Ventilación mecánica en paciente con traumatismo craneoencefálico severo de sexo masculino de 63 años de edad.
| dc.contributor.advisor | Maldonado Santacruz, Fulton Estenio | |
| dc.contributor.author | Troya Crespo, Elva Dayana | |
| dc.date.accessioned | 2020-10-15T15:23:16Z | |
| dc.date.available | 2020-10-15T15:23:16Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8798 | |
| dc.description | The present case study deals with a 63-year-old male patient with a personal pathological history of hypertension; suffered a traffic accident, suffering multiple trauma, cranioencephalic trauma accompanied by loss of consciousness, he was transferred to the nearest General Hospital, where he was admitted with cervical immobilization, on a rigid table and with a Glasgow score of 8. Physical examination found a blunt trauma in right parietal region with depressed fracture thicker than skull thickness; multiple abrasions and open fracture of the right forearm. It was decided to intubate and maintain 100% oxygenation, through mechanical ventilation. The skull tomography reported a right parietal fracture with the formation of a large epidural hematoma and he was operated on, then he was transferred to the intensive care unit in critical condition, he convulsed on several occasions, despite the indicated therapy, his vital signs decreased gradually and died 6 hours after surgery. The objective of this study is to analyze, through the case study methodology, mechanical ventilation in a 63-year-old male patient with severe head injury. In the ventilatory action in patients with head trauma, it should be aimed at avoiding hypoxia, maintaining a PaO2> 60 mmHg; recommending normocapnia with PaCO2 between 35–45 mmHg and the use of positive pressure at the end of expiration if necessary | es_ES |
| dc.description | The present case study deals with a 63-year-old male patient with a personal pathological history of hypertension; suffered a traffic accident, suffering multiple trauma, cranioencephalic trauma accompanied by loss of consciousness, he was transferred to the nearest General Hospital, where he was admitted with cervical immobilization, on a rigid table and with a Glasgow score of 8. Physical examination found a blunt trauma in right parietal region with depressed fracture thicker than skull thickness; multiple abrasions and open fracture of the right forearm. It was decided to intubate and maintain 100% oxygenation, through mechanical ventilation. The skull tomography reported a right parietal fracture with the formation of a large epidural hematoma and he was operated on, then he was transferred to the intensive care unit in critical condition, he convulsed on several occasions, despite the indicated therapy, his vital signs decreased gradually and died 6 hours after surgery. The objective of this study is to analyze, through the case study methodology, mechanical ventilation in a 63-year-old male patient with severe head injury. In the ventilatory action in patients with head trauma, it should be aimed at avoiding hypoxia, maintaining a PaO2> 60 mmHg; recommending normocapnia with PaCO2 between 35–45 mmHg and the use of positive pressure at the end of expiration if necessary | es_ES |
| dc.description.abstract | El presente estudio de caso trata de un paciente de sexo masculino de 63 años, con antecedente patológico personal de hipertensión arterial; sufrió un accidente de tránsito, sufriendo politraumatismo, trauma craneoencefálico acompañado de pérdida de conciencia, es trasladado al Hospital General más cercano, donde ingresó con inmovilización cervical, en tabla rígida y con un Glasgow de 8. Al examen físico se encontró un trauma contuso en región parietal derecha con fractura deprimida de espesor mayor al del grosor del cráneo; escoriaciones múltiples y fractura abierta de antebrazo derecho. Se decide intubar y mantener oxigenación al 100%, mediante ventilación mecánica. La Tomografía de cráneo informa fractura parietal derecha con la formación de un hematoma epidural grande y es intervenido quirúrgicamente, después es trasladado a la unidad de cuidados intensivos en estado crítico, convulsiona en varias ocasiones, a pesar de la terapéutica indicada los signos vitales decaen de manera paulatina y fallece 6 horas después de la cirugía. El objetivo de este es analizar a través de la metodología de estudio de caso, la ventilación mecánica en un paciente con traumatismo craneoencefálico severo, de sexo masculino, de 63 años de edad. En la actuación ventilatoria en pacientes con Traumatismo craneoencefálico debe dirigirse a evitar la hipoxia, mantener una PaO2 > 60 mmHg; recomendando la normocapnia con PaCO2 entre 35–45 mmHg y el uso de presión positiva al final de la espiración si es necesario | es_ES |
| dc.format.extent | 35 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | 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 | Traumatismo Cráneo Encefálico | es_ES |
| dc.subject | Ventilación mecánica | es_ES |
| dc.subject | Cuidados Intensivos | es_ES |
| dc.subject | Hipoxia | es_ES |
| dc.subject | Pao2 | es_ES |
| dc.title | Ventilación mecánica en paciente con traumatismo craneoencefálico severo de sexo masculino de 63 años de edad. | es_ES |
| dc.type | bachelorThesis | es_ES |
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Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 Ecuador