Recomendaciones para el manejo de la Vía Aérea Difícil. 2ª Parte. La Vía Aérea Anticipada

Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, Hung OR, Jones PM, Kovacs G, Massey S, Morris IR, Mullen T, Murphy MF, Preston R, Naik VN, Scott J, Stacey S, Turkstra TP, Wong DT; Canadian Airway Focus Group. The difficult airway with recommendations for management--part 1--difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anaesth. 2013 Nov;60(11):1089-118. doi: 10.1007/s12630-013-0019-3. Epub 2013 Oct 17.

Autores/as

  • Eugenio Martínez Hurtado FEA Anestesia, Reanimación y Dolor. Hospital Universitario Infanta Leonor, Madrid.
  • Miriam Sánchez Merchante FEA Anestesia, Reanimación y Dolor. Hospital Universitario Fundación Alcorcón, Madrid.

DOI:

https://doi.org/10.30445/rear.v6i4.222

Palabras clave:

dificultad intubación, oxigenación, guía, ví­a aérea difí­cil prevista, vad

Resumen

La adopción de un plan cuando se sospecha una Vía Aérea Difícil (VAD) es fundamental para evitar la morbi-mortalidad, y cuando se planifica el abordaje de la VAD lo primero que tenemos que tener en cuenta es si podremos oxigenar y ventilar al paciente, y no sólo intubarle, además del posible acceso quirúrgico de la vía aérea1. Está comúnmente aceptado la importancia de la evaluación de la vía aérea para predecir la dificultad en su manejo, y muchas de las Guías desarrolladas por las distintas sociedades se han enfocado en el manejo de la VAD Inesperada encontrada cuando el paciente ya está inducido. Sin embargo, hay pocas que analicen cuál es el mejor manejo en aquellos pacientes en los que existe la sospecha de VAD2-7. Aunque tradicionalmente se han establecido Predictores de Dificultad para la Laringoscopia Directa, en los últimos años están apareciendo Predictores de Dificultad para la Ventilación con Mascarilla Facial, para la intubación con Videolaringoscopios, para el uso de Dispositivos Supraglóticos y para la realización de Cricotirotomía. Todos dentro de una evaluación completa de la vía aérea, y por ello deben tenerse presentes cuando se prevea un manejo difícil de la misma.

Citas

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Martínez Hurtado, E., & Sánchez Merchante, M. Recomendaciones para el manejo de la Vía Aérea Difícil. 2ª Parte. La Vía Aérea Anticipada: Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, Hung OR, Jones PM, Kovacs G, Massey S, Morris IR, Mullen T, Murphy MF, Preston R, Naik VN, Scott J, Stacey S, Turkstra TP, Wong DT; Canadian Airway Focus Group. The difficult airway with recommendations for management--part 1--difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anaesth. 2013 Nov;60(11):1089-118. doi: 10.1007/s12630-013-0019-3. Epub 2013 Oct 17. Revista Electrónica AnestesiaR, 6(4), 3. https://doi.org/10.30445/rear.v6i4.222

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