un método por el cual obtenemos los valores de gases sanguíneos en este caso del paciente critico sometido a ventilación mecánica siendo de gran importancia ya que nos sirve para determinar el estado en el que se encuentra y así realizar los cambios respectivos al momento de monitorear los parámetros del ventilador. Cabe recalcar que la muestra debe ser efectiva para no cometer errores al momento de monitorear los parámetros ya que se puede causar lesiones pulmonares irreversibles en el paciente. Es por esta razón que se dio la idea de crear un protocolo para realizar las muestras sanguíneas teniendo como objetivo principal analizar y aplicar una técnica adecuada al momento de tomar la muestra evitando los factores que lleven a errores como uso excesivo de heparina, no analizar la muestra a tiempo, paciente hipersecretor, hipertermia o hipotermia, deficiente mantenimiento del gasómetro y burbujas de aire en la jeringa .La técnica utilizada fue poner menor cantidad de heparina en la jeringa, aspiración de secreciones si el paciente lo requería antes de obtener la muestra, verificar la temperatura y el estado del gasómetro y evitar las burbujas de aire ya que todos estos factores nos llevan a muestra erróneas. Hemos concluido que las muestras obtenidas fueron mas eficaces debido a que se tomaron las respectivas precauciones pudiéndose realizar cambios de los parámetros del ventilador cercano a lo fisiológico procurando siempre evitarle lesiones pulmonares futuras al paciente.
Arterial blood gas analysis is a method by which we obtain the values of blood gases in this case the critical patient undergoing mechanical ventilation is of great importance as we used to determine the state in which it is located and thus make the respective changes when to monitor the ventilator settings. It should be noted that the sample must be effective to avoid mistakes when monitoring parameters as it can cause irreversible lung damage in the patient. It is for this reason that the idea of creating a protocol for blood samples with the main objective to analyze and apply an appropriate technique when taking the sample avoiding the factors that lead to errors such as excessive use of heparin was given, not to analyze the shows time, hypersecretory patients, hyperthermia or hypothermia, poor maintenance of the gasometer and air bubbles in the syringe. The technique used was to put less amount of heparin in the syringe, suctioning if the patient required before obtaining the sample, check the temperature and condition of the gasometer and avoid air bubbles as all these factors lead us to sample erroneous We have concluded that the samples obtained were more effective because the respective precautions were taken being able to make changes in the parameters of the fan closest to the physiological always trying to avoid future patient lung injury.
Arterial blood gas analysis is a method by which we obtain the values of blood gases in this case the critical patient undergoing mechanical ventilation is of great importance as we used to determine the state in which it is located and thus make the respective changes when to monitor the ventilator settings. It should be noted that the sample must be effective to avoid mistakes when monitoring parameters as it can cause irreversible lung damage in the patient. It is for this reason that the idea of creating a protocol for blood samples with the main objective to analyze and apply an appropriate technique when taking the sample avoiding the factors that lead to errors such as excessive use of heparin was given, not to analyze the shows time, hypersecretory patients, hyperthermia or hypothermia, poor maintenance of the gasometer and air bubbles in the syringe. The technique used was to put less amount of heparin in the syringe, suctioning if the patient required before obtaining the sample, check the temperature and condition of the gasometer and avoid air bubbles as all these factors lead us to sample erroneous We have concluded that the samples obtained were more effective because the respective precautions were taken being able to make changes in the parameters of the fan closest to the physiological always trying to avoid future patient lung injury.
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Análisis de los gases de la sangre, Respiración artificial, Parámetros, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador