Evaluación ultrasonográfica del diafragma en el paciente críticamente enfermo

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dc.contributor.advisorMeléndez Flórez, Héctor Julio
dc.contributor.advisorNaranjo Junoy, Francisco Fernando Alberto
dc.contributor.authorLaguado Nieto, Marlon Adrián
dc.contributor.cvlacMeléndez Flórez, Héctor Julio [0000320609]spa
dc.contributor.cvlacNaranjo Junoy, Francisco Fernando Alberto [0000176095]spa
dc.contributor.cvlacLaguado Nieto, Marlon Adrián [0001556095]spa
dc.contributor.orcidMeléndez Flórez, Héctor Julio [0000-0003-1791-8099]spa
dc.contributor.orcidNaranjo Junoy, Francisco Fernando Alberto [0000-0001-8628-8743]spa
dc.contributor.orcidLaguado Nieto, Marlon Adrián [0000-0001-6944-8899]spa
dc.contributor.researchgateNaranjo Junoy, Francisco Fernando Alberto [Francisco-Fernando-Naranjo-Junoy-2128934465]spa
dc.contributor.researchgateLaguado Nieto, Marlon Adrián [Marlon-Laguado]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialColombiaspa
dc.date.accessioned2022-06-28T19:12:14Z
dc.date.available2022-06-28T19:12:14Z
dc.date.issued2022
dc.degree.nameEspecialista en Medicina Crítica y Cuidado Intensivo del Adultospa
dc.description.abstractLa extubación es un proceso importante en la atención de los pacientes en estado crítico que ya no requiere del apoyo ventilatorio invasivo y su éxito se puede comprometer por múltiples factores. Debemos tener herramientas de facil acceso y operabilidad. La ultrasonografía diafragmática se perfila como un método no invasivo y reproducible a la hora de definir la presencia de disfunción del diafragma y puede catalogar el riesgo de fracaso para la extubación.spa
dc.description.abstractenglishExtubation is an important process in the care of critically ill patients that no longer requires invasive ventilatory support and its success can be compromised by multiple factors. Diaphragmatic ultrasonography is emerging as a non-invasive and reproducible method when defining the presence of diaphragm dysfunction and can catalog the risk of failure for extubation.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontents1.0. Introducción. 2.0. Planteamiento del problema. 3.0. Pregunta de Investigación. 4.0. Hipótesis de trabajo. 5.0. Marco teórico y estado del arte. 6.0. Justificación. 7.0. Objetivo, -7.1. Objetivo general. -7.2. Objetivos específicos. 8.0. Metodología. -8.1. Tipo de estudio. -8.2. Población a estudio. -8.3. Tamaño de la muestra. -8.4. Criterios de inclusión. -8.5. Criterios de exclusión. -8.6. Variables de estudio y de resultado. -8.7. Fuentes y técnicas de recolección de datos. -8.8. Control de sesgos. 9.0 Aspectos éticos y legales. 10. Análisis estadístico y resultados. 11. Discusión. 12. Conclusiones. 13. Bibliografíaspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/16807
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Medicina Crítica y Cuidado Intensivo del Adultospa
dc.relation.references1. Goligher EC et al. Mechanical Ventilation-induced Diaphragm Atrophy Strongly Impacts Clinical Outcomes. Am J Respir Crit Care Med. 2018 Jan 15;197(2):204-213. doi: 10.1164/rccm.201703 0536OCspa
dc.relation.references2. Dot I, Perez-Teran P, Samper MA, Masclan JR. Disfunción diafragmática: una realidad en el paciente ventilado mecánicamente. Arch Bronconeumol. 2017;53(3):150–156.spa
dc.relation.references3. Diaz MG, Ospina Tascon GA, Salazar B. Disfunción muscular respiratoria: una entidad multicausal en el paciente críticamente enfermo sometido a ventilación mecánica. Arch Bronconeumol. 2014;50(2):73–77.spa
dc.relation.references4. Petrof BJ. Diaphragm Weakness in the Critically Ill: Basic Mechanisms Reveal Therapeutic Opportunities.Chest. 2018 Dec;154(6):1395-1403. doi: 10.1016/j.chest.2018.08.1028spa
dc.relation.references5. Berger D, Bloechlinger S, von Haehling S, Doehner W, Takala J, Z'Graggen WJ, Schefold JC. Dysfunction of respiratory muscles in critically ill patients on the intensive care unit. J Cachexia Sarcopenia Muscle. 2016 Sep;7(4):403-12. doi: 10.1002/jcsm.12108.spa
dc.relation.references6. Umbrello M, Formenti P. Ultrasonographic Assessment of Diaphragm Function in Critically Ill Subjects. Respir Care. 2016 Apr;61(4):542 55. doi: 10.4187/respcare.04412spa
dc.relation.references7. Kim WY, Lim CM. Ventilator-Induced Diaphragmatic Dysfunction: Diagnosis and Role of Pharmacological Agents.Respir Care. 2017 Nov; 62(11):1485-1491. doi: 10.4187/respcare.05622.spa
dc.relation.references8. Kim WY, Suh HJ, Hong SB, Koh Y, Lim CM. Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011 Dec;39(12):2627-30. doi: 10.1097/CCM.0b013e3182266408spa
dc.relation.references9. Turton P, ALAidarous S, Welters I. A narrative review of diaphragm ultrasound to predict weaning from mechanical ventilation: where are we and where are we heading? Ultrasound J. 2019 Feb 28;11(1):2. doi: 10.1186/s13089-019-0117-8.spa
dc.relation.references10. de la Quintana Gordon FB, Nacarino Alcorta B, Fajardo Pérez M. Ultrasound evaluation of diaphragm function and its application in critical patients, mechanical ventilation and brachial plexus block. Rev Esp Anestesiol Reanim. 2017 Nov;64(9):513-521. doi: 10.1016/j.redar.2017.01.001spa
dc.relation.references11. Dres M, Goligher EC, Heunks L, Brochard L. Critical illness associated diaphragm weakness. Intensive Care Med (2017) 43:1441–1452 DOI 10.1007/s00134-017-4928-4.spa
dc.relation.references12. Heunks LM, Doorduin J, van der Hoeven JG. Monitoring and preventing diaphragm injury. Curr Opin Crit Care. 2015 Feb; 21(1):34-41. doi: 10.1097/MCC.0000000000000168.spa
dc.relation.references13. Larsson L, Friedrich O. Critical Illness Myopathy (CIM) and Ventilator Induced Diaphragm Muscle Dysfunction (VIDD): Acquired Myopathies Affecting Contractile Proteins. Compr Physiol. 2016 Dec 6;7(1):105-112. doi: 10.1002/cphy.c150054spa
dc.relation.references14. Powers SK, Kavazis AN, Levine S. Prolonged mechanical ventilation alters diaphragmatic structure and function. Crit Care Med. 2009 Oct;37(10 Suppl): S347-53. doi: 10.1097/CCM.0b013e3181b6e760spa
dc.relation.references15. Levine S et al. Rapid Disuse Atrophy of Diaphragm Fibers in Mechanically Ventilated Humans. N Engl J Med 2008;358:1327-35.spa
dc.relation.references16. Jaber S, Jung B, Matecki S, Petrof BJ. Clinical review: ventilator induced diaphragmatic dysfunction--human studies confirm animal model findings! Crit Care. 2011 Mar 11;15(2):206. doi: 10.1186/cc10023spa
dc.relation.references17. Jubran A. Critical illness and mechanical ventilation: effects on the diaphragm. Respir Care. 2006 Sep;51(9):1054-61; discussion 1062 4.spa
dc.relation.references18. van den Berg M et al. Diaphragm Atrophy and Weakness in the Absence of Mitochondrial Dysfunction in the Critically Ill. Am J Respir Crit Care Med. 2017 Dec 15;196(12):1544-1558. doi: 10.1164/rccm.201703-0501OCspa
dc.relation.references19. Hooijman PE. Diaphragm muscle fiber weakness and ubiquitin proteasome activation in critically ill patients. Am J Respir Crit Care Med. 2015 May 15;191(10):1126-38. doi: 10.1164/rccm.201412 2214OCspa
dc.relation.references20. Supinski GS, Morris PE, Dhar S, Callahan LA. Diaphragm Dysfunction in Critical Illness. Chest. 2018 Apr;153(4):1040-1051. doi: 10.1016/j.chest.2017.08.1157spa
dc.relation.references21. Royse HK, Green C, Botha J, Canty D, Royse C. Interpreting diaphragmatic movement with bedside imaging, review article. J Crit Care. 2016 Aug;34:56-65. doi: 10.1016/j.jcrc.2016.03.006.spa
dc.relation.references22. Palkar A, Mayo P, Koenig S, Narasimhan M, Darabaner R, Greenberg H, Gotttesman E. Serial Diaphragm Ultrasonography to Predict Successful Discontinuation of Mechanical Ventilation. Lung. 2018 Jun;196(3):363-368. doi: 10.1007/s00408-018-0106-xspa
dc.relation.references23. Hayat A, Khan A, Khalil A, Asghar A. Diaphragmatic Excursion: Does it Predict Successful Weaning from Mechanical Ventilation? J Coll Physicians Surg Pak. 2017 Dec;27(12):743-746spa
dc.relation.references24. Matamis D, Soilemezi E, Tsagourias M, Akoumianaki E, Dimassi S, Boroli F, et al. Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med. 2013;39:801-810spa
dc.relation.references25. Haji K, Royse A, Green C, Botha J, Canty D, Royse C. Interpreting diaphragmatic movement with bedside imaging, review article. J Crit Care. 2016;34:56-65. doi:10.1016/j.jcrc.2016.03.006spa
dc.relation.references26. Varón-Vega F, Hernández Á, López M, et al. Usefulness of diaphragmatic ultrasound in predicting extubation success [published online ahead of print, 2019 Dec 20]. Utilidad de la ecografía diafragmática para predecir el éxito en la extubación [published online ahead of print, 2019 Dec 20]. Med Intensiva. 2019;S0210 5691(19)30265-7. doi:10.1016/j.medin.2019.10.007.spa
dc.relation.references27. Gottesman E, McCool FD. Ultrasound evaluation of the paraly- zed diaphragm. Am J Respir Crit Care Med. 1997;155:1570-4.spa
dc.relation.references28. Zambon M, Greco M, Bocchino S, Cabrini L, Beccaria PF, Zangrillo A. Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review. Intensive Care Med. 2017 Jan;43(1):29-38.spa
dc.relation.references29. Farghaly S, Hasan AA. Diaphragm ultrasound as a new method to predict extubation outcome in mechanically ventilated patients. Aust Crit Care. 2017 Jan;30(1):37-43.spa
dc.relation.references30. Li C, Li X, Han H, Cui H, Wang G, Wang Z. Diaphragmatic ultrasonography for predicting ventilator weaning: A meta-analysis. Medicine (Baltimore). 2018 Jun;97(22):e10968spa
dc.relation.references31. Ferrari G, De Filippi G, Elia F, Panero F, Volpicelli G, Aprà F. Diaphragm ultrasound as a new index of discontinuation from mechanical ventilation. Crit Ultrasound J. 2014 Jun 7;6(1):8.spa
dc.relation.references32. Eltrabili HH, Hasanin AM, Soliman MS, Lotfy AM, Hamimy WI, Mukhtar AM. Evaluation of Diaphragmatic Ultrasound Indices as Predictors of Successful Liberation From Mechanical Ventilation in Subjects With Abdominal Sepsis. Respir Care. 2019 May;64(5):564 569spa
dc.relation.references33. McCool FD, Oyieng'o DO, Koo P. The Utility of Diaphragm Ultrasound in Reducing Time to Extubation. Lung. 2020 Jun;198(3):499-505spa
dc.relation.references34. World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2013;310(20):2191–2194. doi:10.1001/jama.2013.281053.spa
dc.relation.references35. Ministerio de Salud. Resolución No 008430. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: Ministerio de Salud; 1993. p. 1- 12.spa
dc.relation.references36. Llamas-Álvarez AM, Tenza-Lozano EM, Latour-Pérez J. Diaphragm and Lung Ultrasound to Predict Weaning Outcome: Systematic Review and Meta-Analysis. Chest. 2017 Dec;152(6):1140-1150spa
dc.relation.references37. DiNino E, Gartman EJ, Sethi JM, McCool FD. Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Thorax. 2014 May;69(5):423-7spa
dc.relation.references38. Ouellette DR, Patel S, Girard TD, Morris PE, Schmidt GA, Truwit JD, Al- Hazzani W, Burns SM, Epstein SK, Esteban A, Fan E, Ferrer M, Fraser GL, Gong M, Hough CL, Mehta S, Nanchal R, Pawlik AJ, Schweickert W, Sessler CN, Strøm T, Kress JP, Liberation from Mechanical Ventilation: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline, CHEST (2016)spa
dc.relation.references39. Doorduin J, van der Hoeven JG, Heunks LM. The differential diagnosis for failure to wean from mechanical ventilation. Curr Opin Anaesthesiol. 2016 Apr;29(2):150-7spa
dc.relation.references40. Le Neindre A, Philippart F, Luperto M, Wormser J, Morel-Sapene J, Aho SL, Mongodi S, Mojoli F, Bouhemad B. Diagnostic accuracy of diaphragm ultrasound to predict weaning outcome: A systematic review and meta-analysis. Int J Nurs Stud. 2021 May;117:103890.spa
dc.relation.references41. Gok F, Mercan A, Kilicaslan A, Sarkilar G, Yosunkaya A. Diaphragm and Lung Ultrasonography During Weaning From Mechanical Ventilation in Critically Ill Patients. Cureus. 2021 May 16;13(5):e15057spa
dc.relation.references42. Vivier E, Muller M, Putegnat JB, Steyer J, Barrau S, Boissier F, Bourdin G, Mekontso-Dessap A, Levrat A, Pommier C, Thille AW. Inability of Diaphragm Ultrasound to Predict Extubation Failure: A Multicenter Study. Chest. 2019 Jun;155(6):1131-1139.spa
dc.relation.references43. Mayo P, Volpicelli G, Lerolle N, Schreiber A, Doelken P, Vieillard Baron A. Ultrasonography evaluation during the weaning process: the heart, the diaphragm, the pleura and the lung. Intensive Care Med. 2016 Jul;42(7):1107-17spa
dc.relation.references44. McCool FD, Oyieng'o DO, Koo P. The Utility of Diaphragm Ultrasound in Reducing Time to Extubation. Lung. 2020 Jun;198(3):499-505.spa
dc.relation.references45. A.F. Caballero-Lozada, F.E. Pabón Muñoz, J.M. Arias Campo et al. Ultrasonido diafragmático como predictor de extubación en paciente crítico: revisión exploratoria, Acta Colombiana de Cuidado Intensivo. https://doi.org/10.1016/j.acci.2020.10.003spa
dc.relation.references46. Baptistella AR, Mantelli LM, Matte L, Carvalho MEDRU, Fortunatti JA, Costa IZ, Haro FG, Turkot VLO, Baptistella SF, de Carvalho D, Nunes Filho JR. Prediction of extubation outcome in mechanically ventilated patients: Development and validation of the Extubation Predictive Score (ExPreS). PLoS One. 2021 Mar 18;16(3):e0248868.spa
dc.relation.references47. Palkar A, Narasimhan M, Greenberg H, Singh K, Koenig S, Mayo P, Gottesman E. Diaphragm Excursion-Time Index: A New Parameter Using Ultrasonography to Predict Extubation Outcome. Chest. 2018 May;153(5):1213-1220spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsCritical care medicinespa
dc.subject.keywordsPatient monitoringspa
dc.subject.keywordsMechanic ventilationspa
dc.subject.keywordsAcoustic imagespa
dc.subject.keywordsRespiratory systemspa
dc.subject.lembCiencias médicasspa
dc.subject.lembCuidados intensivos (Medicina)spa
dc.subject.lembMonitoreo de pacientesspa
dc.subject.lembVentilación mecánicaspa
dc.subject.lembImagen acústicaspa
dc.subject.lembAparato respiratoriospa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalDiafragmaspa
dc.subject.proposalUltrasonografíaspa
dc.subject.proposalRespiración artificialspa
dc.subject.proposalExtubación traquealspa
dc.subject.proposalEnfermedad criticaspa
dc.titleEvaluación ultrasonográfica del diafragma en el paciente críticamente enfermospa
dc.title.translatedUltrasonographic evaluation of the diaphragm in the critically ill patientspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TM

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