lunes, 20 de junio de 2016

Vía aérea e ingesta de caústicos en adultos / Airway and caustic ingestion in adults

Junio 20, 2016. No. 2363

Cuidados agudos de emergencia y manejo de vía aérea de adultos con ingestión de cáusticos: estudio observacional.
Acute emergency care and airway management of caustic ingestion in adults: single center observational study.
Scand J Trauma Resusc Emerg Med. 2016 Apr 11;24:45. doi: 10.1186/s13049-016-0240-5.
BACKGROUND: Caustic ingestions are rare but potentially life-threatening events requiring multidisciplinary emergency approaches. Although particularly respiratory functions may be impaired after caustic ingestions, studies involving acute emergency care are scarce. The goal of this study was to explore acute emergency care with respect to airway management and emergency department (ED) infrastructures. 
CONCLUSIONS: Caustic ingestions in adult patients require an ED infrastructure providing 24/7-availability of expertise in establishing emergentairway safety, endoscopic examination (EGD and bronchoscopy), and CT diagnostic, intensive care and emergency esophageal surgery. We recommend that - even in patients with apparently stable clinical conditions - careful monitoring of respiratory functions should be considered as long as diagnostic work-up is completed.
KEYWORDS: Airway management; Caustic ingestion; Emergency management; Endoscopic management; Intoxication

16th World Congress of Anaesthesiologists
28 August - 2 September 2016 
Hong Kong Convention and Exhibition Centre
World Federation of Societies of Anaesthesiologists
Cursos de Anestesiología en Chile, 2016
Facultad de Medicina. Pontificia Universidad Católica de Chile
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Anestesiología y Medicina del Dolor

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