{"id":89991,"date":"2001-03-05T00:00:00","date_gmt":"2001-03-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/incidencia-y-factores-fredictivos-de-la-ventilacion-dificil-con-mascarilla-facial\/"},"modified":"2001-03-05T00:00:00","modified_gmt":"2001-03-05T00:00:00","slug":"incidencia-y-factores-fredictivos-de-la-ventilacion-dificil-con-mascarilla-facial","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/incidencia-y-factores-fredictivos-de-la-ventilacion-dificil-con-mascarilla-facial\/","title":{"rendered":"Incidencia y factores fredictivos de la ventilacion dificil con mascarilla facial"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eva Masso Lago <\/strong><\/h2>\n<p>Introducci\u00f3n y objetivos del estudio: la ventilaci\u00f3n dificil con mascarilla facial (vdm) es la primera causa de mortalidad y morbilidad en anestesia. sin embargo la incidencia de la vdm y sus factores predictivos no han sido estudiados previamente. El objetivo de nuestro estudio es conocer la incidencia y definir los factores predictivos de la vdm.  material y metodos: a lo largo de un periodo de un mes fueron estudiados prospectivamente 1502 pacientes. En la visita preoperatoria el anestesi\u00f3logo evalu\u00f3 los siguientes parametros: edad, sexo, indice de masa corpora. (Imc), clase orofaringea de mallampati-samsoon, distacia tiromentoniana, apertura oral, macroglosia, retrognatia, presencia de barba, ausencia de dientes e historia de ronquidos. La vdm fue definida como aquella situaci\u00f3n en la cual un anestesi\u00f3logo experimentado, que practica una ventilaci\u00f3n a presi\u00f3n positiva con mascarilla facial y oxigeno al 100% es incapaz de mantener la pulsioximetria (spo2) &gt; 92% o es incapaz de prevenir o revertir los signos de una ventilaci\u00f3n inadecuada. Los signos de ventilaci\u00f3n inadecuada considerados fueron: fuga de gas entre la mascarilla y el paciente, necesidad de un flujo de gas fresco &gt; 15 l.Min-1, ausencia de movimientos de expansi\u00f3n tor\u00e1cica, spo2&lt;92%, necesidad de sostener la mascarilla con las dos manos. se registr\u00f3 la presencia de una vdm o una ventilaci\u00f3n imposible: practicamos un an\u00e1lisis univariante para identificar los potenciales factores predictivos de la vdm, seguido de un analisis univariante para identificar los potenciales factores predictivos de la vdm, seguido de un analisis multivariante mediante regresi\u00f3n logistica (p&lt;0,05) y se calcularon las odds ratio y su intervalos de confianza del 95% (ic 95%).  resultados y discusi\u00f3n: se registr\u00f3 una vdm en 75 pacientes (5%; ic:3,9-6,1%) y un caso de ventilacion imposible. Solo 13 casos (17%) de vdm fueron anticipados por el anestesiologo. Entre los pacien<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Incidencia y factores fredictivos de la ventilacion dificil con mascarilla facial<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Incidencia y factores fredictivos de la ventilacion dificil con mascarilla facial <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eva Masso Lago <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/05\/2001<\/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>Roser Garc\u00eda Guasch<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Quesada marin <\/li>\n<li>Antonio Montero matamala (vocal)<\/li>\n<li>jordi Tor aguilera (vocal)<\/li>\n<li>jaume Canet capeta (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eva Masso Lago Introducci\u00f3n y objetivos del estudio: la ventilaci\u00f3n dificil con mascarilla facial (vdm) es la [&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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