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2009, Número 3

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Rev Inst Nal Enf Resp Mex 2009; 22 (3)


Broncoscopia en el paciente en estado crítico. Principios básicos

Machado VL, Morales BJE, Rosas RMJ, Paz CC, Cicero SR

Idioma: Español
Referencias bibliográficas: 50
Paginas: 238-247
Archivo PDF: 111.08 Kb.


RESUMEN

La utilidad diagnóstica y terapéutica de la fibrobroncoscopia flexible está asociada con mínima morbilidad y mortalidad en pacientes en la Unidad de Cuidados Intensivos (UCI), permitiendo su creciente empleo en este grupo de enfermos. Los pacientes en la UCI están predispuestos a un riesgo mayor de complicaciones debido a que se encuentran en ventilación mecánica, con presión positiva al final de la espiración y tienen otras condiciones médicas. Un conocimiento de los riesgos y consecuencias fisiopatológicas, de la fibrobroncoscopia permite al médico tomar precauciones para evitar problemas mayores. En una UCI es posible realizar procedimientos endoscópicos urgentes o programados con una amplia gama de indicaciones diagnósticas y terapéuticas. La vigilancia de los parámetros fisiológicos debe ser continua durante y después de la broncoscopia. Los cuidados inmediatos deben instituirse para asegurar una adecuada ventilación y oxigenación durante el procedimiento, que se realiza generalmente por vía endotraqueal.


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