Claustrofobia en pacientes sometidos a estudio de resonancia magnética nuclear, propuesta de instructivo para el paciente
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El equipo de Resonancia Magnética Nuclear, es una técnica de imagen que permite valorar el estado general del organismo por medio de un campo electromagnético que no es invasivo, lo tedioso de este equipo es la toma de las imágenes por la incomodidad de estar enclaustrado dentro de una cavidad de aproximadamente 1,70 metro de diámetro, que da la sensación de atrapamiento y debido al tiempo de duración de la sección de aproximadamente 40 minutos, para ciertos pacientes es el detonante del trastorno psicológico conocido como claustrofobia. El paciente claustrofóbico durante la prueba sufre de sudoración, escalofríos, hiperventilación o sensación de falta de aire, lo que provoca que los resultados de la RMN se distorsionen, generando la posibilidad de repetir la prueba o suspender la misma. En casos muy complicados de pacientes incontrolables se recurre inclusive a la sedación con la asistencia de un anestesiólogo. A fin de evitar inconvenientes se propone el estudio aplicando el método cuantitativo y análisis de fichas médicas de la Unidad de Imagen de la Clínica Panamericana sobre una muestra de 358 pacientes entre 20 y 60 años de edad que acudieron a la clínica en el año 2015. Luego de un análisis de los resultados se determinó que aproximadamente el 5% son claustrofóbicos y un 2% requiere la asistencia de un anestesiólogo. Para prevenir inconvenientes se propone la implementación de un instructivo para la toma de RMN en la unidad de imagen de la Clínica Panamericana, capacita a pacientes y personal médico y paramédico.
The team of Nuclear Magnetic Resonance, is an imaging technique that allows us to assess the condition of the body by means of an electromagnetic field that is non-invasive, tedious this team is taking images by the discomfort of being cloistered inside a cavity of about 1.70 meter in diameter, which gives the feeling of entrapment and because of the duration of the section of approximately 40 minutes, for certain patients is the trigger of psychological disorder known as claustrophobia. The claustrophobic during the test patient suffers from sweating, chills, hyperventilation or shortness of breath, what causes the results of the MRI distorted, creating the possibility of retesting or suspend it. In very complicated cases of uncontrollable patients are even uses sedation assisted by an anesthesiologist. In order to avoid inconvenience the study using the quantitative method and analysis of medical records of the Imaging Unit of the Pan American Clinic on a sample of 358 patients between 20 and 60 years old who came to the clinic in 2015 it is proposed. after an analysis of the results it was determined that approximately 5% are claustrophobic and 2% requires the assistance of an anesthesiologist. To prevent problems implementing an instruction for taking NMR imaging unit of the Pan American Clinic is proposed, enables patients and medical and paramedical staff
The team of Nuclear Magnetic Resonance, is an imaging technique that allows us to assess the condition of the body by means of an electromagnetic field that is non-invasive, tedious this team is taking images by the discomfort of being cloistered inside a cavity of about 1.70 meter in diameter, which gives the feeling of entrapment and because of the duration of the section of approximately 40 minutes, for certain patients is the trigger of psychological disorder known as claustrophobia. The claustrophobic during the test patient suffers from sweating, chills, hyperventilation or shortness of breath, what causes the results of the MRI distorted, creating the possibility of retesting or suspend it. In very complicated cases of uncontrollable patients are even uses sedation assisted by an anesthesiologist. In order to avoid inconvenience the study using the quantitative method and analysis of medical records of the Imaging Unit of the Pan American Clinic on a sample of 358 patients between 20 and 60 years old who came to the clinic in 2015 it is proposed. after an analysis of the results it was determined that approximately 5% are claustrophobic and 2% requires the assistance of an anesthesiologist. To prevent problems implementing an instruction for taking NMR imaging unit of the Pan American Clinic is proposed, enables patients and medical and paramedical staff
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Resonancia magnética nuclear, Claustrofobia, Trastornos mentales, Clínica Panamericana, Cantón Guayaquil, Ecuador