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2014, Número 3

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Arch Inv Mat Inf 2014; 6 (3)


Comportamiento del CO2 espirado durante el uso de tubo laríngeo versus tubo endotraqueal en cirugía laparoscópica ginecológica

Flores SRJ, Carmona GV

Idioma: Español
Referencias bibliográficas: 36
Paginas: 120-126
Archivo PDF: 109.00 Kb.


RESUMEN

Objetivo: Determinar si existen diferencias en la concentración del CO2 espirado durante el uso de tubo laríngeo versus tubo endotraqueal en cirugía laparoscópica ginecológica en pacientes del Hospital de Ginecología y Obstetricia del IMIEM. Material y métodos: Previa firma del consentimiento informado y cumpliendo los criterios de inclusión, se asignó a las pacientes en forma aleatoria a dos grupos de estudio. Todas las pacientes recibieron monitoreo tipo I (no invasivo). A cada paciente se le realizó inducción con fentanilo 3 µg/kg, propofil 2.5 mg/kg, cisatracurio 50 µg/kg, con ventilación mecánica controlada con volumen total a 8 mL/kg, frecuencia respiratoria 14 por minuto y relación inspiración-espiración 1:2. Resultados: No se encontraron diferencias significativas en las cifras de presión arterial sistémica, la presencia de odinofagia y el éxito en el primer intento de instalación. Se observó cifra mayor de CO2 en el grupo de pacientes manejadas con tubo endotraqueal. Conclusiones: Se recomienda el uso de tubo laríngeo para el manejo de cirugías lapararoscópicas en procedimientos menores de dos horas. El CO2 telespiratorio no se altera con el uso de tubo laríngeo.


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