Eficiencia del destete de la asistencia respiratoria después de una cirugía de corazón en pacientes adultos, estudio realizado en la Clínica Guayaquil durante el período de agosto a enero del año 2013 - 2014
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
Resumen
El presente trabajo se lo realiza en la ciudad de Guayaquil concretamente en la
CLÍNICA GUAYAQUIL SERVICIOS MÉDICOS S.A. donde su autor la Srta. NADIA
BELEN SIGCHA ANDRADE propone la ejecución de un importante tema el cual es
muy relevante en este medio y que a su vez consiste en la Eficiencia del destete de
la asistencia respiratoria después de una cirugía de corazón en pacientes adultos.
Estos debido a las circunstancias que se presentan durante el trascurso operatorio
pueden presentar problemas de índole respiratorio por el prolongado tiempo que
estos pasan en posición decúbito y sobre todo sin tener una buen funcionamiento
pulmonar por lo que se emplea una serie de técnicas para ayudar al paciente a
combatir estas complicaciones y de esa manera disminuir las mismas a este nivel,
para cual se realiza una investigación descriptiva y analítica tomando en cuenta la
riqueza bibliográfica existente sobre la ventilación mecánica y los métodos de
destete y sobre todo de la fisioterapia la cual será de suma importancia cuando el
paciente haya sido extubado completamente. De esta manera y junto con la ayuda
de material de oxigenación como las mascarillas o las cánulas nasales nos
garantizamos que el paciente se encuentre perfectamente ventilado y sobre todorecuperar ciertas zonas declives que se fueron perdiendo a lo largo del periodo de
la ventilación mecánica. Dándonos como conclusión que la intervención del
terapista respiratorio es vital para aportar con técnicas y procedimientos para la
buena recuperación en el área respiratoria del paciente para de esa manera
asegurar que esta vía se mantenga permeable para el paso del aire atmosférico
sin rastros de mucosidades que puedan causar posteriores complicaciones que
afecten el buen estado del paciente no solo dentro del nosocomio sino fuera del
mismo, de esta manera las técnicas realizadas ayudaran al paciente a mantener su
buena función respiratoria y tratarla en el caso que se hayan presentado nuevas
complicaciones.
Palabras claves:
Destete Asistencia respiratoria Cirugía de corazón
This work is carried out in the city of Guayaquil specifically in the CLÍNICA GUAYAQUIL SERVICIOS MÉDICOS S.A. where its author Miss NADIA BELEN SIGCHA ANDRADE proposes the execution of an important topic which is very relevant in this environment and which in turn consists of the Efficiency of weaning from respiratory assistance after heart surgery in adult patients. These, due to the circumstances that arise during the operative course, can present respiratory problems due to the long time they spend in the decubitus position and especially without having a good lung function, so a series of techniques is used to help the patient. to combat these complications and thus reduce them to this level, for which a descriptive and analytical research is carried out taking into account the existing bibliographic wealth on mechanical ventilation and weaning methods and especially physiotherapy which will be of utmost importance when the patient has been completely extubated. In this way and together with the help of oxygenation material such as masks or nasal cannulas, we guarantee that the patient is perfectly ventilated and, above all, recover certain sloping areas that were lost throughout the period of mechanical ventilation. Giving us the conclusion that the intervention of the respiratory therapist is vital to provide techniques and procedures for a good recovery in the patient's respiratory area to ensure that this pathway remains permeable for the passage of atmospheric air without traces of mucus that may cause subsequent complications that affect the good condition of the patient not only within the hospital but outside it, in this way the techniques carried out will help the patient to maintain their good respiratory function and treat it in the event that new complications have arisen. Keywords: Weaning Respiratory support Heart surgery
This work is carried out in the city of Guayaquil specifically in the CLÍNICA GUAYAQUIL SERVICIOS MÉDICOS S.A. where its author Miss NADIA BELEN SIGCHA ANDRADE proposes the execution of an important topic which is very relevant in this environment and which in turn consists of the Efficiency of weaning from respiratory assistance after heart surgery in adult patients. These, due to the circumstances that arise during the operative course, can present respiratory problems due to the long time they spend in the decubitus position and especially without having a good lung function, so a series of techniques is used to help the patient. to combat these complications and thus reduce them to this level, for which a descriptive and analytical research is carried out taking into account the existing bibliographic wealth on mechanical ventilation and weaning methods and especially physiotherapy which will be of utmost importance when the patient has been completely extubated. In this way and together with the help of oxygenation material such as masks or nasal cannulas, we guarantee that the patient is perfectly ventilated and, above all, recover certain sloping areas that were lost throughout the period of mechanical ventilation. Giving us the conclusion that the intervention of the respiratory therapist is vital to provide techniques and procedures for a good recovery in the patient's respiratory area to ensure that this pathway remains permeable for the passage of atmospheric air without traces of mucus that may cause subsequent complications that affect the good condition of the patient not only within the hospital but outside it, in this way the techniques carried out will help the patient to maintain their good respiratory function and treat it in the event that new complications have arisen. Keywords: Weaning Respiratory support Heart surgery
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Destete, Cirugía torácica, Terapia respiratoria, Clínica Guayaquil, Cantón Guayaquil, Ecuador, Adulto