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dc.contributor.advisorRangel Jaimes, German William
dc.contributor.advisorOchoa Vera, Miguel Enrique
dc.contributor.authorValdivieso Gutiérrez, Lizeth Carolina
dc.date.accessioned2020-06-26T19:47:55Z
dc.date.available2020-06-26T19:47:55Z
dc.date.issued2015
dc.identifier.urihttp://hdl.handle.net/20.500.12749/1620
dc.description.abstractLas alteraciones anatómicas en la vía aérea secundarias al exceso de tejido adiposo implica un reto en el manejo de la vía aérea de los pacientes obesos, lo que en la práctica de la anestesiología significa que se debe realizar una evaluación precisa que permita planear el manejo que durante el intraoperatorio se hará para asegurar la ventilación del paciente durante la intervención. La cirugía bariátrica se ha convertido en una alternativa que los pacientes obesos eligen como forma de disminuir de peso, sin embargo, teniendo en cuenta las alteraciones de la anatomía que produce el exceso de tejido graso en el organismos en especial en la vía aérea, los convierten en un grupo de pacientes con particulares características que dificulta el manejo de la vía aérea durante el periodo perioperatorio; es por esto que la identificación adecuada de los factores que predicen con mayor exactitud la capacidad de identificar los pacientes obesos con vía aérea difícil se convierte en una punto importante puesto que permite al clínico estar preparado para enfrentar situaciones que impliquen dificultad en asegurar la vía aérea y mantener una adecuada ventilación. La prevención es la mejor forma de evitar complicaciones, por esto, la correlación entre la evaluación preanestésica de la vía aérea y el manejo de la vía aérea durante la inducción anestésica puede permitir determinar qué características son las que con mayor precisión predicen una vía aérea difícil.spa
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titlePredictores preoperatorios de laringoscopia e intubación traqueal difícil en pacientes sometidos a cirugía de bypass gástrico o gastroplastia en banda laparoscópicospa
dc.title.translatedPreoperative predictors of laryngoscopy and difficult tracheal intubation in patients undergoing gastric bypass surgery or laparoscopic band gastroplastyeng
dc.degree.nameEspecialista en Anestesiología
dc.coverageBucaramanga (Colombia)
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNAB
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Salud
dc.publisher.programEspecialización en Anestesiología
dc.description.degreelevelEspecialización
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.subject.keywordsIntubation
dc.subject.keywordsGastric bypass
dc.subject.keywordsGastroplasty
dc.subject.keywordsPreoperative care
dc.subject.keywordsMedicine
dc.subject.keywordsAnesthesiology
dc.subject.keywordsTracheal
dc.subject.keywordsInvestigations
dc.subject.keywordsAnalysis
dc.subject.keywordsAnatomical alterations
dc.subject.keywordsPatient ventilation
dc.subject.keywordsPre-anesthetic evaluation
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponamereponame:Repositorio Institucional UNAB
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
dc.relation.referencesValdivieso Gutiérrez, Lizeth Carolina (2015). Predictores preoperatorios de laringoscopia e intubación traqueal difícil en pacientes sometidos a cirugía de bypass gástrico o gastroplastia en banda laparoscópico. Bucaramanga (Colombia) : Universidad Autónoma de Bucaramanga UNAB
dc.relation.references1. Rodríguez J R. Encuesta Nacional de Salud Encuesta.; 2007.
dc.relation.references2. ICBF. Encuesta Nacional Situación Nutricional en Colombia.; 2010.
dc.relation.references3. Schumann R. Anaesthesia for bariatric surgery. Best Pract Res Clin Anaesthesiol. 2011;25(1):83–93. doi:10.1016/j.bpa.2010.12.006.
dc.relation.references4. Kristensen MS. Airway management and morbid obesity. Eur J Anaesthesiol. 2010;27(11):923–7. doi:10.1097/EJA.0b013e32833d91aa.
dc.relation.references5. Benumof and Hagberg’s. Airway Management.; 2013.
dc.relation.references6. Shiga TZWTI. Predicting Difficult Intubation in Apparently Normal. Anesthesiology. 2005;(2):429–437.
dc.relation.references7. Hekiert AM, Mandel J, Mirza N. Laryngoscopies in the obese: predicting problems and optimizing visualization. Ann Otol Rhinol Laryngol. 2007;116(4):312–6. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17491533.
dc.relation.references8. Pelosi P, Gregoretti C. Perioperative management of obese patients. Best Pract Res Clin Anaesthesiol. 2010;24(2):211–225. doi:10.1016/j.bpa.2010.02.001.
dc.relation.references9. Bessesen DH. Update on obesity. J Clin Endocrinol Metab. 2008;93(6):2027–34. doi:10.1210/jc.2008-0520.
dc.relation.references10. Switzer NJ, Mangat HS, Karmali S. Current trends in obesity: body composition assessment, weight regulation, and emerging techniques in managing severe obesity. J Interv Gastroenterol. 2013;3(1):34–36. doi:10.7178/jig.106.
dc.relation.references11. Obesity N, Initiative E. Guide Identification , Evaluation , and Treatment of Overweight and Obesity in Adults.
dc.relation.references12. Edno Magalhães FOM. Uso de Predictores Clínicos Sencillos en el Diagnóstico Preoperatorio de Dificultad de Intubación Endotraqueal en Pacientes Obesos. Rev Bras Anestesiol. 2013;63(3):262–266.
dc.relation.references13. Eduardo C, Lozada R. Epidemiologia del sobrepeso y obesidad. 2013;(3):9–10.
dc.relation.references14. De I. Análisis de Situación de Salud según regiones Colombia. 2013.
dc.relation.references15. Murillo AZ, Esteban BM. Obesidad como factor de riesgo cardiovascular. Hipertens y Riesgo Vasc. 2005;22(1):32–36. Available at: http://www.sciencedirect.com/science/article/pii/S1889183705715245. Accessed March 9, 2014.
dc.relation.references16. Mechanick J, Kushner R. American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice. Endocr Pract. 2008;14(August 2008):1–83. Available at: http://aace.metapress.com/index/3838657lt377h286.pdf. Accessed March 9, 2014.
dc.relation.references17. Murphy C, Wong DT. Airway management and oxygenation in obese patients. Can J Anaesth. 2013;60(9):929–45. doi:10.1007/s12630-013-9991-x.
dc.relation.references18. Myatt J, Haire K. Airway management in obese patients. Curr Anaesth Crit Care. 2010;21(1):9–15. doi:10.1016/j.cacc.2009.09.004.
dc.relation.references19. Orozco-Díaz E, Álvarez-Ríos J. Predicción de intubación difícil mediante escalas de valoración de la vía aérea. Cir Cir. 2010;(5):393–399. Available at: http://www.medigraphic.com/pdfs/circir/cc-2010/cc105d.pdf. Accessed March 9, 2014.
dc.relation.references20. Cattano D, Melnikov V, Khalil Y, Sridhar S, Hagberg C a. An evaluation of the rapid airway management positioner in obese patients undergoing gastric bypass or laparoscopic gastric banding surgery. Obes Surg. 2010;20(10):1436–41. doi:10.1007/s11695-009-9885-8.
dc.relation.references21. Juvin P, Lavaut E, Dupont H, et al. Difficult Tracheal Intubation Is More Common in Obese Than in Lean Patients. Anesth Analg. 2003;97(2):595–600. doi:10.1213/01.ANE.0000072547.75928.B0.
dc.relation.references22. Heinrich S, Birkholz T, Irouschek a, Ackermann a, Schmidt J. Incidences and predictors of difficult laryngoscopy in adult patients undergoing general anesthesia : A single-center analysis of 102,305 cases. J Anesth. 2013;27(6):815–21. doi:10.1007/s00540-013-1650-4.
dc.relation.references23. Herlev IC, Trial C, Uni- C, et al. High Body Mass Index Is a Weak Predictor for Difficult and Failed Tracheal Intubation. 2009;(750):266–274.
dc.relation.references24. Gupta S, Sharma R, Jain D. Airway assessment: predictors of difficult airway. Indian J Anaesth. 2005;(4). Available at: http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:AIRWAY+ASSESSMENT+:+PREDICTORS+OF+DIFFICULT+AIRWAY#0. Accessed March 9, 2014.
dc.relation.references25. Brodsky JB, Lemmens HJM, Brock-Utne JG, Vierra M, Saidman LJ. Morbid obesity and tracheal intubation. Anesth Analg. 2002;94(3):732–6; table of contents. Available at: http://www.ncbi.nlm.nih.gov/pubmed/23814988.
dc.relation.references26. García-Miguel FJ, Serrano-Aguilar PG, López-Bastida J. Preoperative assessment. Array, ed. Lancet. 2003;362(9397):1749–1757. Available at: http://www.ncbi.nlm.nih.gov/pubmed/14643127.
dc.relation.references27. Nørskov AK, Rosenstock CV, Wetterslev J, Lundstrøm LH. Incidence of unanticipated difficult airway using an objective airway score versus a standard clinical airway assessment : the DIFFICAIR trial – trial protocol for a cluster randomized clinical trial Incidence of unanticipated difficult airway using an ob. 2013.
dc.description.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001425741
dc.description.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000898465
dc.identifier.orcidhttps://orcid.org/0000-0002-4552-3388
dc.description.scopushttps://www.scopus.com/authid/detail.uri?authorId=36987156500
dc.description.researchgatehttps://www.researchgate.net/profile/Miguel_Ochoa7
dc.subject.lembIntubaciónspa
dc.subject.lembBypass gástricospa
dc.subject.lembGastroplastiaspa
dc.subject.lembCuidados preoperatoriosspa
dc.subject.lembMedicinaspa
dc.subject.lembAnestesiologíaspa
dc.subject.lembTraquealspa
dc.subject.lembInvestigacionesspa
dc.subject.lembAnálisisspa
dc.description.abstractenglishThe anatomical alterations in the airway secondary to excess adipose tissue implies a challenge in the management of the airway of obese patients, which in the practice of anesthesiology means that a precise evaluation must be carried out that allows planning the management that During the intraoperative period, it will be done to ensure ventilation of the patient during the intervention. Bariatric surgery has become an alternative that obese patients choose as a way to reduce weight, however, taking into account the alterations in the anatomy produced by excess fatty tissue in the organisms, especially in the airway, the they become a group of patients with particular characteristics that make it difficult to manage the airway during the perioperative period; This is why the adequate identification of the factors that more accurately predict the ability to identify obese patients with difficult airways becomes an important point since it allows the clinician to be prepared to face situations that imply difficulty in securing the airway and maintain adequate ventilation. Prevention is the best way to avoid complications, therefore, the correlation between the pre-anesthetic evaluation of the airway and the management of the airway during anesthetic induction can allow us to determine which characteristics are the ones that most accurately predict a difficult airway.eng
dc.subject.proposalAlteraciones anatómicas
dc.subject.proposalVentilación del paciente
dc.subject.proposalEvaluación preanestésica
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


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