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2014, Número 2

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Med Crit 2014; 28 (2)


Ultrasonografía realizada por el Médico Intensivista. Experiencia en una unidad hospitalaria de segundo nivel de atención

Calderón GJA

Idioma: Español
Referencias bibliográficas: 36
Paginas: 85-90
Archivo PDF: 252.96 Kb.


RESUMEN

El uso del ultrasonido en la cama del paciente grave, a través de diversos protocolos, se ha convertido en una herramienta útil en la terapia intensiva debido a su valiosa información en tiempo real, permitiendo optimizar tratamientos en situaciones específicas y adquiriendo gran relevancia en medios de baja disponibilidad de recursos debido a su portabilidad, ausencia de efectos adversos y confiabilidad.
Objetivos: Describir la experiencia en el uso de la ultrasonografía realizada por el Médico Intensivista de un hospital de segundo nivel de atención a través de una serie de casos.
Diseño: Reporte de casos.
Escenario: Unidad de Cuidados Intensivos del Hospital General de Zona Núm. 4, Instituto Mexicano del Seguro Social.
Pacientes: 21 pacientes con diagnósticos diversos. Intervenciones: Ajustes farmacológicos y no farmacológicos según los hallazgos sonográficos.
Resultados: Se recolectaron y analizaron las imágenes del ultrasonido de todas las evaluaciones, así como las intervenciones posteriores, de las cuales a 12 pacientes (57%) se les realizó alguna intervención farmacológica y a 9 pacientes (43%) se les realizó alguna intervención en forma no farmacológica.
Conclusiones: El uso del ultrasonido enfocado en los cuidados intensivos es de gran utilidad para optimizar el manejo de los enfermos críticos, y se debe considerar como una herramienta importante para el Médico Intensivista actual.


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