Show simple item record

Incidencia de hemotórax retenido en pacientes con hemotórax y hemoneumotórax traumático sometidos a Irrigación con solución salina de la cavidad torácica a través del tubo de tórax comparado con pacientes sin irrigación en una institución en Bogotá entre noviembre del 2019 - octubre del 2020.

dc.contributor.authorVelez Castaño, Paula Andrea
dc.date.accessioned2021-01-22T19:45:57Z
dc.date.available2021-01-22T19:45:57Z
dc.date.issued2020-12-18
dc.identifier.urihttp://hdl.handle.net/10654/37397
dc.description.abstractIntroducción: La incidencia de hemotórax retenido es del 2-20% (4,9) en pacientes que presentan hemoneumotórax posterior a un traumatismo en estadísticas fuera de Colombia, sin embargo no hay estudios suficientes para comparar dicha incidencia en pacientes a quienes se les realiza irrigación del tubo a tórax vs a los que no se les realiza irrigación. Materiales y métodos: como diseño del estudio se realizará un estudio observacional, analítico, tipo cohortes, evaluando los resultados de manera prospectiva para evaluar si dicha incidencia disminuye con la irrigación del tubo a tórax. Resultados: En nuestro estudio se obtuvo un total de 36 pacientes de los cuales sólo 5 recibieron la intervención (13.9%) y 31 no (86.1 %) y solo 4 presentaron hemotórax coagulado (11.1%) teniendo en cuenta que ninguno de los que presentó este desenlace pertenecía al grupo de irrigación. Además se evidenció que los 4 pacientes con hemotórax coagulado eran hombres y tenían el mismo mecanismo de trauma, herida penetrante por arma cortopunzante. Adicional a los hallazgos anteriores también se observó una tendencia con el volumen de hemotórax encontrado al paso del tubo de toracostomía dado que los paciente que no presentaron hemotórax coagulado tuvieron un promedio de volumen de 271 ml y los que sí lo presentaron tuvieron un promedio de 512 ml, sin embargo dado de la distribución de pacientes no fue normal este hallazgo no presenta significancia estadística. Conclusión: Los resultados del presente estudio tienen la tendencia a mostrar buenos desenlaces, confirmando la hipótesis alterna a favor de la irrigación por la toracostomía para prevenir el desarrollo posterior de hemotórax coagulado, con mejoría así a corto plazo de la estancia hospitalaria y el reintegro a lo laboral y a largo plazo en la morbimortalidad y disminución en los costos de salud.spa
dc.format.mimetypeapplicaction/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.titleIncidencia de hemotórax retenido en pacientes con hemotórax y hemoneumotórax traumático sometidos a Irrigación con solución salina de la cavidad torácica a través del tubo de tórax comparado con pacientes sin irrigación en una institución en Bogotá entre noviembre del 2019 - octubre del 2020.spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2*
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa
dc.description.abstractenglishIntroduction: The incidence of retained hemothorax is 2-20% (4.9) in patients who present hemopneumothorax after trauma in statistics outside of Colombia, however there are not enough studies to compare said incidence in patients who undergo it. chest tube irrigation vs those who do not have irrigation. Materials and methods: as study design, an observational, analytical, cohort-type study will be carried out, evaluating the results prospectively to evaluate if said incidence decreases with irrigation of the chest tube. Results: In our study, a total of 36 patients were obtained, of which only 5 received the intervention (13.9%) and 31 did not (86.1%) and only 4 had a coagulated hemothorax (11.1%), taking into account that none of those who had this outcome belonged to the irrigation group. In addition, it was evidenced that the 4 patients with coagulated hemothorax were men and had the same mechanism of trauma, a penetrating wound caused by a sharp weapon. In addition to the previous findings, a trend was also observed with the volume of hemothorax found when passing the thoracostomy tube, since the patients who did not present a coagulated hemothorax had an average volume of 271 ml and those who did present had an average of 512 ml, however, given the distribution of patients, this finding was not normal. It does not present statistical significance. Conclusion: The results of the present study tend to show good outcomes, confirming the alternative hypothesis in favor of irrigation through the thoracostomy to prevent the subsequent development of coagulated hemothorax, thus improving in the short term the hospital stay and reinstatement to the labor and long term in morbidity and mortality and decrease in health costs.spa
dc.title.translatedIncidence of retained hemothorax in patients with hemothorax and traumatic hemopneumothorax who underwent saline irrigation of the thoracic cavity through the chest tube compared to patients without irrigation in an institution in Bogotá between November 2019 - October 2020.spa
dc.subject.keywordsHemothoraxspa
dc.subject.keywordsHemopneumothoraxspa
dc.subject.keywordsCoagulated hemothoraxspa
dc.subject.keywordsRetained hemothoraxspa
dc.publisher.programCirugía Generalspa
dc.creator.degreenameEspecialista en Cirugía Generalspa
dc.subject.decsCirugía Torácicaspa
dc.subject.decsHemotóraxspa
dc.subject.decsHipovolemiaspa
dc.subject.decsTraumatismos Torácicosspa
dc.contributor.corporatenameMario Andrés Lópezspa
dc.description.degreelevelEspecializaciónspa
dc.publisher.facultyFacultad de Medicinaspa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.rights.creativecommonsAttribution-NonCommercial-NoDerivatives 4.0 Internationalspa
dc.relation.referencesMowery NT, Gunter OL, Collier BR, Diaz JJ, Haut E, Hildreth A, et al. Practice management guidelines for management of hemothorax and occult pneumothorax. J Trauma - Inj Infect Crit Care. 2011;70(2):510–8spa
dc.relation.referencesMoore SM, Pieracci FM, Jurkovich GJ. Thoracic trauma. In: Operative Thoracic Surgery, Sixth Edition. CRC Press; 2017. p. 23–36.spa
dc.relation.referencesFreixinet Gilart J, Hernández Rodríguez H, Martínez Vallina P, Moreno Balsalobre R, Rodríguez Suárez P. Normativa sobre diagnóstico y tratamiento de los traumatismos torácicos. Arch Bronconeumol [Internet]. 2011;47(1):41–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0300289610002929spa
dc.relation.referencesMahoozi HR, Volmerig J, Hecker E. Modern Management of Traumatic Hemothorax. J Trauma Treat. 2016;5(3)spa
dc.relation.referencesJantz MA, Antony VB. Pleural Fibrosis. Clin Chest Med. 2006;27(2):181–91.spa
dc.relation.referencesBrasel KJ. Advanced trauma life support (ATLS®): The ninth edition. J Trauma Acute Care Surg. 2013;74(5):1363–6spa
dc.relation.referencesDuBose J, Inaba K, Demetriades D, Scalea TM, OʼConnor J, Menaker J, et al. Management of post-traumatic retained hemothorax. J Trauma Acute Care Surg [Internet]. 2012 Jan [cited 2019 Aug 14];72(1):11–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22310111 61spa
dc.relation.referencesRahimi-Movaghar V, Yousefifard M, Ghelichkhani P, Baikpour M, Tafakhori A, Asady H, et al. Application of Ultrasonography and Radiography in Detection of Hemothorax; a Systematic Review and Meta-Analysis. Emerg (Tehran, Iran). 2016;4(3):116–11626.spa
dc.relation.referencesNovoa NM, Jiménez MF, Varela G. When to Remove a Chest Tube. Vol. 27, Thoracic Surgery Clinics. W.B. Saunders; 2017. p. 41–6.spa
dc.relation.referencesMergo PJ, Helmberger T, Didovic J, Cernigliaro J, Ros PR, Staab E V. New formula for quantification of pleural effusions from computed tomography. J Thorac Imaging [Internet]. 1999 Apr [cited 2019 Aug 15];14(2):122–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10210486spa
dc.relation.referencesKugler NW, Carver TW, Paul JS. Thoracic irrigation prevents retained hemothorax: a pilot study. J Surg Res [Internet]. 2016 May [cited 2019 Aug 12];202(2):443–8.spa
dc.relation.referencesKugler NW, Carver TW, Milia D, Paul JS. Thoracic irrigation prevents retained hemothorax. J Trauma Acute Care Surg. 2017spa
dc.relation.referencesCaicedo R. Cirugıa Básica: Trauma Torácico, 1st ed. Bogotá: McGraw-Hill Interamericana, 1998; 317–34. 588 M. I. Villegas et al. 123spa
dc.relation.referencesRichardson JD, Spain DA. Lesiones de pulmón y pleura. In: Mattox KL, Feliciano DV, Moore EE, editors. Trauma, 4th Spanish ed. México: McGraw-Hill Interamericana, 2001; 559–80.spa
dc.relation.referencesLocicero J, Mattox KL. Epidemiologı´a (estadística) del trauma de torax. Clınicas Quirúrgicas de N.A. 1989;69:11–22spa
dc.relation.referencesCoselli JS, Mattox KL, Beall AC. Reevaluation of early evacuation of clotted hemothorax. Am J Surg. 1984;148:786–90.spa
dc.relation.referencesHeniford B, Carrillo E, Spain D, Fulton R, Richardson J. The role of thoracoscopy in the management of retained thoracic collections after trauma. Ann Thorac Surg. 62 1997;63:940–3spa
dc.relation.referencesAdrales G, Huynh T, Broering B, Sing RF, Miles W, Thomason MH, Jacobs DG. A thoracostomy tube guideline improves management efficiency in trauma patients. J Trauma. 2002;52(2):210–4spa
dc.relation.referencesDepartment of Surgery, Universidad de Antioquia, Medellín, Colombia, Risk factors associated with the development of post-traumatic retained hemothorax; Eur J Trauma Emerg Surg (2011) 37:583–589spa
dc.relation.referencesNathan W., Thomas W., et al. Thoracic irrigation prevents retained hemothorax: a prospective propensity scored analysis. Medical College of Wisconsin, Milwaukee, WI; and Division of General Surgery, Department of Surgery (J.S.P.), University of New Mexico, Albuquerque, NM. J Trauma Acute Care Surg, volume 83, Number 6, 2017spa
dc.relation.referencesRiyad J., Holevar M., Sullivan R., Fleisig A., et al. Residual hemothorax after chest tube placement correlates with increased risk of empyema following traumatic injury. Can Respir J 2008;15(5):255-258.spa
dc.relation.referencesRuiz A, Restrepo C. Epidemiología clínica: investigación clínica aplicada 2ª Edición. Bogotá: Editorial Médica Panamericana; 2015.spa
dc.subject.proposalHemotóraxspa
dc.subject.proposalHemoneumotóraxspa
dc.subject.proposalHemotórax coaguladospa
dc.subject.proposalHemotórax retenidospa
dc.publisher.grantorUniversidad Militar Nueva Granadaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f*
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.identifier.instnameinstname:Universidad Militar Nueva Granadaspa
dc.identifier.reponamereponame:Repositorio Institucional Universidad Militar Nueva Granadaspa
dc.identifier.repourlrepourl:https://repository.unimilitar.edu.cospa
dc.rights.localAcceso abiertospa
dc.coverage.sedeMedicinaspa


Files in this item

Thumbnail
Name:
VélezCastañoPaulaAndrea,2020.pdf
Size:
1.581Mb
Format:
PDF
Description:
trabajo de grado
View/Open

This item appears in the following Collection(s)

Show simple item record

http://creativecommons.org/licenses/by-nc-nd/4.0/
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc-nd/4.0/