Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12494/16094
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dc.coverage.temporal14(4)es
dc.creatorHiguita Gutiérrez, Luis Felipe-
dc.creatorMelo Ceballos, Paula Andrea-
dc.creatorEnriquez Rodríguez, Daniel Arturo-
dc.creatorArteaga Velásquez, Julián-
dc.creatorGarcía García, Esteban-
dc.creatorRodríguez, Jhon Jairo-
dc.date.accessioned2020-01-20T15:37:36Z-
dc.date.available2020-01-20T15:37:36Z-
dc.date.issued2018-
dc.identifier.issn1698-9465es
dc.identifier.uridoi: 10.3823/1405es
dc.identifier.urihttp://hdl.handle.net/20.500.12494/16094-
dc.descriptionIntroducción: Elmanejo de la vía aérea es una habilidad básica para losmédicos, fundamental para el tratamiento de pacientes críticos, inconscientes, muy sedados o anestesiados. Las complicaciones derivadas de este procedimiento no son usuales, pero cuando ocurren se clasifican entre las entidades más graves en medicina. Objetivo: Sistematizar las publicaciones sobre frecuencia de complicaciones en el manejo de la vía aérea e identificar las complicaciones más comunes. Metodología: Revisión sistemática de la literatura con un protocolo definido a priori y siguiendo las etapas de la guía PRISMA. Se calcularon frecuencias absolutas y relativas con sus intervalos de confianza del 95%. Resultados: Se incluyeron 34 artículos en la síntesis. La prevalencia de complicaciones estuvo entre 1,6% y 57,3%. La frecuencia de complicaciones en adultosfue de 9,4% (8,8-9,9), en pediátricos de 27,9% (26,9-28,9) y en pacientes de poblaciones especiales (politrauma, paciente obeso, paciente critico) 16,2 % (15,0-17,5). Las más frecuentes fueron hipoxia 26,6%, intubación esofágica 20,4% e hipotensión 15,3%. Los estudios reflejan procedimientos realizados en unidades de cuidados intensivos, quirófanos, salas de emergencias y pediatría. Conclusión: Se hallaron diferencias en la frecuencia de complicaciones dependientes de la edad del paciente (pacientes pediátricos y adultos), del escenario de atención, ambientes controlados (vía aérea difícil anticipada, supervisión por un experto, cirugía electiva, uso de fibroscopio flexible) y situaciones emergentes en pacientes fisiológicamente inestables. Ello evidencia la necesidad de enfatizar en la experticia del operador, la disponibilidad de recursos y el uso de algoritmos de atención a fin de reducir las frecuencias halladas.es
dc.description.abstractIntroduction: The airway management is a basic skill for physicians, fundamental for the treatment of critical, unconscious, highly sedated or anesthetized patients. The complications derived from this procedure are not usual, but when they occur they are classified among the mostseriousin medicine.Objective: Systematize publications on the frequency of complications in the airway management and identify the most common. Methodology: Systematic review of the literature with a protocol defined a priori and following the stages of the PRISMA guide. Absolute and relative frequencies were calculated with their 95% confidence intervals. Results: 34 articles were included in the synthesis. The prevalence of complications was between 1.6% and 57.3%. The frequency of complications in adults was 9.4% (8.8-9.9), in pediatric patients of 27.9% (26.9-28.9) and in patients from special populations (polytrauma, obese patient, critical patient) 16.2% (15.0-17.5). The most frequent were hypoxia 26.6%, esophageal intubation 20.4% and hypotension 15.3%. The studies reflect procedures performed in intensive care units, operating rooms, emergency rooms and pediatrics. Conclusion: Differences were found in the frequency of complications dependent on the age of the patient (pediatric and adult patients), of the care setting, controlled environments (difficult airway anticipated, supervision by an expert, elective surgery, use of flexible fibroscope) and Emerging situations in physiologically unstable patients. This demonstratesthe need to emphasize the operator's expertise,the availability ofresources and the use of attention algorithmsin order to reduce the frequenciesfound.es
dc.format.extent1-9es
dc.publisherUniversidad Cooperativa de Colombiaes
dc.relation.ispartofArchivos de medicinaes
dc.relation.isversionofhttp://www.archivosdemedicina.com/medicina-de-familia/frecuencia-de-complicaciones-en-el-manejo-de-la-viacutea-aeacuterea-revisioacuten-sistemaacutetica-de-la-literatura.pdfes
dc.subjectManejo de la vía aéreaes
dc.subjectIntubación intratraqueales
dc.subjectComplicacioneses
dc.subjectPrevalenciaes
dc.subject.otherAirway managementes
dc.subject.otherIntratracheal intubationes
dc.subject.otherComplicationses
dc.subject.otherPrevalencees
dc.titleFrecuencia de Complicaciones en el Manejo de la vía Aérea: Revisión Sistemática de la Literaturaes
dc.rights.licenseAtribuciónes
dc.publisher.departmentMedellínes
dc.publisher.programMedicinaes
dc.type.spaArtículoes
dc.creator.mailluis.higuita@campusucc.edu.coes
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dc.rights.accessRightsopenAccesses
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dc.description.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001501791es
dc.description.orcidhttps://orcid.org/0000-0003-1361-3124es
dc.description.gruplachttps://scienti.minciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000011355es
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