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
Supervised by:
  1. Luis Puente Maestu Director
  2. Eduardo Fernández Cruz-Pérez Director
  3. Luis Antonio Álvarez-Sala Walther Director

Defence university: Universidad Complutense de Madrid

Fecha de defensa: 20 December 2018

Committee:
  1. Jesús Millán Núñez-Cortés Chair
  2. L. Collado Yurrita Secretary
  3. Felipe Villar Álvarez Committee member
  4. Paloma Caballero Sánchez-Robles Committee member
  5. Jorge Francisco Gómez Cerezo Committee member

Type: Thesis

Abstract

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...