VIA AEREA DIFICIL PDF

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Revista Cubana de Medicina Intensiva y Emergencia. Frerk1, V. Mitchell2, A. McNarry3, C. Mendonca4, R. Bhagrath5, A. Patel6, E. Woodall8, I. Ricardo Urtubia V.

E-mail: ricardo. Deben ser ensayados regularmente y deben ser familiares para todo el equipo. En total se compilaron Se revisaron textos completos. Toda la correspondencia fue revisada por el grupo de trabajo. Para que cualquier plan funcione bien durante una emergencia, debe ser conocido por todos los miembros del equipo y debe haber sido ensayado previamente. Plan A. Plan B. Plan C. Para esto existen "ganchos cricoideos", dilatadores traqueales, entre otros.

Si ya se ha administrado sugammadex previamente, se debe utilizar otra droga distinta de rocuronio o vecuronio. Equipamiento 1. Lo contrario si es zurdo mano izquierda dominante.

Estabilizar la laringe con la mano que palpa. Tomar el "bougie" con la mano dominante. Rotar el tubo a lo largo del "bougie" mientras lo avanza. Retirar el "bougie". Asegurar el tubo. Tensionar la piel usando la mano no-dominante.

Sin embargo, su rol en situaciones de urgencia es limitado. El Departamento de N. Referencias 1. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia ; —94 2. Major complications of airway management in the United Kingdom, Report and Findings. Royal College of Anaesthetists, London, 3. Development of a guideline for the management of the unanticipated difficult airway in pediatric practice.

Paediatr Anaesth ; —62 4. Anaesthesia ; — 5. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia ; —40 6. Hung O, Murphy M. Context-sensitive airway management. Anesth Analg ; —3 7.

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. Anaesthesia ; —30 8. Smith AF. Creating guidelines and treating patients when there are no trials or systematic reviews. Eur J Anaesthesiol ; —5 9. Human factors in the development of complications of airway management: preliminary evaluation of an interview tool.

Anaesthesia ; —25 Reason J. Human error: models and management. Br Med J ; —70 Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth ; —35 Emergency surgical airway in life-threatening acute airway emergencies—why are we so reluctant to do it?

Anaesth Intensive Care ; —84 Marshall S. The use of cognitive aids during emergencies in anesthesia: a reviewof the literature. Anesth Analg ; —71 Chrimes N, Fritz P. The Vortex Approach The effect of a simulation- based training intervention on the performance of established critical care unit teams.

Crit Care Med ; —11 Teamwork training improves the clinicalcareof traumapatients. J Surg Educ ; —43 Communication and Patient Safety Course notes.

Incidence, predictors, and outcome of difficult mask ventilation combined with difficult laryngoscopy: a report from the multicenter perioperative outcomes group. Anesthesiology ; —9 Anaesthesia ; —81 Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance.

Anesthesiology ; —37 A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med ; —9 Rocuronium versus succinylcholine for rapid sequence induction intubation. Rocuronium versus succinylcholine for rapid sequence induction of anesthesia and endotracheal intubation: a prospective, randomized trial in emergent cases.

Anesth Analg ; —61 Succinylcholine or rocuronium? A meta-analysis of the effects on intubation conditions. Int J Clin Pract ; —46 Rocuronium vs. J Emerg Med ; —8 Succinylcholine versus rocuronium for rapid sequence intubation in intensive care: a prospective, randomized controlled trial.

Crit Care ; R Rapid sequence induction and intubation with rocuronium—sugammadex compared with succinylcholine: a randomized trial. Br J Anaesth ; —9 Desaturation following rapid sequence induction using succinylcholine vs. Acta Anaesthesiol Scand ; —8 Effect of suxamethonium vs rocuronium on onset of oxygen desaturation during apnoea following rapid sequence induction.

Anaesthesia ; —61 Br J Anaesth ; —4 Anaesth Intensive Care ; —6 Anaesthesia ; —41 Reversal of profound neuromuscular block by sugammadex administered three minutes after rocuronium: a comparison with spontaneous recovery from succinylcholine. Anesthesiology ; —5 Variation in rapid sequence induction techniques: current practice in Wales. Anaesthesia ; 54—9 The historical background of cricoid pressure in anesthesia and resuscitation.

Anesth Analg ; —2

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Tablas 4 Tabla 1. Figura 4. Algoritmo de la Eastern Association for the Surgery of Trauma. There are times when, although being orthodox in the technique performance, we do not achieve the desired purpose no intubation, no ventilation , defining such a situation as difficult airway DAW. Primary Health Care physicians and nurses should be prepared for this and have the necessary material and training to face this critical moment in the management of severe patients.

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