Variables clínicas y ecográficas de posible disfunción diafragmática asociadas con el fracaso de extubación en el paciente crítico

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dc.contributor.advisorLubinus Badillo, Federico Guillermo
dc.contributor.advisorUribe Caputi, Juan Carlos
dc.contributor.apolounabUribe Caputi, Juan Carlos [juan-carlos-alberto-uribe-caputi]spa
dc.contributor.authorRoberto Avilán, Sandra Liliana
dc.contributor.cvlacRoberto Avilán, Sandra Liliana [0001379219]spa
dc.contributor.cvlacLubinus Badillo, Federico Guillermo [0001475552]spa
dc.contributor.cvlacUribe Caputi, Juan Carlos [0001435212]spa
dc.contributor.googlescholarUribe Caputi, Juan Carlos [z6reFf8ZcCwC]spa
dc.contributor.orcidUribe Caputi, Juan Carlos [0000-0002-4971-339X]spa
dc.contributor.researchgateUribe Caputi, Juan Carlos [Juan_Uribe-Caputi]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialFloridablanca (Santander, Colombia)spa
dc.coverage.temporalenero de 2021 y abril de 2022spa
dc.date.accessioned2023-07-07T15:35:35Z
dc.date.available2023-07-07T15:35:35Z
dc.date.issued2023-07-04
dc.degree.nameEspecialistas en Radiología e Imágenes Diagnósticasspa
dc.description.abstractLos pacientes en unidad de cuidados intensivos que requieren de ventilación mecánica invasiva, fracasan en su proceso de extubación en hasta un 30%, conllevando a grandes complicaciones potencialmente mortales y con grandes costos sobre el sistema de salud. Sigue siendo un desafío identificar el momento preciso de la extubación y hasta el momento sólo se cuentan con herramientas clínicas para su decisión. Teniendo en cuenta el gran compromiso de atrofia muscular al que se somete el paciente en la unidad de cuidados intensivos, se busca evaluar mediante ecografía al mayor músculo implicado en la respiración: el diafragma, e identificar elementos que sugieran su disfunción y se puedan asociar con aquellos pacientes que fracasan en la extubación, para de esta manera ofrecer nuevas herramientas que mejoren el proceso de desconexión y reduzcan el impacto negativo de la ventilación mecánica.spa
dc.description.abstractenglishPatients in the intensive care unit who require invasive mechanical ventilation fail in their extubation process in up to 30%, leading to major potentially fatal complications and high costs for the health system. It continues to be a challenge to identify the precise moment of extubation and until now only clinical tools are available for this decision. Taking into account the great commitment of muscular atrophy to which the patient is subjected in the intensive care unit, the aim is to evaluate the largest muscle involved in respiration by ultrasound: the diaphragm, and to identify elements that suggest its dysfunction and can be associated with those patients who fail extubation, in order to offer new tools that improve the weaning process and reduce the negative impact of mechanical ventilation.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontents2. RESUMEN 7 3. INTRODUCCIÓN 8 4. PLANTEAMIENTO DEL PROBLEMA 9 5. JUSTIFICACIÓN 11 6. MARCO TEÓRICO 12 7. ESTADO DEL ARTE 16 8. PREGUNTA DE INVESTIGACIÓN 18 9. OBJETIVOS 19 9.1 OBJETIVO PRINCIPAL 19 9.2 OBJETIVOS ESPECÍFICOS 19 10. METODOLOGÍA 20 10.1 TIPO DE ESTUDIO 20 10.2 POBLACIÓN Y MUESTRA 20 10.2.1 POBLACIÓN 20 10.2.2 TAMAÑO DE LA MUESTRA 20 10.3 CRITERIOS DE SELECCIÓN 20 10.3.1 CRITERIOS DE INCLUSIÓN 20 10.3.2 CRITERIOS DE EXCLUSIÓN 20 10.4 VARIABLES 21 10.5 RECOLECCIÓN DE LA INFORMACIÓN 23 10.6 PLAN DE ANÁLISIS 24 11. CONSIDERACIONES ÉTICAS 26 12. RESULTADOS Y PRODUCTOS ESPERADOS 28 13. CRONOGRAMA DE ACTIVIDADES 29 14. PRESUPUESTO 30 15. ANÁLISIS ESTADÍSTICO Y RESULTADOS 31 15.1 ANÁLISIS UNIVARIADO 31 15.2 ANÁLISIS BIVARIADO 34 16. DISCUSIÓN 40 17. CONCLUSIÓN 42 18. ANEXOS 43 18.1 ANEXO A. CONSENTIMIENTO INFORMADO 43 18.2 ANEXO B. INSTRUMENTO RECOLECCIÓN DE DATOS 47 18.3 ANEXO C. PUNTUACIÓN APACHE IV 49 19. BIBLIOGRAFÍA 50spa
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/20.500.12749/20473
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Radiología e Imágenes Diagnósticasspa
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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.keywordsFail extubationspa
dc.subject.keywordsUltrasound the diaphragmspa
dc.subject.keywordsDysfuntion diaphragmaticspa
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsImaging diagnosticsspa
dc.subject.keywordsUltrasonic diagnosisspa
dc.subject.keywordsIntensive care unitsspa
dc.subject.keywordsArtificial respirationspa
dc.subject.keywordsRespiratorsspa
dc.subject.lembCiencias médicasspa
dc.subject.lembDiagnóstico para imágenesspa
dc.subject.lembDiagnóstico ultrasónicospa
dc.subject.lembUnidades de cuidados intensivosspa
dc.subject.lembRespiración artificialspa
dc.subject.lembRespiradoresspa
dc.subject.proposalFalla en la extubaciónspa
dc.subject.proposalDisfunción diafragmaspa
dc.subject.proposalEcografía diafragmaspa
dc.titleVariables clínicas y ecográficas de posible disfunción diafragmática asociadas con el fracaso de extubación en el paciente críticospa
dc.title.translatedClinical and ultrasound variables of possible diaphragmatic dysfunction associated with extubation failure in critically ill patientsspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
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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