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Traumatisme toracice rapid letale - Cursul National de Ghiduri si ...

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334<br />

Principiu: dupa eliberarea <strong>si</strong> protezarea cailor aeriene pacientul va fi ventilat<br />

cu oxigen 100%<br />

B. Evaluarea <strong>si</strong> controlul respiratiei<br />

Stabilizarea col. cervicale<br />

Anunta chirurg, TI, ORL po<strong>si</strong>bila leziune laringo-traheala<br />

Detresa respiratorie<br />

Nu Da<br />

In UPU sau sala op? Prognatia mandibulei<br />

Aspiratie<br />

Laringoscopie pregatire pentru cricotiroidotomie<br />

sau ±<br />

bronhoscopie traheostomie<br />

leziune laringiana leziune traheala IOT cu RSI<br />

cricotiroidotomie<br />

IOT cu bronhoscopie esec sau impo<strong>si</strong>bilitate succes<br />

Traheostomie rezolvarea leziunilor<br />

±<br />

Rezolvarea leziunilor traheostomie<br />

Figura 4. Managementul cailor aeriene in caz <strong>de</strong> traumatisme inchise sau penetrante ale<br />

Figura 4. Managementul cailor aeriene in caz <strong>de</strong> traumatisme inchise<br />

sau penetrante ale cailor aeriene extra<strong>toracice</strong> (1)<br />

Principiu: evalurea pacientului este primordial clinica <strong>si</strong> se vor urmari semnele<br />

clinice care ridica suspiciunea leziunilor <strong>rapid</strong> <strong>letale</strong> ce pot afecta respiratia.<br />

Leziuni <strong>rapid</strong> <strong>letale</strong> care impieteaza respiratia:<br />

1. Pneumotorax compre<strong>si</strong>v<br />

2. Pneumotorax <strong>de</strong>schis<br />

3. Volet costal +/- contuzie pulmonara<br />

4. Hemotorace ma<strong>si</strong>v<br />

5. Embolia gazoasa postraumatica<br />

Actualitati in anestezie, terapie inten<strong>si</strong>va <strong>si</strong> medicina <strong>de</strong> urgenta

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