Uso de la presión continua de la vía aérea (CPAP Boussignac) como profilaxis de las complicaciones respiratorias postoperatorias en los pacientes sometidos a cirugía de resección pulmonar

  1. Benedetti, Paola Antonella
unter der Leitung von:
  1. Luis Puente Maestu Doktorvater/Doktormutter
  2. Eduardo Fernández Cruz-Pérez Doktorvater/Doktormutter
  3. Luis Antonio Álvarez-Sala Walther Doktorvater/Doktormutter

Universität der Verteidigung: Universidad Complutense de Madrid

Fecha de defensa: 20 von Dezember von 2018

Gericht:
  1. Jesús Millán Núñez-Cortés Präsident/in
  2. L. Collado Yurrita Sekretär/in
  3. Felipe Villar Álvarez Vocal
  4. Paloma Caballero Sánchez-Robles Vocal
  5. Jorge Francisco Gómez Cerezo Vocal

Art: Dissertation

Zusammenfassung

Patients who undergo lung resection surgery are at risk of developing serious complications that may affect the normal course of their recovery. Postoperative pulmonary complications are the main factor that increases postoperative morbidity. Surgery with resection and manipulation of the lung parenchyma and rib cage, pain, intubation and use of anesthetic agents as well as secondary diaphragmatic dysfunction, impair the function and coordination of the respiratory muscles, reducing the functional residual capacity, which predispose the development of atelectasis. Atelectasis, in turn, increases the risk of postoperative pneumonia and acute respiratory failure leading to an increase inmorbidity and mortality and a prolonged hospital stay. Non-invasive mechanical ventilation and / or continuous airway pressure (NIMV / CPAP) allows the recruitment of alveolar units of the collapsed airways and increase in functional residual capacity, which improves oxygenation and decreases respiratory work, which would contribute to the prevention of pulmonary complications in the postoperative period...