Lesiones en la Vía Aérea causadas por los dispositivos de Aspiración Supraglótica en Adultos Críticamente Enfermos: una Revisión de la Literatura

Lesiones en la Vía Aérea causadas por los dispositivos de Aspiración Supraglótica en Adultos Críticamente Enfermos: una Revisión de la Literatura

Publicado 2024-02-19


https://doi.org/10.30554/archmed.23.2.4807.2023
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Vol. 23 Núm. 2 (2023): .
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Torres Hernández, J. I. (2024). Lesiones en la Vía Aérea causadas por los dispositivos de Aspiración Supraglótica en Adultos Críticamente Enfermos: una Revisión de la Literatura. Archivos De Medicina, 23(2). https://doi.org/10.30554/archmed.23.2.4807.2023
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https://doi.org/10.30554/archmed.23.2.4807.2023
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Torres Hernández, J. I. (2024). Lesiones en la Vía Aérea causadas por los dispositivos de Aspiración Supraglótica en Adultos Críticamente Enfermos: una Revisión de la Literatura. Archivos De Medicina, 23(2). https://doi.org/10.30554/archmed.23.2.4807.2023

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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.

Jose Ignacio Torres Hernández
a:1:{s:5:"es_ES";s:4:"FUCS";}
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El uso de dispositivos de aspiración supraglótica es una estrategia efectiva en la reducción de la neumonía asociada a la ventilación mecánica (NAV), sin embargo, estos dispositivos pueden lesionar la mucosa de la vía aérea. El propósito de esta revisión fue identificar las lesiones reportadas en la literatura, relacionadas con el uso de los dispositivos de aspiración supraglótico en modalidad continua e intermitente en pacientes adultos en la unidad de cuidado crítico. Se realizó una búsqueda de literatura en Pubmed, Medline, Google Scholar y SciELO, a través del uso de palabras claves como subglottic secretion, subglottic aspiration, subglottic drainage, device supraglottic aspiration, endotracheal intubation, endotracheal tube, airway, injury, del 2002-2021 en inglés, español y portugués. La modalidad continua presentó mayor reporte de alteraciones al ser comparada con la succión de manera intermitente y las lesiones más frecuentes fueron eritema, edema y ulcera. Pocos estudios que evalúan la efectividad de los dispositivos de succión contemplan la evaluación de la mucosa de la vía aérea en su metodología, sin embargo, no existe estandarización en métodos de evaluación clínica para determinar las alteraciones.

 

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