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dc.contributor.advisorRodríguez Gómez, Ciro Alfonsospa
dc.contributor.advisorMeléndez Flórez, Héctor Juliospa
dc.contributor.authorJiménez Orduz, Andreaspa
dc.date.accessioned2020-06-26T19:47:56Z
dc.date.available2020-06-26T19:47:56Z
dc.date.issued2016
dc.identifier.urihttp://hdl.handle.net/20.500.12749/1625
dc.description.abstractLa laringoscopia difícil imprevista puede tener consecuencias graves, y es una fuente significativa de morbilidad y mortalidad. Los métodos de predicción para vía aérea difícil son seriamente inexactos. Han surgido estudios que indican que las medidas específicas de ultrasonografía pueden ser predictores de laringoscopia difícil, pero su uso es todavía limitado, y no hay estudios en población colombiana. El propósito de este estudio de tecnología diagnóstica de corte transversal es evaluar el grado de correlación entre la cuantificación ecográfica de los tejidos blandos anteriores del cuello y el grado de laringoscopia en pacientes con score de ganzouri mayor o igual a 4. Se incluyeron 122 pacientes de edad entre 21-86 años sometidos a anestesia general con requerimiento de intubación orotraqueal. Se utilizaron análisis de correlación y análisis de curvas ROC, además de cálculo de sensibilidad, especificidad, y valores predictivos y porcentaje de observaciones correctamente clasificadas para cada valor de las distancias medidas por ecografía. Se encontró que existe un grado muy débil de correlación entre las distancias ecográficas y el grado de laringoscopia. La discriminación de la medida ecográfica epiglotis-piel para laringoscopia difícil fue buena, comparada con las otras medidas ecográficas en las que se obtuvieron áreas bajo la curva ROC con capacidad discriminatoria mala. Los valores predictivos, sensibilidad, especificidad, y likelihood ratio fueron bajos para las tres mediciones ecográficas.spa
dc.description.tableofcontents1. RESUMEN ............................................................................................................................... 6 2. DESCRIPCIÓN DEL PROYECTO ................................................................................................ 7 2.1 PLANTEAMIENTO DEL PROBLEMA ................................................................................. 7 2.2 PREGUNTA DE INVESTIGACIÓN ...................................................................................... 8 2.3 HIPÓTESIS INVESTIGATIVA ............................................................................................. 8 2.4. JUSTIFICACIÓN ............................................................................................................... 9 3. MARCO TEÓRICO .................................................................................................................. 10 4. OBJETIVOS ............................................................................................................................ 20 OBJETIVO GENERAL .................................................................................................................. 20 OBJETIVOS ESPECÍFICOS ........................................................................................................... 20 5. MATERIALES Y MÉTODOS .................................................................................................... 21 7.1 Tipo de estudio ................................................................................................................... 21 7.2 Población de referencia y muestra .................................................................................... 21 7.2.1 Población objetivo: ......................................................................................................... 21 7.2.2 Población elegible: .......................................................................................................... 21 7.3.1 Criterios de inclusión: ...................................................................................................... 21 7.3.2 Criterios de exclusión: .................................................................................................... 22 7.4 Muestreo ............................................................................................................................ 22 7.4.1 Calculo de la muestra. ..................................................................................................... 22 7.4.2 Proceso de recolección de la información .................................................................... 23 7.5 Análisis Estadístico ............................................................................................................. 25 7.5.1 Plan de análisis estadístico .............................................................................................. 25 7.6 Operacionalización de las variables ................................................................................... 26 8. CONSIDERACIONES ÉTICAS .................................................................................................. 36 10. PLAN DE DIVULGACIÓN DE DATOS .................................................................................. 40 11. RESULTADOS .................................................................................................................... 41 12. DISCUSIÓN ........................................................................................................................ 59 13. CONCLUSIONES ................................................................................................................ 61 14. BIBLIOGRAFIA ................................................................................................................... 62 15. ANEXOS ............................................................................................................................ 66 15.1 CONSENTIMIENTO INFORMADO.................................................................................. 66 15.2 INSTRUMENTO DE MEDICIÓN ...................................................................................... 69 15.3. CARTA DE APROBACION COMITÉ DE ÉTICA ................................................................ 70 15.4 CRONOGRAMA DE ACTIVIDADES ................................................................................ 71 15.4 PRESUPUESTO .............................................................................................................. 73spa
dc.format.mimetypeapplication/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleEstudio de correlación medición ecográfica de los tejidos blandos anteriores del cuello y el grado de laringoscopia en pacientes con score de Ganzouri mayor o igual a 4spa
dc.title.translatedCorrelation study of ultrasound measurement of the anterior soft tissues of the neck and the degree of laryngoscopy in patients with a Ganzouri score greater than or equal to 4eng
dc.degree.nameEspecialista en Anestesiologíaspa
dc.coverageBucaramanga (Santander, Colombia)spa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programEspecialización en Anestesiologíaspa
dc.description.degreelevelEspecializaciónspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.subject.keywordsSurgical procedureseng
dc.subject.keywordsLaryngoscopyeng
dc.subject.keywordsUltrasoundeng
dc.subject.keywordsAnesthesiologyeng
dc.subject.keywordsInvestigationseng
dc.subject.keywordsAnalysiseng
dc.subject.keywordsMedicineeng
dc.subject.keywordsCross-sectional diagnostic technologyeng
dc.subject.keywordsSensitivity calculationeng
dc.subject.keywordsAnterior soft tissue measurementeng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2spa
dc.relation.referencesJiménez Orduz, Andrea (2016). Relación entre la medición ecográfica de los tejidos blandos anteriores del cuello y el grado de laringoscopia en pacientes con score de Ganzouri mayor o igual a 4. Bucaramanga (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNABspa
dc.relation.references1. Ellis SSJ, Newland MCM, Simonson JJ a, Peters KR, Romberger DJ, Mercer DW, et al. Anesthesia-related Cardiac Arrest. Anesthesiology [Internet]. 2014;120(4):829–38. Available from: http://journals.lww.com/anesthesiology/Abstract/2014/04000/Anesthesia_related_Cardiac_Arrest.18.aspx\nhttp://www.ncbi.nlm.nih.gov/pubmed/24496124spa
dc.relation.references2. Safavi M, Yaraghi A, Attari M, Khazaei M, Zamani M, Honarmand A. Comparison of five methods in predicting difficult laryngoscopy: Neck circumference, neck circumference to thyromental distance ratio, the ratio of height to thyromental distance, upper lip bite test and Mallampati test. Adv Biomed Res [Internet]. 2015;4(1):122. Available from: http://www.advbiores.net/text.asp?2015/4/1/122/158033spa
dc.relation.references3. Zheng J. Role of Anterior Neck Soft Tissue Quantifications by Ultrasound in Predicting Difficult Laryngoscopy. Med Sci Monit [Internet]. 2014;20:2343–50. Available from: http://www.medscimonit.com/abstract/index/idArt/891037spa
dc.relation.references4. Calder I. Identification of the difficult airway. Anaesth Intensive Care Med. 2014;15(8):355–7.spa
dc.relation.references5. Spearman, Spearman C. The Proof and Measurement of Association between Two Things Author ( s ): C . Spearman Source : The American Journal of Psychology , Vol . 15 , No . 1 ( Jan ., 1904 ), pp . 72-101 Published by : University of Illinois Press Stable URL : http://www.jstor.o. Am J Psychol. 1904;15(1):72–101.spa
dc.relation.references6. Artime CA. I s T h e re a G o l d S t a n d a rd f or M a nag emen t o f t h e D i ffi c u l t A i r w a y ? Airway management Algorithms Difficult airway Intubation Practice guidelines. 2015;33:233–40.spa
dc.relation.references7. Galante L. Management of the D iffic ult A i r way Airway management Difficult airway Intubation Extubation Airway algorithm. 2015;27:55–66.spa
dc.relation.references8. Corso RM, Cattano D, Buccioli M, Carretta E, Maitan S. [Post analysis simulated correlation of the El-Ganzouri airway difficulty score with difficult airway]. Brazilian J Anesthesiol. 2016;66(3):298–303.spa
dc.relation.references9. R FEG. Revista Colombiana de Anestesiología. 2015;3(x x):1–5.spa
dc.relation.references10. Green JS, Tsui BCH. Applications of Ultrasonography in ENT: Airway Assessment and Nerve Blockade. Anesthesiol Clin. 2010;28(3):541–53.spa
dc.relation.references11. Pinto J, Cordeiro L, Pereira C, Gama R, Fernandes HL, Assun????o J. Predicting difficult laryngoscopy using ultrasound measurement of distance from skin to epiglottis. J Crit Care [Internet]. Elsevier Inc.; 2016;33:26–31. Available from: http://dx.doi.org/10.1016/j.jcrc.2016.01.029spa
dc.relation.references12. Teoh WH, Kristensen MS. Utility of ultrasound in airway management. Trends Anaesth Crit Care. 2014;4(4):84–90.spa
dc.relation.references13. Fulkerson JS, Moore HM, Anderson TS, Lowe RF. Ultrasonography in the preoperative difficult airway assessment. J Clin Monit Comput. 2016;1–18.spa
dc.relation.references14. Adhikari S, Zeger W, Schmier C, Crum T, Craven A, Frrokaj I, et al. Pilot study to determine the utility of point-of-care ultrasound in the assessment of difficult laryngoscopy. Acad Emerg Med. 2011;18(7):754–8.spa
dc.relation.references15. Shiga T, Wajima Z, Inoue T, Sakamoto A, &Na; Predicting Difficult Intubation in Apparently Normal Patients. Surv Anesthesiol. 2006;50(2):70–1.spa
dc.relation.references16. Hui CM, Tsui BC. Sublingual ultrasound as an assessment method for predicting difficult intubation: A pilot study. Anaesthesia. 2014;69(4):314–9.spa
dc.relation.referencesOrozco-Díaz É, Álvarez-Ríos JJ, Arceo-Díaz JL, Ornelas-Aguirre JM. Predicción de intubación difícil mediante escalas de valoración de la vía aérea. Cir Cir. 2010;78(5):393–9.spa
dc.relation.references18. Daabiss M. American society of anaesthesiologists physical status classification. Indian J Anaesth. 2011;55(2):111–5.spa
dc.relation.references19. Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel A, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115(6):827–48.spa
dc.relation.references20. Pinto J, Cordeiro L, Pereira C, Gama R, Fernandes HL, Assunção J. Predicting difficult laryngoscopy using ultrasound measurement of distance from skin to epiglottis. J Crit Care [Internet]. 2016;1–6. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0883944116000575spa
dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000320609*
dc.contributor.orcidhttps://orcid.org/0000-0003-1791-8099*
dc.subject.lembProcedimientos quirúrgicosspa
dc.subject.lembLaringoscopiaspa
dc.subject.lembEcografíaspa
dc.subject.lembMedicinaspa
dc.subject.lembAnestesiologíaspa
dc.subject.lembInvestigacionesspa
dc.subject.lembAnálisisspa
dc.description.abstractenglishUnforeseen difficult laryngoscopy can have serious consequences, and is a significant source of morbidity and mortality. Prediction methods for difficult airway are seriously inaccurate. Studies have emerged that indicate that specific ultrasonography measures can be predictors of difficult laryngoscopy, but their use is still limited, and there are no studies in the Colombian population. The purpose of this cross-sectional diagnostic technology study is to assess the degree of correlation between the ultrasound quantification of the anterior soft tissues of the neck and the degree of laryngoscopy in patients with a ganzouri score greater than or equal to 4. 122 patients aged between 21-86 years undergoing general anesthesia requiring orotracheal intubation were included. Correlation analysis and ROC curve analysis were used, as well as calculation of sensitivity, specificity, and predictive values ​​and percentage of correctly classified observations for each value of the distances measured by ultrasound. It was found that there is a very weak degree of correlation between ultrasound distances and the degree of laryngoscopy. The discrimination of the epiglottis-skin ultrasound measure for difficult laryngoscopy was good, compared with the other ultrasound measures in which areas under the ROC curve with poor discriminatory capacity were obtained. Predictive values, sensitivity, specificity, and likelihood ratio were low for the three ultrasound measurements.eng
dc.subject.proposalTecnología diagnóstica de corte transversal
dc.subject.proposalCálculo de sensibilidad
dc.subject.proposalMedición de tejidos blandos anteriores
dc.type.redcolhttp://purl.org/redcol/resource_type/TM
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.description.learningmodalityModalidad Presencialspa


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