MARC details
| 000 -LEADER |
|---|
| fixed length control field |
04478nas a22003017a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
|---|
| control field |
OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
|---|
| control field |
20220727104903.0 |
| 006 - FIXED-LENGTH DATA ELEMENTS--ADDITIONAL MATERIAL CHARACTERISTICS |
|---|
| fixed length control field |
m|||||r|||| 00| 0 |
| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION |
|---|
| fixed length control field |
ta |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
171219t2020 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
|---|
| International Standard Serial Number |
1138-7262 |
| 040 ## - CATALOGING SOURCE |
|---|
| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
|---|
| Title |
Manejo clínico y complicaciones de pacientes traqueotomizados en cuidados intensivos = |
| Remainder of title |
Clinical management and complications in tracheotomy patients at the Intensive Care Unit / |
| Statement of responsibility, etc. |
Ana Wensell Fernández, Cristina Telenti Rodríguez |
| 500 ## - GENERAL NOTE |
|---|
| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
|---|
| Bibliography, etc. note |
Bibliografía: p.13-14 |
| 520 3# - SUMMARY, ETC. |
|---|
| Summary, etc. |
Objetivo: analizar las pautas de actuación y manejo en la práctica clínica de los pacientes ingresados en una Unidad de Cuidados Intensivos (UCI) a los que se les realizó una traqueotomía, conocer las complicaciones y su evolución.<br/>Método: estudio de observaciones retrospectivo de todos los pacientes ingresados en una UCI polivalente del 15 de marzo de 2017 al 15 de marzo de 2018 a los que se les hizo una traqueotomía. Los datos se extrajeron de la historia clínica informatizada. Variables estudiadas: demográficas y clínicas del paciente y relacionadas con la traqueotomía. Se utilizó la analítica descriptiva e inferencial. Se consideró significativo p< 0,05.<br/>Resultados: 48 pacientes incluidos cuya edad media (desviación estándar) fue 61,7 (14,9) años. 34 (71%) varones. Diagnóstico al ingreso mayoritario neurológico 27(56%). Nueve (19%) fallecieron en la UCI. Se realizaron 49 traqueotomías, 35 (71%) quirúrgicas. Se emplearon 105 cánulas. Se registraron 27 complicaciones, siendo las más habituales las de aparición tardía (44%) y por tipología la infección del estoma (26%). La decanulación se relacionó significativamente con la deglución (p= 0,005) y el sellado de la cánula (p= 0,001). Solamente el manejo neumotaponamiento tuvo relación significativa con la existencia de complicaciones (p= 0,029).<br/>Conclusiones: la traqueotomía puede considerarse una práctica segura. Hay escasa evidencia y variabilidad en la práctica clínica en la asistencia al paciente traqueotomizado. El uso de protocolos que incluyan aspectos como el manejo del neumotaponamiento, la deglución o la fonación entre otros, podrían aumentar la calidad y seguridad asistencial en la atención a estos pacientes. |
| 520 8# - SUMMARY, ETC. |
|---|
| Summary, etc. |
Objective: to analyze the guidelines for action and management in clinical practice for patients admitted at an Intensive Care Unit (ICU), who have undergone tracheotomy, to understand their complications and evolution.<br/>Method: a retrospective observational study on all patients admitted at a multipurpose ICU from March, 15th, 2017 to March, 15th, 2018, who underwent a tracheotomy. Data were extracted from the computerized clinical record. The demographical and clinical variables of the patient were studied, as well as those associated with tracheotomy. Descriptive and inferential analysis was used. A value of p< 0.05 was considered significant.<br/>Results: forty-eight (48) patients were included, with a mean age (standard deviation) of 61.7 (14.9) years; 34 (71%) were male. At admission, the primary diagnosis was neurological: 27 (56%). Nine (19%) patients died at the ICU. Forty-nine (49) tracheotomies were conducted, 35 (71%) were surgical; 105 trach tubes were used. Twenty-seven (27) complications were recorded; the most usual were of late onset (44%), and by type, stoma infection (26%). Decannulation was significantly associated with swallowing (p= 0.005) and trach tube sealing (p= 0.001). Only the management of the endotracheal tube cuff was significantly associated with the development of complications (p= 0.029).<br/>Conclusions: tracheotomy can be considered a safe practice. There is limited evidence and variability in clinical practice in terms of care for patients with tracheotomy. The use of protocols including aspects such as the management of the endotracheal tube cuff, swallowing or phonation, among others, could increase the quality and safety of care for these patients. |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
traqueotomía |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
manejo de la vía aérea |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
ventilación mecánica |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
tracheotomy |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
airway management |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
mechanic ventilation |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
protocols |
| 653 14 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
intensive care units |
| 773 ## - HOST ITEM ENTRY |
|---|
| Related parts |
-- 2020 v. 23, n.3, p.7-14 |
| Title |
Metas de enfermería. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
