clase 8 - manejo del paciente traqueostomizado
TRANSCRIPT
7/21/2019 Clase 8 - Manejo Del Paciente Traqueostomizado
http://slidepdf.com/reader/full/clase-8-manejo-del-paciente-traqueostomizado 1/5
"#$%&'()(*+$ ', ,-.( .$ /01/,/-0 '0 .$ )#2%&'$ 3 .$
)#$%&'(,)(*+$ ', )(4( '. 5#(1'4/*/'0)( 5$#$ 6(#*$# '
)#$3'1)( 6/,)&.(,( '0)#' .$ )#2%&'$ 3 .$ 5/'.7 89( %&'$.:&0(, .( &,$0 1(*( ,/0-0/*(7
;$, /04/1$1/(0', 4' )#$%&'(,)(*+$ ,(0 5(#< (=,)#&11/-0 4' .$ >+$ $?#'$
$.)$@ %&' '0 :'0'#$. ,' A$1' '0 5$1/'0)', 1(0 )&*(#', ( 1(0 5$#2./,/,
1(#4$.', '0 .+0'$ *'4/$7 B(5(#)' >'0)/.$)(#/( 5#(.(0:$4(@ *$0'9( 4'
,'1#'1/(0', =#(0%&/$.', 'C1',/>$,@ 4',-#4'0', 0'&#(.-:/1(, '0 5$1/'0)'
%&' >$0 $ 1$'# '0 DE 3 5#()'11/-0 4' .$ >+$ $?#'$ 5(# $,5/#$1/-0
/0)#$)$=.'@ 5(# '9'*5.( '0 5$1/'0)', 1(0 FGD %&' )/'0'0 *$. *$0'9( 4'
,&, ,'1#'1/(0',@ '0)(01', .$ ,$./>$ 5$,$ $ .$ )#2%&'$ 5&4/'04( :'0'#$
0'&*(0+$7 H$#$ ',)( ,' A$1' .$ )#$%&'(,)(*+$ 3 ,' /06.$ '. GIJJ K=$.-0
%&' /*5/4' .$ $,5/#$1/-07
F%&+ )'0'*(, &0$ .$#/0:' )()$.*'0)' (=,)#&/4$ 5(# &0 )&*(#@ &0
5$1/'0)' 1(0 .$, 1&'#4$, 1'##$4$, 5(# &0$ 5$#2./,/, 5(# '9'*5.( 3 &05$1/'0)' 1(0 FGD %&' )/'0' &0$ )#$%&'(,)(*+$ 5$#$ %&' 0( A$:$
0'&*(0+$7
7/21/2019 Clase 8 - Manejo Del Paciente Traqueostomizado
http://slidepdf.com/reader/full/clase-8-manejo-del-paciente-traqueostomizado 2/5
M$3 N )?10/1$,@ .$ 5'#1&)20'$ %&' .$ A$1'0 .(,
I"O-.(:(, '0 .$ */,*$ 1$*$ 4' .$ IGO7 P,)&4/(, A$0
4'*(,)#$4( %&' 4' ',)$ 6(#*$ '. 5$1/'0)' 0( ,'
1(*5./1$ *2, 0/ ,$0:#$ *2, )$*5(1(7 G(*5$#204(.(
1(0 .$ )#$%&'(,)(*+$ $=/'#)$ %&' $4'*2, ',)$ A$3 %&'
A$1'#.$ '0 &0 5$='..-0 .( %&' /*5./1$ *(>'# $
5$1/'0)' %&' 3$ ',)2 '0 &0 ',)$4( 1#+)/1(7
;$ )#$%&'(,)(*+$ 5'#1&)20'$ 5&'4' 4&#$# Q
*/0&)(, 3 1(0,/,)' '0 A$1'#.' &0$ 5'%&'R$
/01/,/-0 1(0 &0 =/,)&#+@ 5$#$ /0:#',$# &0 $.$*=#'
K:&+$L $ .$ )#2%&'$ 3 $ )#$>?, 4' ',)' ,' '*5/'S$ $
/0)#(4&1/# &0 4/.$)$4(# %&' ',)2 A&'1( 3 %&' ,/:&'
'. )&)(# 3 $,+ &0( ,' $,':&#$ %&' '0)#' $ .$
)#2%&'$7 T',5&?, ,' 4/.$)$ A$,)$ %&' ,'$,&6/1/'0)' 5$#$ 5(0'# &0$ 120&.$ 4'
)#$%&'(,)(*+$7 P,)2 1(0)#$/04/1$4( '0 5$1/'0)',
*&3 (=',(, '0 %&' 0( >$*(, $ 5(4'# '01(0)#$
5&0)(, $0$)-*/1(, 5$#$ (#/'0)$#0(,7
P0 .$ )#$%&'(,)(*+$ $=/'#)$ '. 5$1/'0)' ,' >$ $ 5$='..-0@ ,'
A$1' &0$ /01/,/-0 *2, :#$04' K>$#/(, 1'0)+*')#(,L@ ,' ,'5$#$
4' .$ .+0'$ *'4/$ .$ *&,1&.$)&#$ 5#'.$#+0:'$ 5$#$ 0( )'0'
%&' 1(#)$#.$7 B/ ,' /0)'#5(0' .$ :.204&.$ )/#(/4', =$,)$ 1(0
4',5.$S$#.$ 3 $. ..':$# $ .$ 5$#'4 $0)'#/(# 4' .$ )#2%&'$ ,' $=#'3 ,' 5(0'0 5&0)(, 4' )#2%&'$ $ 5/'.7 P,' 5&0)( )/'0' '
(=9')/>( 4' *'9(#$# '. *$0'9( 5(,)'#/(# 4'. 5$1/'0)'@ 5(
'9'*5.( ', *2, 621/. 1$*=/$# .$ 120&.$ 5(#%&' 0( ,' >$ $
5'#4'# .$ >+$ 4' /0:#',(7 ;(, 1/#&9$0(, 0( ,&'.'0 5(0'# ','
5&0)( 3 ,/ A$3 %&' 1$*=/$#.' .$ 120&.$ 5(#%&' ,' )$5-@ ,'
1(##' '. #/',:( 4' 1(.(1$#.$ '0)#' .(, )'9/4(, 5#')#$%&'$.', 3
6(#*$# &0$ 6$.,$ >+$ 3 '. 5$1/'0)' 5&'4' )'#*/0$# '0 &0 5$#(7
;$, 120&.$, *2, &,$4$, ,(0 ',)$, %&' )/'0'0 ',)' =$.-0 %&'
,' *')'0 '0 .$ )#2%&'$ 3 ,' /06.$07
7/21/2019 Clase 8 - Manejo Del Paciente Traqueostomizado
http://slidepdf.com/reader/full/clase-8-manejo-del-paciente-traqueostomizado 3/5
;( /4'$. ,(0 4' ',)' )/5( %&' )/'0'0 &0$ '04( 120&.$ 3 ',)( 5'#*/)' &0
*&1A( *'9(# *$0'9( 4' .$, ,'1#'1/(0', 5(,)'#/(# $. 5#(1'4/*/'0)(
H$#$ 5$1/'0)', %&' 3$ ',)20 '0 .$ 1$,$ 3 )/'0'0 %&' ,$1$#,' ,(.( .$
'04( 120&.$ 3 0( )(4( '. $5$#$)( 1(0 '. #/',:( 4' 0( 5(4'# >(.>'# $
*')'#.$7
;(, 5$1/'0)', %&' 3$ )/'0'0 &0 )#$%&',)(*$ $:&4(@ ', 4'1/# *2, 4'
N ,'*$0$ 4' 1/1$)#/S$4(@ 0( 0'1',/)$0 GIJJ 5(#%&' 0( $,5/#$0
,'1#'1/(0', 3 ',)' ', /4'$. 5$#$ .(, %&' )/'0'0 5$#2./,/, 1(#4$
=/.$)'#$. 5(#%&' )/'0'0 &0$ >2.>&.$ %&' 0( 4'9$ ,$./# '. $/#' 5(# .$120&.$ '0)(01', '. $/#' 5$,$ 5(# .$, 1&'#4$, 3 $,+ 5&'4' A$=.$#
P0)(01', '0 .',/(0', =/.$)'#$.', 4'. #'1&##'0)' ',)' )/5( 4' 120&.$
', .$ *'9(#
P0 .(, 0/R(, &,$*(, 120&.$, *2, 5'%&'R$, 3 0&01$ ,' &,$ GIJJ7
P,)( ', *$0'9( 4' 3 ,(=#' '. 1$*=/(
4' 120&.$7
7/21/2019 Clase 8 - Manejo Del Paciente Traqueostomizado
http://slidepdf.com/reader/full/clase-8-manejo-del-paciente-traqueostomizado 4/5
M$3 %&' >/:/.$# %&' .$ 5#',/-0 4'. 1&66 0( ,'$ *&3 $.)$ 5$#$ %&' 0( A$:$ &0$
',)'0(,/, )#$%&'$.7
M$3 %&' A$1'# &0 $,'( 4/$#/( 4' .$ 120&.$@ .$ 5/'. 1/#1&04$0)'
)/'0' %&' ',)$# ./*5/$ 3 ,'1$@ 4'=/4( $ .$ './*/0$1/-0 4'
,'1#'1/(0', )/'04' $ '#(,/(0$#,' .$ 5/'.7 M$3 %&' 1$*=/$# .$
120&.$ 1$4$ >'S %&' ,'$ 0'1',$#/(7
P0 &0 5$1/'0)' 1(0 FGD 5(# '9'*5.(@ %&' 0( *$0'9$ ,& ,$./>$@ ',)$ >$ $ 1$'
5(# .$ >+$ $?#'$ 3 ,' >$ $ '01(0)#$# 1(0 '. 1&66 %&' >$ $ /*5'4/# %&' 1$/:$ $5&.*-07 H'#( ,' >$ $ '*5'S$# $ $1&*&.$# 3 >$ $ '01(0)#$# &0$ >+$ 4' ',1$5'
A$1/$ .$ 5/'. 4'. 1&'..( K5$#'1' %&' $.#'4'4(# 4' .$ 5$#)' 4' .$ 120&.$ %&'
1(0'1)$ .$ )#2%&'$ 1(0 '. 'C)'#/(#L7 P0)(01', ',)(, 5$1/'0)', >$0 $ =()$#
,$./>$ 5(# '. 1&'..(@ 5(# '. )#$%&'(,)(*$7
7/21/2019 Clase 8 - Manejo Del Paciente Traqueostomizado
http://slidepdf.com/reader/full/clase-8-manejo-del-paciente-traqueostomizado 5/5
P,)' ', &0 >/4'( %&' *&',)#$ &0 5$1/'0)' 1(0 FGD '0 %&' A$3
5#/*'#( A$3 %&' $,5/#$# $0)', 4' ,$1$# .$ 120&.$@ ,/0( >$ $ 1$'# )(4$
.$ ,$./>$ $1&*&.$4$ $ .(, 5&.*(0',7
I,)'4', )/'0'0 %&' ,$='# ,/ ',)20 1(0 &0 5$1/'0)' 1(0
)#$%&'(,)(*+$ 3 '. 5$1/'0)' ',)2 *(#$4( ' /0%&/')(@ .( *2,
5#(=$=.' ', %&' .$ 120&.$ ,' A$3$ )$5$4(7
;( %&' )/'0'0 %&' A$1'# ', #')/#$# .$ 120&.$ /0*'4/$)$*'0)'
5(#%&' .( *2, 5#(=$=.' %&' ',)? (=,)#&/4$ 1(0 ,'1#'1/(0',7
I0$ 5$1/'0)' ..':- &0$ >'S 1(0 &0 ./06(*$ 3 '0 '. A(,5/)$. 0(
A$=+$ &0U KV( ,' %&?L 3 .' 1(*5#$#(0 '. ,'#>/1/( $6&'#$@ '#$
$*/:4$./0(7 W $6&'#$ ,' 4'*(#$#(0 >$#/(, *',', '0)#'
1(*5#$# .(, ,'#>/1/(,@ ')1 3 ..':- .$ ,'R(#$ 1(0 &0$ *$,$
1(0 .$ .'0:&$ $6&'#$@ $5'0$, #',5/#$=$7 P0)(01', ,' A/S( &0$
)#$%&'(,)(*+$ 3 '. A(,5/)$. 4'1/4/- )#$)$#.$ ',)$04(
A(,5/)$./S$4$ 3 ,' A/S( ,& 5#/*'# 1/1.( 4' %&/*/()'#$5/$ 5$#$
'. ./06(*$@ 5(#%&' 3$ ',)$=$ )(4( ',)&4/$4(7 "&>( &0$
#',5&',)$ 'C1'.'0)'@ )$0)( $,+ %&' 4'1/4/'#(0 4$#.$ 4' $.)$ 5$#$ %&' ,' ,/:&/'#$ A$1/'04( .(, 1/1.(, 4' 6(#*$
$*=&.$)(#/$7 B' 6&' 1(0 .$ )#$%&'(,)(*+$ 3 '0 .$ 1$,$ ,' .' )$5- .$ 120&.$ 3 *&#/-7
P0)(01', .( *'9(# ', )'0'# 120&.$, 1(0 '04(120&.$, 5$#$ 5(4'# ,$1$#.$, 3 ./*5/$#.$, 3 %&' .$ )?10/1$ A$3$ ,/4( A'1A$
1(0 5&0)(, 4' )#2%&'$ $ 5/'. 5$#$ %&' '0 1$,( 4' ,(,5'1A$ 4' (=,)#&11/-0 4' .$ 120&.$@ ,$1$#.$ 1(*5.')$ 3 .&':( 5(4'
5(0'#.$ 621/.*'0)'7 ;( ()#( %&' $3&4$ ', 0'=&./S$# 1(0,)$0)'*'0)' $. 5$1/'0)' 5$#$ %&' .$, ,'1#'1/(0', 0( ,' ,'%&'0
)$0)(@ 5(#%&' #'1&'#4'0 %&' 1(*( '. $/#' 0( 5$,$ 5(# .$ 0$#/S 0( ,' A&*/4/6/1$ 0/ 0$4$ 3 ',( .( ,'1$ 5$#$ $4'0)#(7