{"id":142120,"date":"2026-01-12T18:08:28","date_gmt":"2026-01-12T18:08:28","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/fibrobroncoscopia-en-ventilacion-mecanica\/"},"modified":"2026-01-12T18:08:28","modified_gmt":"2026-01-12T18:08:28","slug":"fibrobroncoscopia-en-ventilacion-mecanica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/fibrobroncoscopia-en-ventilacion-mecanica\/","title":{"rendered":"Fibrobroncoscopia en ventilacion mecanica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jose Rubio Qui\u00f1ones <\/strong><\/h2>\n<p>El fibrobroncoscopio (ffb) en el interior del tubo traqueal (tt) durante la vm, aumenta la resistencia de la via area y produce unas altas presiones pico que pueden alcanzar la presion limite del respirador, con el consecuente descenso del volumen tidal (vt) y la aparicion de complicaciones. Ademas, la peep intrinseca generada por el ffb puede originar barotrauma. Los objetivos de este estudio fueron: 1) evaluar la aparicion de complicaciones y 2) comparar los cambios de las presiones en la via area proximal y traqueal durante un nuevo procedimiento. Material y metodo: la fibrobroncoscopia (fbc) fue realizada en 16 pacientes (12 varones, 4 hembras; edad media 42+-19sd a\u00f1os) sometidos a ventilacion mecanica con un servo 900c. Un tt por via oral -8 mm de diametro interno y un ffb olympus bf20d de 6 mm de diametro externo fueron siempre usados.  antes del procedimiento se administraron 0.3 mg\/kg iv de midazolam y 0.6 mg\/kg iv de atracurio. Los parametros del respirador se mantuvieron inalterados, incluida la peep aplicada. No se coloco ningun limite superior de presion de alarma y la presion de trabajo fue aumentada para mantener el vt constante. Continuamente se monitorizo la presion arterial invasiva, el ecg, la saturacion de o2 por pulsioximetria (spo2) y el vt. Los gases arteriales, la frecuencia cardiaca (fc) y la presion arterial (pa) fueron medidas en el siguiente orden: (t1) antes de la medicacion, (t2) 5 min despues de t1, (t3) al comienzo y (t4) al final del procedimiento con el ffb en la traquea, (t5) 15 min y (t6) 2 horas despues de retirar el endoscopio. La presion en la via aerea proximal (pico (ppaw), plateau (pst,aw) y peepaw (total)), el flujo y el volumen se registraron a traves del servo en t1, t3 y t4.  simultaneamente, se registro la presion traqueal (pico (pptc), plateau (pst,tc) y peeptc (total)) en t3 y t4 con un cateter de teflon de 1 mm de di introducido a traves del canal de trabajo del ffb. La aparicion<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Fibrobroncoscopia en ventilacion mecanica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Fibrobroncoscopia en ventilacion mecanica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jose Rubio Qui\u00f1ones <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Mar\u00eda Sol Carrasco Jim\u00e9nez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Felipe Garrido Garc\u00eda <\/li>\n<li>Felipe Gonzalez Miranda (vocal)<\/li>\n<li>Carmen Gomar Sancho (vocal)<\/li>\n<li>Jos\u00e9 Rivas Mart\u00edn (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jose Rubio Qui\u00f1ones El fibrobroncoscopio (ffb) en el interior del tubo traqueal (tt) durante la vm, aumenta [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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