Complicaciones respiratorias frecuentes relacionados con la traqueotomía percutánea, en pacientes adultos mayores en el área de cuidados intensivos del Hospital General IESS Babahoyo. Diciembre 2022 – abril 2023.
| dc.contributor.advisor | Lung Hernández, Jorge Edison | |
| dc.contributor.author | Contreras Vera, Germania Lizeth | |
| dc.contributor.author | Moreta Obando, Mixi Betzaida | |
| dc.date.accessioned | 2023-06-08T17:09:50Z | |
| dc.date.available | 2023-06-08T17:09:50Z | |
| dc.date.issued | 2023 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/14331 | |
| dc.description | Introduction: Percutaneous tracheostomy is a technique performed at the foot of the bed, which tries to minimize the complications of prolonged intubation and the morbidity of open tracheostomy. Objective: "To determine the frequent respiratory complications associated with percutaneous tracheotomy, in older adults in the intensive care area of the IESS Hospital General Babahoyo." Methods: A qualitative and quantitative, non-experimental, documentary, descriptive cross-sectional methodology is used, using direct observation and clinical history as techniques. Results: 15 patients were included. The average age was 60 to 65 years 47%, the male sex predominated 56%, of the 15 patients 12 underwent percutaneous tracheotomy 73%, the reason for admission to the ICU was expected, they received prolonged mechanical ventilation 44%, the difficulty 33% were due to obesity, the days in the ICU were 7 to 10 days, immediate complications were minor bleeding 33%, cannula obstruction 27%, late complications 46% were due to infection in the surgical site in the ICU, 27% obstruction premature cannula, 17% presented changes or difficulties in the voice after decannulation, 80% of the patients were decannulated and 80% received physiotherapy with bronchial hygiene technique. They present respiratory complication in the applied techniques. Conclusion: Percutaneous tracheotomy showed confidence in its application, although despite the incidence of the procedure, its effectiveness together with respiratory therapy is favorable. | es_ES |
| dc.description | Introduction: Percutaneous tracheostomy is a technique performed at the foot of the bed, which tries to minimize the complications of prolonged intubation and the morbidity of open tracheostomy. Objective: "To determine the frequent respiratory complications associated with percutaneous tracheotomy, in older adults in the intensive care area of the IESS Hospital General Babahoyo." Methods: A qualitative and quantitative, non-experimental, documentary, descriptive cross-sectional methodology is used, using direct observation and clinical history as techniques. Results: 15 patients were included. The average age was 60 to 65 years 47%, the male sex predominated 56%, of the 15 patients 12 underwent percutaneous tracheotomy 73%, the reason for admission to the ICU was expected, they received prolonged mechanical ventilation 44%, the difficulty 33% were due to obesity, the days in the ICU were 7 to 10 days, immediate complications were minor bleeding 33%, cannula obstruction 27%, late complications 46% were due to infection in the surgical site in the ICU, 27% obstruction premature cannula, 17% presented changes or difficulties in the voice after decannulation, 80% of the patients were decannulated and 80% received physiotherapy with bronchial hygiene technique. They present respiratory complication in the applied techniques. Conclusion: Percutaneous tracheotomy showed confidence in its application, although despite the incidence of the procedure, its effectiveness together with respiratory therapy is favorable. | es_ES |
| dc.description.abstract | Introducción: Traqueostomía percutánea es una técnica que se realiza a pie de cama, la misma que busca minimizar las complicaciones de una intubación prolongada y la morbilidad de las traqueostomias abiertas. Objetivo: “Determinar las complicaciones respiratorias frecuentes relacionadas a la traqueostomía percutánea, en pacientes adultos mayores en el área de cuidados intensivos del Hospital General IESS Babahoyo”. Metodología: Se aplicó una metodología de tipo cualitativa y cuantitativa, no experimental, documental, descriptiva transversal, como técnica se utilizó la observación directa, y la historia clínica. Resultados: Se incluyeron 15 pacientes. La media de edad fue de 60 a 65 años 47%, predominó el sexo masculino 56%, de los 15 pacientes a 12 se les aplicó traqueostomía percutánea 73%, el motivo de ingreso a la UCI fue por previsión de ventilación mecánica prolongada 44%, la dificultad para realizar el procedimiento se dio por obesidad el 33%, días de estancia en UCI fueron de 7 a 10 días, las complicaciones inmediatas fueron hemorragia leve 33%, obstrucción de la cánula 27%, complicaciones tardías 46% fue por infección del sitio quirúrgico en la UCI, 27% obstrucción prematura de la cánula, el 17% presentaron cambio de vos o dificultad tras la decanulación, 80% de pacientes fueron decanulados, y el 80% recibieron fisioterapia con técnica de higiene bronquial, en este estudio no se presentó complicación respiratoria en las técnicas aplicadas. Conclusión: La traqueostomía percutánea mostró confianza en su aplicación, aunque a pesar de la incidencia surgida en el procedimiento, su efectividad junto a la terapia respiratoria es favorable. | es_ES |
| dc.format.extent | 86 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2023 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Traqueostomía percutánea | es_ES |
| dc.subject | Complicaciones | es_ES |
| dc.subject | Intubación | es_ES |
| dc.subject | Morbilidad | es_ES |
| dc.subject | Fisioterapia | es_ES |
| dc.title | Complicaciones respiratorias frecuentes relacionados con la traqueotomía percutánea, en pacientes adultos mayores en el área de cuidados intensivos del Hospital General IESS Babahoyo. Diciembre 2022 – abril 2023. | es_ES |
| dc.type | bachelorThesis | es_ES |
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