Factores predictivos asociados al éxito de cánula nasal de alto flujo en insuficiencia respiratoria por SARS-Cov-2
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Date
2024-08-12
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Universidad Nacional de Trujillo
Abstract
Ante la aparición de la ultima pandemia por SARS- Cov-2 se reportó un aumento en la demanda de utilización de Ventilador Mecánico por Insuficiencia Respiratoria Grave asociada a esta infección, lo que expuso la precariedad de nuestro sistema de salud tanto en infraestructura como en personal especializado. Asimismo, se observó que la utilización de este tipo de dispositivos invasivos a nivel mundial aumento tasas de mortalidad debido a las complicaciones que esto conlleva; el Perú no fue ajeno a esta realidad problemática, por lo que el personal de salud opto por utilizar otro tipo de dispositivos para el soporte oxigenatorio de este tipo de pacientes: la Cánula Nasal de Alto Flujo, que si bien es cierto su utilidad estaba demostrada para otro tipo de patologías, era algo novedoso para el manejo de infección por SARS- Cov-2, basándose en investigaciones mundiales grandes beneficios: menos riesgo de aereolización, menor estancia en UCI aunado a menores tasas de mortalidad; motivo por el cual creemos conveniente poder realizar estudios similares en un hospital publico como el nuestro para poder obtener nuevo conocimiento en base a esta asociación y así poder diseñar protocolos de manejo que beneficiarían a los pacientes y a nuestro desempeño como personal de salud.
Abstract With the appearance of the latest SARS-Cov-2 pandemic, an increase in the demand for the use of Mechanical Ventilators due to Severe Respiratory Failure associated with this infection was reported, which exposed the precariousness of our health system both in infrastructure and in specialized personnel. Likewise, it was observed that the use of this type of invasive devices worldwide increased mortality rates due to the complications that this entails; Peru was no stranger to this problematic reality, which is why health personnel chose to use other types of devices for the oxygen support of this type of patients: the High Flow Nasal Cannula, which although its usefulness was proven for other types of pathologies, it was something novel for the management of SARS-Cov-2 infection, based on world research, great benefits: less risk of aerosolization, shorter stay in ICU coupled with lower mortality rates; This is why we believe it is appropriate to conduct similar studies in a public hospital such as ours in order to obtain new knowledge based on this association and thus be able to design management protocols that would benefit patients and our performance as health personnel.
Abstract With the appearance of the latest SARS-Cov-2 pandemic, an increase in the demand for the use of Mechanical Ventilators due to Severe Respiratory Failure associated with this infection was reported, which exposed the precariousness of our health system both in infrastructure and in specialized personnel. Likewise, it was observed that the use of this type of invasive devices worldwide increased mortality rates due to the complications that this entails; Peru was no stranger to this problematic reality, which is why health personnel chose to use other types of devices for the oxygen support of this type of patients: the High Flow Nasal Cannula, which although its usefulness was proven for other types of pathologies, it was something novel for the management of SARS-Cov-2 infection, based on world research, great benefits: less risk of aerosolization, shorter stay in ICU coupled with lower mortality rates; This is why we believe it is appropriate to conduct similar studies in a public hospital such as ours in order to obtain new knowledge based on this association and thus be able to design management protocols that would benefit patients and our performance as health personnel.
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Keywords
Cánula Nasal Alto Flujo, Factores, Insuficiencia Respiratoria, SARSCoV-2