Manejo anestésico en cirugía de traqueoplastia en un paciente con estenosis traqueal por intubación prolongada.
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| Title: | Manejo anestésico en cirugía de traqueoplastia en un paciente con estenosis traqueal por intubación prolongada. |
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| Alternate Title: | Anesthetic management for traqueoplasty surgery in a patient with stenosis tracheal for prolonged intubation. |
| Authors: | Mendoza López, Ramiro Wilberth1 wilberthmelo@gmail.com, Nieto Rodríguez, Miguel Ángel2, Motta Amézquita, Luis Gerardo3 |
| Source: | Revista de Sanidad Militar. nov/dic2017, Vol. 71 Issue 6, p559-564. 6p. 4 Color Photographs, 2 Black and White Photographs. |
| Abstract (English): | Introduction: Tracheal stenosis after prolonged intubation is a pathology that represents a challenge for the anesthesiologist. Within its management, it must guarantee a permeable airway, adequate oxygenation, hemodynamic stability, adequate extubation and postoperative care. The selection of the treatment depends on the clinical condition of the patient and the tracheal anatomy. Objectives: To show the anesthetic management used in a patient undergoing tracheoplasty. Clinical case: Patient with tracheal stenosis secondary to prolonged intubation with conservative management based on a cannula of Montgomery for six months with poor response to treatment, restenosis upon removal from the same, so he underwent tracheoplasty. The pre-anesthesia assessment performed is described. The premedication and the anesthetic plan are also exposed, with special emphasis on the transoperative as well as the postoperative care of the patient. Conclusions: Tracheoplasty is a relatively rare surgery, but one of the most challenging for anesthesiologists. To anticipate the course of surgery and design a successful anesthetic plan, it is necessary to understand the cause and characteristics of the tracheal lesion as well as the preoperative evaluation of the patient with tracheal stenosis. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La estenosis traqueal postintubación prolongada es una patología que representa un desafío para el anestesiólogo. Dentro de su manejo tiene que garantizar una vía aérea permeable, oxigenación y extubación adecuadas, estabilidad hemodinámica y cuidados postoperatorios. La selección del tratamiento depende del estado clínico del paciente y de la anatomía traqueal. Objetivos: Mostrar el manejo anestésico utilizado en un paciente sometido a traqueoplastia. Caso clínico: Paciente masculino con estenosis traqueal secundaria a intubación prolongada con manejo conservador a base de cánula de Montgomery durante seis meses con mala respuesta a tratamiento y reestenosis al retiro de la misma, por lo que es sometido a traqueoplastia. Se describe la valoración preanestésica. También se expone la premedicación y el plan anestésico con especial énfasis en el transoperatorio así como los cuidados postoperatorios del paciente. Conclusiones: La traqueoplastia es una cirugía relativamente rara, pero una de las que más desafío representa para los anestesiólogos. Para anticipar el curso de cirugía y diseño de un plan anestésico exitoso, es necesario comprender la causa y características de la lesión traqueal así como la evaluación preoperatoria del paciente con estenosis traqueal. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista de Sanidad Militar is the property of Direccion General de Sanidad Secretaria de la Defensa Nacional and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 131499852 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Manejo anestésico en cirugía de traqueoplastia en un paciente con estenosis traqueal por intubación prolongada. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Anesthetic management for traqueoplasty surgery in a patient with stenosis tracheal for prolonged intubation. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Mendoza+López%2C+Ramiro+Wilberth%22">Mendoza López, Ramiro Wilberth</searchLink><relatesTo>1</relatesTo><i> wilberthmelo@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Nieto+Rodríguez%2C+Miguel+Ángel%22">Nieto Rodríguez, Miguel Ángel</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Motta+Amézquita%2C+Luis+Gerardo%22">Motta Amézquita, Luis Gerardo</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+de+Sanidad+Militar%22">Revista de Sanidad Militar</searchLink>. nov/dic2017, Vol. 71 Issue 6, p559-564. 6p. 4 Color Photographs, 2 Black and White Photographs. – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: Tracheal stenosis after prolonged intubation is a pathology that represents a challenge for the anesthesiologist. Within its management, it must guarantee a permeable airway, adequate oxygenation, hemodynamic stability, adequate extubation and postoperative care. The selection of the treatment depends on the clinical condition of the patient and the tracheal anatomy. Objectives: To show the anesthetic management used in a patient undergoing tracheoplasty. Clinical case: Patient with tracheal stenosis secondary to prolonged intubation with conservative management based on a cannula of Montgomery for six months with poor response to treatment, restenosis upon removal from the same, so he underwent tracheoplasty. The pre-anesthesia assessment performed is described. The premedication and the anesthetic plan are also exposed, with special emphasis on the transoperative as well as the postoperative care of the patient. Conclusions: Tracheoplasty is a relatively rare surgery, but one of the most challenging for anesthesiologists. To anticipate the course of surgery and design a successful anesthetic plan, it is necessary to understand the cause and characteristics of the tracheal lesion as well as the preoperative evaluation of the patient with tracheal stenosis. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: La estenosis traqueal postintubación prolongada es una patología que representa un desafío para el anestesiólogo. Dentro de su manejo tiene que garantizar una vía aérea permeable, oxigenación y extubación adecuadas, estabilidad hemodinámica y cuidados postoperatorios. La selección del tratamiento depende del estado clínico del paciente y de la anatomía traqueal. Objetivos: Mostrar el manejo anestésico utilizado en un paciente sometido a traqueoplastia. Caso clínico: Paciente masculino con estenosis traqueal secundaria a intubación prolongada con manejo conservador a base de cánula de Montgomery durante seis meses con mala respuesta a tratamiento y reestenosis al retiro de la misma, por lo que es sometido a traqueoplastia. Se describe la valoración preanestésica. También se expone la premedicación y el plan anestésico con especial énfasis en el transoperatorio así como los cuidados postoperatorios del paciente. Conclusiones: La traqueoplastia es una cirugía relativamente rara, pero una de las que más desafío representa para los anestesiólogos. Para anticipar el curso de cirugía y diseño de un plan anestésico exitoso, es necesario comprender la causa y características de la lesión traqueal así como la evaluación preoperatoria del paciente con estenosis traqueal. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista de Sanidad Militar is the property of Direccion General de Sanidad Secretaria de la Defensa Nacional and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.56443/rsm.v71i6.140 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 559 Titles: – TitleFull: Manejo anestésico en cirugía de traqueoplastia en un paciente con estenosis traqueal por intubación prolongada. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Mendoza López, Ramiro Wilberth – PersonEntity: Name: NameFull: Nieto Rodríguez, Miguel Ángel – PersonEntity: Name: NameFull: Motta Amézquita, Luis Gerardo IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: nov/dic2017 Type: published Y: 2017 Identifiers: – Type: issn-print Value: 0301696X Numbering: – Type: volume Value: 71 – Type: issue Value: 6 Titles: – TitleFull: Revista de Sanidad Militar Type: main |
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