<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912019000100033</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/01.01.2019.33</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación del manejo avanzado de la vía aérea en un departamento de emergencia pediátrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of advanced airway management in a pediatric emergency department]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Céspedes]]></surname>
<given-names><![CDATA[Liz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morilla]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesquita]]></surname>
<given-names><![CDATA[Mirta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pavlicich]]></surname>
<given-names><![CDATA[Viviana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital General Pediátrico Acosta Ñu ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>1</volume>
<numero>1</numero>
<fpage>33</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912019000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912019000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912019000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La intubación endotraqueal (IET) en pacientes críticamente enfermos es un procedimiento de alto riesgo que requiere alta competencia en el manejo de la vía aérea. Es esencial conocer las habilidades de los médicos de emergencia en el manejo avanzado de vías aéreas y de vías aéreas difíciles (VAD). Estudio observacional, descriptivo y prospectivo cuyo objetivo fue describir el manejo avanzado de vías aéreas y VAD en un departamento de emergencia pediátrica. Fueron incluidos 66 pacientes de 0 a 18 años que requirieron intubación endotraqueal entre mayo 2018 a enero 2019. Se evaluó el diagnóstico fisiopatológico, prevalencia de VAD, uso de secuencia de intubación rápida (SIR), herramienta utilizada para la intubación, tiempo de intubación, intentos, operador, y complicaciones. Se estableció como éxito si el paciente era intubado en dos intentos. En el 19,7% de los pacientes se identificó predicción de VAD, se realizó SIR en 64 (96,9%) pacientes. La tasa de éxito fue 77,3% (51/66), en el primer intento 39/66 (59,1%) y en el segundo 12/54 (77,3%). Se requirió cambio de operador en 14 oportunidades. Todos fueron intubados por laringoscopia convencional. El tiempo de intubación osciló entre 2-6 minutos. La media del número de intentos fue 1,8 (± 1,4). Las complicaciones del IET se presentaron en 22 pacientes, siendo la frecuencia de saturación menor a 70% significativamente mayor en los pacientes que requirieron más de dos intentos para la intubación. La identificación de VAD se presentó con relativa frecuencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Endotracheal intubation (EIT) in critically ill patients is a high-risk procedure that requires high competence in the management of the airway. It is essential to know the skills of emergency physicians in the advanced management of airways and difficult airways (DA). Observational, descriptive and prospective study with the objective to describe the advanced management of airways and VAD in a pediatric emergency department, that includes patients from 0 to 18 years who required endotracheal intubation between May 2018 and January 2019. The physio pathological diagnosis, prevalence of VAD, use of rapid intubation sequence (SIR), tool used for intubation, intubation time, attempts, operator, and complications were evaluated. It was established as success if the patient was intubated in two attempts. We studied 66 patients between 0.7-192 months of age (median: 7.5 months). In 19.7% of the patients, prediction of VAD was identified; SIR was performed in 64 (96.9%) patients. Success rate was 77.3% (51/66), in the first attempt 39/66 (59.1%) and in the second 12/54 (77.3%). Operator change was required in 14 opportunities. All patients were intubated by conventional laryngoscopy. Intubation time ranged between 2-6 minutes. mean number of attempts was 1.8 (± 1.4). Complications of the EIT were present in 22 patients; frequency of saturation less than 70% was significantly higher in patients who required more than two attempts for intubation. The identification of difficult airway was relatively frequent.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[intubación intratraqueal]]></kwd>
<kwd lng="es"><![CDATA[manejo de la vía aérea]]></kwd>
<kwd lng="es"><![CDATA[medicina de urgencia pediátrica]]></kwd>
<kwd lng="en"><![CDATA[intubation intratracheal]]></kwd>
<kwd lng="en"><![CDATA[airway management]]></kwd>
<kwd lng="en"><![CDATA[pediatric emergency medicine]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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