Cambios ventilatorios después de una traqueotomía en neumonía por COVID-19

Contenido principal del artículo

Juan Antonio Lugo-Machado
Patricia Emiliana García-Ramírez
José Alberto Guerrero-Paz
Oscar Said Rodríguez-Quintana
José Roberto Reina-Loaiza
Edwin Canché-Martín
Noemí Sainz-Fuentes

Resumen

Introducción: existe aún una controversia sobre los efectos en los parámetros ventilatorios en pacientes sometidos a una traqueotomía, y los estudios en casos de pacientes con SARS-CoV-2 son escasos. Objetivo: describir los cambios en los parámetros ventilatorios en pacientes operados de traqueotomía por SARS-CoV-2 en la unidad de cuidados intensivos (UCI). Métodos: se realizó un estudio retrospectivo, descriptivo y longitudinal en el que se incluyeron las variables como edad, sexo, comorbilidades, tiempo de intubación, parámetros ventilatorios, gasométricos y el índice de Kirby. Se utilizó estadística descriptiva con medidas de tendencia central y medidas de dispersión. Resultados: se recibieron 493 casos con COVID-19, 133(26,35 %) ingresaron, 21 fueron operados en la UCI; el género masculino fue 76 % y edad de 56 años; la obesidad y la hipertensión fueron las comorbilidades más comunes, todos con PCR positivo; los parámetros ventilatorios preoperatorios fueron presión positiva al final de la espiración

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Lugo-Machado JA, García-Ramírez PE, Guerrero-Paz JA, Rodríguez-Quintana OS, Reina-Loaiza JR, Canché-Martín E, Sainz-Fuentes N. Cambios ventilatorios después de una traqueotomía en neumonía por COVID-19. Acta otorrinolaringol cir cabeza cuello [Internet]. 30 de junio de 2022 [citado 5 de octubre de 2022];50(2):117-23. Disponible en: https://revista.acorl.org.co/index.php/acorl/article/view/627
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