{"id":1262,"date":"2020-04-06T13:45:20","date_gmt":"2020-04-06T19:45:20","guid":{"rendered":"http:\/\/www.medicinappt.com\/?p=1262"},"modified":"2021-07-25T10:34:24","modified_gmt":"2021-07-25T16:34:24","slug":"intubacion-en-covid-19-elementos-clave","status":"publish","type":"post","link":"https:\/\/www.medicinappt.com\/?p=1262","title":{"rendered":"Intubaci\u00f3n en COVID-19: Elementos clave"},"content":{"rendered":"\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\">Los pacientes con COVID-19 que requieren manejo de la v\u00eda a\u00e9rea se consideran pacientes cr\u00edticos. Las t\u00e9cnicas no invasivas se acompa\u00f1an de riesgo elevado de diseminaci\u00f3n del virus, baja eficacia y de contagio para el personal de salud, por tanto no se recomiendan.<\/p>\n\n\n\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\">A manera de concepto general no se deben realizar procedimientos de nebulizaci\u00f3n ni de oxigenaci\u00f3n con sistemas abiertos. En caso de realizarlos debe tenerse en cuenta el principio de que a mayor flujo mayor riesgo de aerosolizaci\u00f3n viral.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.medicinappt.com\/wp-content\/uploads\/2020\/04\/8.jpg\" alt=\"\" class=\"wp-image-1269\" width=\"753\" height=\"423\"\/><\/figure><\/div>\n\n\n\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\">La largingoscop\u00eda, la intubaci\u00f3n y la broncoscop\u00eda producir\u00e1n aerosoles s\u00f3lo si el paciente tose o si se realizan utilizando un procedimiento productor de aerosoles como la aspiraci\u00f3n.<\/p>\n\n\n\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\">La intubaci\u00f3n endotraqueal es el m\u00e9todo m\u00e1s seguro para aislar la v\u00eda a\u00e9rea del paciente, es por ello que el umbral para tomar la decisi\u00f3n de intubaci\u00f3n suele ser m\u00e1s bajo en estos pacientes, evitando los procedimientos de emergencia.<\/p>\n\n\n\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\"><strong>Revisa los elementos claves a tener en cuenta al realizar este procedimiento en pacientes con COVID-19 mediante las siguientes im\u00e1genes.<\/strong><br><\/p>\n\n\n\n<div style=\"display:block\">\n<!-- FlowPaper PDF flipbook plugin v.2.0.4 wordpress.org\/plugins\/flowpaper\/ -->\n<iframe title=\"FlowPaper website pdf viewer\" width=\"100%\" height=\"500\" scrolling=\"no\" class=\"flowpaper-class\" frameborder=\"0\" allowFullScreen=\"true\" lightbox=\"false\" cover id src = \"https:\/\/flowpaper.com\/flipbook\/?pdf=https:\/\/www.medicinappt.com\/ppts\/intubacion_covid.pdf&title=&header=&theme=&singlepage=&thumbs=1&modified=2107251034\" seamless=\"seamless\" style=\"margin-bottom:0;display:block;\">Your browser does not seem to support iframes. <a href=\"https:\/\/flowpaper.com\/flipbook\/?pdf=https:\/\/www.medicinappt.com\/ppts\/intubacion_covid.pdf\" target=\"_blank\">Click here to read this PDF<\/a>.<\/iframe>\n<div id=\"flowpaper-logo-bottom\" class=\"flowpaper-logo-bg\" style=\"background:linear-gradient(to right, rgba(0,0,0,0.65) 0%,rgba(0,0,0,0) 200px);width:100%;height:19px; padding-bottom: 1px; padding-left: 5px; padding-right: 10px; display: flex; align-items: center;z-index:9999\"><span style=\"height: 37px; padding-left: 6px;width:90%\"> <a id=\"flowpaper-link\" style=\"fill: #fff\" alt=\"FlowPaper logotype\" title=\"FlowPaper logotype\" href=\"https:\/\/flowpaper.com\" target=\"_blank\"> <img decoding=\"async\" alt=\"Publish PDF flipbooks online\" style=\"height:17px;width:auto;margin-top:11px;\" src=\"https:\/\/www.medicinappt.com\/wp-content\/plugins\/flowpaper-lite-pdf-flipbook\/assets\/flowpaper-logo.png\" border=\"0\"> <\/a> <\/span><span style=\" float: right; right: 0; font-size: 10px; white-space: nowrap; opacity:0.8\"><a href=\"https:\/\/flowpaper.com\/flipbook-maker\/\" target=\"_new\" style=\"text-decoration:none;border-bottom:none;\">Convert your PDF to digital flipbook &#8599;<\/a><\/span><\/div><\/div>\r\n                <script>\r\n                document.addEventListener(\"DOMContentLoaded\", function(){\r\n                    var target_element, iframe_element;\r\n                    iframe_element = document.querySelector(\"iframe.flowpaper-class\");\r\n                    target_element = document.querySelector(\"\");\r\n                    iframe_element.style.height = target_element.offsetHeight + \"px\";\r\n                });\r\n                <\/script>\r\n            \n\n\n\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\">Los puntos descritos anteriormente se basan en la evidencia aprendida de brotes anteriores por agentes similares, en la experiencia de los equipos cl\u00ednicos del lugar desde donde se propag\u00f3 este brote y en recomendaciones de entidades cient\u00edficas relacionadas con el manejo de la v\u00eda a\u00e9rea.<\/p>\n\n\n\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\">En el siguiente v\u00eddeo puedes observar paso a paso en la realizaci\u00f3n de este procedimiento. Ten en cuenta siempre la protecci\u00f3n del personal participante.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Procedimiento para la intubaci\u00f3n de pacientes con COVID-19\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/HuqMVNS1b9o?start=55&#038;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"has-very-dark-gray-color has-text-color has-normal-font-size\"><strong>Esperamos que te haya sido \u00fatil. D\u00e9janos tu comentario sobre que te ha parecido esta publicaci\u00f3n.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><a href=\"https:\/\/www.facebook.com\/medicinappt\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.medicinappt.com\/wp-content\/uploads\/2019\/11\/facebook-770688_1920.png\" alt=\"\" class=\"wp-image-636\" width=\"88\" height=\"88\"\/><\/a><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center has-very-dark-gray-color has-text-color\"><strong>S\u00edguenos en Facebook ahora mismo, haciendo click <em><a href=\"https:\/\/www.facebook.com\/medicinappt\" target=\"_blank\" rel=\"noreferrer noopener\">aqu\u00ed<\/a><\/em><\/strong><\/p>\n\n\n\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-8429542657056193\"\n     crossorigin=\"anonymous\"><\/script>\n","protected":false},"excerpt":{"rendered":"<p>Los pacientes con COVID-19 que requieren manejo de la v\u00eda a\u00e9rea se consideran pacientes cr\u00edticos. Las t\u00e9cnicas no invasivas se acompa\u00f1an de riesgo elevado de diseminaci\u00f3n del virus, baja eficacia y de contagio para el personal de salud, por tanto no se recomiendan. A manera de concepto general no se deben realizar procedimientos de nebulizaci\u00f3n<\/p>\n<p class=\"more-link\"><a href=\"https:\/\/www.medicinappt.com\/?p=1262\" class=\"themebutton\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":1263,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[121,75],"tags":[111,122,123],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/www.medicinappt.com\/wp-content\/uploads\/2020\/04\/1-1.jpg","_links":{"self":[{"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=\/wp\/v2\/posts\/1262"}],"collection":[{"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1262"}],"version-history":[{"count":22,"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=\/wp\/v2\/posts\/1262\/revisions"}],"predecessor-version":[{"id":1815,"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=\/wp\/v2\/posts\/1262\/revisions\/1815"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=\/wp\/v2\/media\/1263"}],"wp:attachment":[{"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1262"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medicinappt.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}