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Valoración ecográfica del posicionamiento del tubo endotraqueal en población pediátrica

dc.contributor.advisorMeléndez Flórez, Héctor Julio
dc.contributor.authorRodríguez Olarte, Diana Carolina
dc.contributor.authorVergel Mantilla, Sergio
dc.coverage.spatialFloridablanca (Santander, Colombia)spa
dc.date.accessioned2022-07-11T20:48:55Z
dc.date.available2022-07-11T20:48:55Z
dc.date.issued2022
dc.identifier.urihttp://hdl.handle.net/20.500.12749/16903
dc.description.abstractAntecedentes: La inserción y adecuado posicionamiento del TOT en la población pediátrica, no se ha definido en su totalidad. La radiografía de tórax, el TAC, la resonancia y la fibrobroncoscopia, se consideran el GOLD STANDARD. Existen fórmulas adecuadas a edad, peso y talla, sin que ninguna sea altamente sensible ni específica. De manera rutinaria no se cuenta con una herramienta diagnóstica que permita de forma fiel abarcar todos estos aspectos. Actualmente el uso de la ecografía como equipo de monitoreo y de procedimientos por el Anestesiólogo, nos permite evaluar la vía aérea y el posicionamiento del TOT, evaluar signos de ventilación bipulmonar, como se describe el signo de deslizamiento pulmonar o “lung sliding” descartando así su ubicación monobronquial y esofágica. El nivel de recomendación de este equipo como diagnóstico aún no está definido. Objetivo: Describir el adecuado posicionamiento del tubo endotraqueal, mediante ultrasonografía en pacientes que requieren soporte ventilatorio hospitalizados en la unidad de cuidados intensivos (UCI) pediátricos y neonatales. Materiales y métodos: Estudio analítico de tipo corte transversal: Evaluación de dispositivos médicos (estudio de tecnologías diagnósticas: Ultrasonografía) que incluyó 65 pacientes de población ingresados en la UCI pediátrica y neonatal.spa
dc.description.tableofcontentsRESUMEN: 5 1. INTRODUCCION 7 2. PLANTEAMIENTO DEL PROBLEMA 8 2.1 Pregunta de investigación 9 2.2 Hipótesis investigativa 9 2.3 Justificación 9 3. MARCO TEÓRICO 12 4. OBJETIVOS 32 4.1 Objetivo general 32 4.2 Objetivos específicos 32 5. METODOLOGÍA 33 5.1 Tipo de estudio 33 5.2 Diseño Muestral 33 5.3 Población Elegible 33 5.4 Criterios de selección 34 5.4.1 Criterios de inclusión: 34 5.4.2 Criterios de exclusión: 34 6. VARIABLES DEL ESTUDIO 35 6.1 Variable Resultado (Ver anexo 1). 35 6.2 Variables Independientes: 36 7. MEDIDAS DE BIOSEGURIDAD. 39 8. RECOLECCIÓN DE LA INFORMACIÓN Y MANEJO DE LOS DATOS 41 9. CONSIDERACIONES ÉTICAS 44 10. ANÁLISIS DE LOS DATOS 46 11. RESULTADOS 47 11.1 Características generales de la población 48 11.2 Datos de intubación orotraqueal 49 11.3 Causas de intubación orotraqueal 50 11.4 Verificación de correcta ubicación del tubo orotraqueal. 51 11.4.1 Valoración radiológica del posicionamiento del tubo orotraqueal. 51 11.4.1 Reposicionamiento del tubo endotraqueal 51 11.4.2 Valoración radiológica del posicionamiento del tubo orotraqueal. ¡Error! Marcador no definido. 11.4.3 Número de reacomodaciones según el personal que realiza el procedimiento. 51 11.4.4 Valoración ecográfica del posicionamiento del tubo orotraqueal 52 11.5. Rendimiento del examen ecográfico comparado con la radiografía de tórax. 53 11.6 Rendimiento de la Ecografía como prueba diagnóstica: 53 11.7 Correlación de posicionamiento del tubo endotraqueal según distancia a comisura labial encontrada y predicha. 54 11.9 Análisis de regresión y correlación entre predicho y observado 55 11. 8 Coeficientes de correlación 57 11.10 Concordancia entre predicho y observado 59 11.11 Factores asociados a mal posicionamiento del tubo endotraqueal. 62 12. DISCUSIÓN 64 13. CONCLUSIONES 68 14. IMPACTOS Y PRODUCTOS ESPERADOS 69 15.BIBLIOGRAFÍA 71 16. ANEXOS 81 16.1 Anexo 1 81 16.2 Anexo 2 83 16.3 Anexo 3 86 16.4 Anexo 4 91spa
dc.format.mimetypeapplication/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleValoración ecográfica del posicionamiento del tubo endotraqueal en población pediátricaspa
dc.title.translatedUltrasound assessment of endotracheal tube positioning in the pediatric populationspa
dc.degree.nameEspecialista en Anestesiologíaspa
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.keywordsAnesthesiologyspa
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsMedicinespa
dc.subject.keywordsAirway managementspa
dc.subject.keywordsIntratracheal intubationspa
dc.subject.keywordsUltrasonographyspa
dc.subject.keywordsPediatricsspa
dc.subject.keywordsUltrasoundspa
dc.subject.keywordsIntensive care unitspa
dc.subject.keywordsImaging systems in medicinespa
dc.subject.keywordsDiagnostic imagingspa
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
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dc.contributor.cvlacMeléndez Flórez, Héctor Julio [0000320609]spa
dc.contributor.orcidMeléndez Flórez, Héctor Julio [0000-0003-1791-8099]spa
dc.subject.lembAnestesiologíaspa
dc.subject.lembCiencias médicasspa
dc.subject.lembMedicinaspa
dc.subject.lembEcografíaspa
dc.subject.lembUnidad de cuidados intensivosspa
dc.subject.lembSistemas de imágenes en medicinaspa
dc.subject.lembDiagnóstico por imágenesspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.description.abstractenglishBackground: The proper insertion and positioning of the TOT in the pediatric population has not been fully defined. Chest radiography, CT, MRI and fiberoptic bronchoscopy are considered the GOLD STANDARD. There are formulas suitable for age, weight and height, none of which are highly sensitive or specific. Routinely, there is no diagnostic tool that faithfully covers all these aspects. Currently, the use of ultrasound as a monitoring and procedural equipment by the Anesthesiologist allows us to evaluate the airway and the TOT position, evaluate signs of bipulmonary ventilation, as described in the lung slide sign or "lung slide" thus ruling out its monobronchial and esophageal location. The level of recommendation of this equipment as a diagnosis is not yet defined. Objetivo: To describe the proper positioning of the endotracheal tube by ultrasonography in patients requiring ventilatory support hospitalized in the pediatric and neonatal intensive care unit Materials y methods: Cross-sectional analytical study: Evaluation of medical devices (study of diagnostic technologies: Ultrasonography) that included 65 population patients admitted to the pediatric and neonatal ICU.spa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalManejo de la vía aéreaspa
dc.subject.proposalIntubación intratraquealspa
dc.subject.proposalUltrasonografíaspa
dc.subject.proposalPediatríaspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TM
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.description.learningmodalityModalidad Presencialspa


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Atribución-NoComercial-SinDerivadas 2.5 Colombia
Excepto si se señala otra cosa, la licencia del ítem se describe como Atribución-NoComercial-SinDerivadas 2.5 Colombia