Huerta MC, Lorenzo SJM, Zacarías AR, Martínez GL, Escamilla LMI, Guerra EL

Idioma: Español
Referencias bibliográficas: 27
Paginas: 202-214
Archivo PDF: 229.02 Kb.

RESUMEN

El paciente con trauma de tórax que va a ser sometido a cirugía torácica puede requerir durante el transoperatorio que se aísle un pulmón para evitar que el sangrado invada al pulmón contralateral o que la distribución de la ventilación sea separada e individualizada. En la ruptura traqueal o bronqueal y en las fístulas broncopleurales de gasto alto es una indicación absoluta.
La ventilación mecánica selectiva y la supraselectiva son un buen recurso en el manejo del paciente con trauma torácico severo cuyas características deben de ser individualizadas debido a las alteraciones fisiopatológicas desencadenadas por el mismo trauma.
Revisaremos las características de la ventilación mecánica selectiva (tubo de doble lumen) y supraselectiva (bloqueadores bronquiales) en trauma torácico agregando nuestra experiencia en el manejo de este tipo de pacientes en nuestro hospital.

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