Publicado sep 29, 2021



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Javier Andrés Piñeros Pérez

Freyberson Niño

Natalia Hernandez

Carlos Granda

Atilio Moreno

Juan Fernando Camargo

Carlos Arturo Tovar

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Resumen

La secuencia rápida de intubación es el método de elección para el aseguramiento de la vía aérea en el servicio de urgencias, este procedimiento además del paso del tubo orotraqueal a través de la glotis consta de diferentes pasos los cuales se deben hacer de manera minuciosa y secuencial con el fin de lograr asegurar la vía aérea en el menor tiempo posible, con la menor cantidad de intentos e idealmente sin complicaciones asociadas. Debido a la importancia de este tema se han dado nuevas recomendaciones respecto a cada uno de los momentos de dicho procedimiento, partiendo de las indicaciones y contraindicaciones, enfoques para la preparación y planeación del abordaje de la vía aérea como las mnemotecnias MACOCHA y HEAVEN, el uso temprano de vasopresores y líquidos endovenosos para pacientes con riesgo de deterioro hemodinámico, el uso de diferentes técnicas para la preoxigenación como la ventilación mecánica no invasiva o la preoxigenación apneica. Además debemos individualizar cada paciente al elegir cada fármaco ya sea para premedicar, realizar hipnosis o relajación muscular. Adicionalmente técnicas nuevas como el uso de ultrasonografía para corroborar el adecuado posicionamiento del tubo orotraqueal y los cuidados postintubación. Todos estos tópicos serán abordados en esta revisión

Keywords

Intubación orotraqueal, ultrasonografia, medicina de emergencias, servicios medicos de emergencias

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Cómo citar
Piñeros Pérez, J. A., Niño, F., Hernandez, N., Granda, C., Moreno, A., Camargo, J. F., & Tovar, C. A. (2021). Secuencia rápida de intubación en el servicio de urgencias: revisión actualizada de la literatura. Universitas Medica, 62(4). https://doi.org/10.11144/Javeriana.umed62-4.sris
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