Parámetros preoperatorios para pacientes con trastornos de la coagulación hereditaria.
No hay miniatura disponible
Archivos
Fecha
2015-06
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Los parámetros preoperatorios para personas con trastornos de la
coagulación hereditaria, son normas o indicaciones que se deben
seguir en cualquier tipo de intervención quirúrgica, para evitar
complicaciones. Entre los principales parámetros tenemos:
exámenes de laboratorio, imagenología médica y odontológica,
administrar factor para alcanzar un nivel plasmático cercano al 50%,
anestesia troncular en dientes mandibulares, infusión de factor antes
de un trabajo restaurativo, terapia con agentes antifibrinolíticos,
extracción precoz de terceros molares en pacientes jóvenes,
procedimientos extensos requieren hospitalización (sutura,
extracciones múltiples). En la mayoría de los parámetros se
recomendará el uso de terapia de reemplazo de factor de
coagulación antes de una cirugía oral invasora, y el bloqueo del
nervio alveolar inferior para el tratamiento dental reconstructivo. En
el cuadro clínico predominará la ausencia o deficiencia de un factor
en la cascada de la coagulación, las hemorragias, hematomas en
articulaciones y la incapacidad de formar coágulos. Al no realizar
una correcta anamnesis y exámenes de laboratorio se puede pasar
por alto este tipo de patología, cada paciente debe ser evaluado
individualmente y la interacción especialista médico y odontólogo
será fundamental. Objetivo determinar parámetros preoperatorios en
pacientes con trastornos de la coagulación hereditaria. Se aplicó la
metodología con un diseño de investigación Documental y
Descriptiva. Los resultados fueron conocer acerca de la etiología de
cada patología y los diferentes parámetros preoperatorios a seguir.
Se concluye que el estudiante y el odontólogo estarán en
condiciones de conocer e identificar los parámetros preoperatorios
para tratar pacientes con trastornos de la coagulación hereditaria.
Preoperative parameters for people with hereditary coagulation disorders are rules or directions that should be followed in any type of surgical intervention, to avoid complications. Among the main parameters are: lab tests, imaging, medical and dental care, manage factor to achieve a plasma level close to 50%, anesthesia troncular mandibular teeth, infusion of factor before a restorative work, therapy with agents antifibrinolytics, early extraction of third molars in young patients, extensive procedures require hospitalization (suture, multiple extractions). In the majority of the parameters, the use of replacement therapy before invasive oral surgery clotting factor, and the blocking of the inferior alveolar nerve for reconstructive dental treatment will be recommended. In the clinical picture will dominate the absence or deficiency of a factor in the coagulation cascade, hemorrhages, bruises in joints and the inability to form clots. Not make a correct anamnesis and lab tests can pass over this type of Pathology, each patient should be individually evaluated and interaction specialist medical and dentist will be essential. Objective to determine preoperative parameters in patients with hereditary coagulation disorders. Applied the methodology with a documentary and descriptive research design. The results were to learn about the etiology of each pathology and different preoperative parameters to follow. It is concluded that the student and the dentist will be able to know and identify the preoperative parameters to treat patients with hereditary coagulation disorders.
Preoperative parameters for people with hereditary coagulation disorders are rules or directions that should be followed in any type of surgical intervention, to avoid complications. Among the main parameters are: lab tests, imaging, medical and dental care, manage factor to achieve a plasma level close to 50%, anesthesia troncular mandibular teeth, infusion of factor before a restorative work, therapy with agents antifibrinolytics, early extraction of third molars in young patients, extensive procedures require hospitalization (suture, multiple extractions). In the majority of the parameters, the use of replacement therapy before invasive oral surgery clotting factor, and the blocking of the inferior alveolar nerve for reconstructive dental treatment will be recommended. In the clinical picture will dominate the absence or deficiency of a factor in the coagulation cascade, hemorrhages, bruises in joints and the inability to form clots. Not make a correct anamnesis and lab tests can pass over this type of Pathology, each patient should be individually evaluated and interaction specialist medical and dentist will be essential. Objective to determine preoperative parameters in patients with hereditary coagulation disorders. Applied the methodology with a documentary and descriptive research design. The results were to learn about the etiology of each pathology and different preoperative parameters to follow. It is concluded that the student and the dentist will be able to know and identify the preoperative parameters to treat patients with hereditary coagulation disorders.
Descripción
Palabras clave
COAGULACION SANGUINEA, PERIODO PREOPERATORIO