1. Republica Bolivariana De Venezuela
Ministerio del Poder Popular para la Salud
Hospital DR. Luis Razetti Barinas
Post Grado De Anestesiología y reanimación
Dra. Magdiela Cristancho
R1 Del Post Grado de
Anestesiología y
Reanimación
2. La evaluación de la vía aérea y su manejo es una habilidad fundamental que
todo medico debe tener, y esta enfocada principalmente en detectar
elementos que sean indicativos de una ventilación difícil y posteriormente
una intubación difícil. Lo cual permitirá tomar las medidas correspondientes
para su manejo.
Valoración de la vía aérea
3. Patient care
—
You can describe the topic of
the section here
—
Introducción
Predicción de la vía aérea difícil
La valoración de la vía aérea
4. Evaluación de la vía aérea difícil
Historia clínica
Signos clínicos predictivos de
dificultad de ventilación
Signos clínicos predictivos de
dificultad en la intubación
5. Definiciones
Vía aérea difícil :Es aquella
situación clínica en la cual un
anestesiólogo con
entrenamiento convencional
experimenta dificultad para la
ventilación de la vía aérea
superior con una mascarilla
facial, dificultad para la
intubación traqueal o ambas.
Ventilación difícil: Se
define como la incapacidad
de un anestesiólogo
entrenado para mantener
la saturación de oxigeno
mayor del 90 por ciento
usando una mascarilla
facial con una fracción
inspiratoria de oxigeno del
100 porciento
6. Intubación difícil: Se define
como la necesidad de tres o
mas intentos para la intubación
de la tráquea o mas de 10
minutos para conseguirla
Laringospia difícil: No es
posible visualizar ninguna
porción de la glotis, grados
3 y 4 en la clasificación de
laringospia de Cormack y
Lehane
9. Acromegalia: La hipertrofia de lengua y úvula o estreches
del cricoides están relacionadas con dificultad en ventilación
y intubación
Síndrome de Down: Macroglosia
Artritis reumatoide: Alteración de la articulación atlanto –
axoidea
Enfermedades infecciosas o neoplásicas de la vía aérea
superior
10. Signos clínicos predictivos de
dificultad de ventilación
Nemotecnia
ventilación difícil:
O: Índice de masa corporal
mayor de 30
B: Barba
E: Edad mayor de 55 anos
S: Historia de ronquidos
E: Edentulo
11. Signos clínicos predictivos de dificultad de intubacion
Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Debemos valorar la anatomía de la cara del
paciente para buscar signos que nos orienten a una
posible intubación difícil entre ellos.
12. • Clase I: visibilidad del
paladar blando, úvula y
pilares amigdalinos,
• Clase II: visibilidad del
paladar blando y úvula,
• Clase III: visibilidad del
paladar blando base de
la úvula,
• Clase IV: imposibilidad
para ver el paladar
blando.
●
13. Milestones reached
01
02
03
04
Venus
It’s the second planet
from the Sun
Mercury
Mercury is the
smallest planet
Mars
Despite being red,
Mars is a cold place
Saturn
Saturn is a gas giant
and has several rings
14. Our process
Mercury
Mercury is the closest
planet to the Sun
Venus
Venus is the second
planet from the Sun
Jupiter
Jupiter is the biggest
planet of them all
Saturn
It’s composed of
hydrogen and helium
01 03
02 04
15. Patient care
Mercury is the closest planet to the
Sun and the smallest one in the
Solar System—it’s only a bit larger
than the Moon. The planet’s name
has nothing to do with the liquid
metal, since Mercury was named
after the Roman messenger god
17. Mercury Earth Mars
Services
Mercury is the
closest planet to the
Sun and also the
smallest of them all
Earth is the third
planet from the Sun
and the only one
that harbors life
Despite being red,
Mars is a cold place,
not hot. It’s full of
iron oxide dust
18. Key accomplishments
2021 — 2022 —
● You can list your
accomplishments here
● You can list your
accomplishments here
● You can list your
accomplishments here
● You can list your
accomplishments here
● You can list your
accomplishments here
● You can list your
accomplishments here
● You can list your
accomplishments here
● You can list your
accomplishments here
19. Mercury is the closest planet to the Sun and
the smallest one in the Solar System—it’s
only a bit larger than the Moon
95%
20. Our clinics
Mercury
Mercury is the closest
planet to the Sun
Jupiter
Jupiter is the biggest
planet of them all
1,241,240 patients
41,240 centers
22. Mercury Neptune
Venus Mars Saturn
Jupiter
Quality improvement measures
Mercury is the closest
planet to the Sun
Jupiter is the biggest
planet of them all
Venus is the second
planet from the Sun
Mars is actually a very
cold place
It’s composed of
hydrogen and helium
Neptune is very far
away from the Sun
25. Testimonials
John James, 58
“Neptune is the fourth-largest planet by
diameter in the entire Solar System”
“Mercury is the closest planet to the Sun and
the smallest one in the Solar System”
“Saturn is the ringed planet. It’s composed
mostly of hydrogen and helium”
Jenna Doe, 25
Karen Fisher, 36
26. Our team
John Doe
Sarah James
You can replace the image on
the screen with your own
You can replace the image on
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27. Awards
Mercury
Mercury is the closest
planet to the Sun
Venus
Venus is the second
planet from the Sun
Jupiter
Jupiter is the biggest
planet of them all
Saturn
It’s composed of
hydrogen and helium
A B
C D
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