Protocolo de terapia respiratoria en pacientes postoperados cardíacos por técnica minímamente invasiva
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
Resumen
La presente investigación está destinada a realizar un protocolo para la terapia respiratoria en pacientes post-operados cardiacos. La cirugía cardiaca se define como la cirugía realizada al corazón o grandes vasos. La cirugía cardiaca obedece a una amplia gama de enfermedades cardiacas; en este estudio nos basaremos en pacientes adultos, comprendiendo edades de treinta y cinco (35) hasta ochenta (80) años de edad. La terapia respiratoria en estos pacientes es muy pobre, por lo que su recuperación en las diferentes unidades del hospital es lenta, lo que causa una estancia hospitalaria alta, un destete complejo con ventilación mecánica (VM) prolongada, complicaciones como atelectasia, neumonías y derrame pleural. De ahí que crear un Protocolo para el adecuado manejo del paciente post-operado sea de vital importancia, en especial si este se socializa a la unidad de cuidados intensivos (UCI) y a todos los profesionales que estarán con el paciente en pro de su recuperación. El proyecto estructura la intervención del fisioterapeuta en las tres fases de tratamiento (antes, durante y después). Además, para su elaboración se ha contado con la experiencia clínica de la unidad de cirugía cardiovascular y torácica del Hospital Luis Vernaza en la ciudad de Guayaquil. Al finalizar este estudio se habrá comprobado la hipótesis presentada sobre la importancia de la creación de un protocolo para el manejo adecuado del paciente post-operado
This research is intended to perform a protocol for pulmonary therapy in post-operative cardiac patients. Cardiac surgery is defined as surgery performed to the heart or great vessels. Cardiac surgery is due to a range of heart disease; in this study we will build on adult patients, aged thirty-five (35) to eighty (80) years old. Pulmonary therapy in these patients is very poor, so that recovery in the different hospital units is slow, which causes high hospital stay, prolonged weaning complex mechanical ventilation (MV), complications such as atelectasis, pneumonia and stroke pleural. Hence create a protocol for the proper handling of post-surgery is vital, especially if this is socialized to the intensive care unit (ICU) and all the professionals who will be with the patient towards recovery patient. The project intervention physiotherapist structure in the three phases of treatment (before, during and after). In addition to the development of this project, it has had the clinical experience of the unity of cardiovascular and thoracic surgery on Luis Vernaza Hospital in the city of Guayaquil. Upon completion of this study we will have tested the hypothesis will be presented on the importance of the creation of a protocol for the proper handling of post-surgery patient
This research is intended to perform a protocol for pulmonary therapy in post-operative cardiac patients. Cardiac surgery is defined as surgery performed to the heart or great vessels. Cardiac surgery is due to a range of heart disease; in this study we will build on adult patients, aged thirty-five (35) to eighty (80) years old. Pulmonary therapy in these patients is very poor, so that recovery in the different hospital units is slow, which causes high hospital stay, prolonged weaning complex mechanical ventilation (MV), complications such as atelectasis, pneumonia and stroke pleural. Hence create a protocol for the proper handling of post-surgery is vital, especially if this is socialized to the intensive care unit (ICU) and all the professionals who will be with the patient towards recovery patient. The project intervention physiotherapist structure in the three phases of treatment (before, during and after). In addition to the development of this project, it has had the clinical experience of the unity of cardiovascular and thoracic surgery on Luis Vernaza Hospital in the city of Guayaquil. Upon completion of this study we will have tested the hypothesis will be presented on the importance of the creation of a protocol for the proper handling of post-surgery patient
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Cirugía cardíaca, Protocolos, Período posoperatorio, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador, Terapia respiratoria