Evaluación del manejo de via aérea en la Emergencia de la Maternidad del Guasmo
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Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El manejo de la vía aérea en una prioridad en un paciente critico siendo la intubación
endotraqueal un procedimiento frecuente del médico de la emergencia que exige
conocimiento y destreza para ser realizado. Es por eso que el personal de la
emergencia debe estar bien entrenado para obtener resultados exitosos. Objetivo:
“Analizar de qué manera el manejo de la vía aérea está asociado con la existencia de
morbimortalidad en los pacientes atendido en la emergencia de la maternidad del
Guasmo” Metodología.- se trata de un estudio descriptivo no experimental de campo
y corte transversal , para recolectar la información se utilizó la encuesta a aplicada a
los médicos de la emergencia conformado por de 9 preguntas Resultados.- al realizar
la encuesta el 100% conoce la anatomía de la vía aérea, que el 50 % de los médicos
saben intubar, en tanto que el 92% no saben valorar una vía aérea difícil, las
complicaciones más frecuentes fue las neurológicas en un 100% seguidas de
broncoaspiración en un 73.3%. . Dentro de las fallas más frecuentes en cuanto al
manejo de la intubación la más frecuente fue la intubación esofágica en un 100%
Conclusiones.- el nivel de conocimiento de la vía aérea por parte de los médicos de
emergencia de la maternidad es deficiente.
The management of the airway in a patient who arrives at the emergency of the hospital or who is going to undergo a surgical procedure is a challenge for the medical staff that is attending, are maneuvers that sometimes in expert hands can be of Hard access. That is why emergency personnel must be well trained for any adversity that occurs in that case and get a good result. GENERAL OBJECTIVE.- "To analyze how airway management is associated with the existence of morbidity and mortality in the emergence of Guasmo maternity." METHODOLOGY.- This is a descriptive, non-experimental field study. A survey of 30-person emergency physicians, the survey consisted of 9 simple airway responses, anatomy, difficult airway classification, supraglottic devices, and complications. RESULTS. As a result of the survey, 100% know the anatomy of the airway, which 50% of doctors know how to intubate, while 92% do not know how to evaluate a difficult airway, one of the most frequent complications was neurological In 100% followed by bronchoaspiration in 73.3%. . Dentrop of the most frequent failures in the management of intubation was the most frequent esophageal intubation in 100% CONCLUSIONS .- the level of knowledge of the airway by emergency physicians of maternity is deficient having as weakness Difficult airway management is why it is recommended to conduct workshops to train staff
The management of the airway in a patient who arrives at the emergency of the hospital or who is going to undergo a surgical procedure is a challenge for the medical staff that is attending, are maneuvers that sometimes in expert hands can be of Hard access. That is why emergency personnel must be well trained for any adversity that occurs in that case and get a good result. GENERAL OBJECTIVE.- "To analyze how airway management is associated with the existence of morbidity and mortality in the emergence of Guasmo maternity." METHODOLOGY.- This is a descriptive, non-experimental field study. A survey of 30-person emergency physicians, the survey consisted of 9 simple airway responses, anatomy, difficult airway classification, supraglottic devices, and complications. RESULTS. As a result of the survey, 100% know the anatomy of the airway, which 50% of doctors know how to intubate, while 92% do not know how to evaluate a difficult airway, one of the most frequent complications was neurological In 100% followed by bronchoaspiration in 73.3%. . Dentrop of the most frequent failures in the management of intubation was the most frequent esophageal intubation in 100% CONCLUSIONS .- the level of knowledge of the airway by emergency physicians of maternity is deficient having as weakness Difficult airway management is why it is recommended to conduct workshops to train staff
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Manejo de la vía aérea, Evaluación, Servicio de Urgencia en Hospital, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador, Intubación