Traumatisme toracice rapid letale - Cursul National de Ghiduri si ...
Traumatisme toracice rapid letale - Cursul National de Ghiduri si ...
Traumatisme toracice rapid letale - Cursul National de Ghiduri si ...
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330<br />
Etape:<br />
1. Istoricul traumei: AMPLE, mecanismul <strong>si</strong> tipul traumei, factori agravanti<br />
2. Examinare clinica completa “head to toe”<br />
3. Examinari paraclinice suplimentare<br />
A. Eliberarea <strong>si</strong> protezarea cailor aeriene cu controlul coloanei<br />
cervicale<br />
Stabilizarea coloanei cervicale<br />
Deschi<strong>de</strong>ra manuala a cailor aeriene<br />
(ridicarea barbiei, prognatia mandibulei)<br />
In<strong>de</strong>partarea manuala a corpilor straini sau cu pensa Magill<br />
+ aspiratie<br />
Aplicarea <strong>de</strong> adjuvanti ai cailor aeriene superioare<br />
(calea orofaringiana, calea nazofaringiana)<br />
Este necesara calea aeriana <strong>de</strong>finitiva?<br />
Ventilatie cai aeriene <strong>si</strong>gure <strong>si</strong> permeabile ?<br />
Apnee prezenta respiratiilor<br />
Figura 2. Managementul 2. Managementul general al general eliberarii al cailor eliberarii aeriene (1)<br />
cailor aeriene (1)<br />
In cazul suspiciunii <strong>de</strong> leziune <strong>de</strong> coloana cervicala asociata traumatismului<br />
toracic managementul va incepe cu stabilizarea coloanei cervicale.<br />
Dupa <strong>de</strong>schi<strong>de</strong>rea manuala a cailor aeriene, in<strong>de</strong>partarea manuala sau instrumentala<br />
a corpilor straini (pensa Magill) <strong>si</strong> aplicarea caii oro-faringiene<br />
sau nazo-faringiene trebuie ridicata problema nece<strong>si</strong>tatii caii aerine <strong>de</strong>finitive.<br />
Caile aeriane inainte <strong>si</strong> dupa protezare trebuie sa aiba doua calitati: sa fie<br />
<strong>si</strong>gure, permeabile <strong>si</strong> sa poata a<strong>si</strong>gura o ventilatie eficienta.<br />
Actualitati in anestezie, terapie inten<strong>si</strong>va <strong>si</strong> medicina <strong>de</strong> urgenta
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