Evaluación del contenido gástrico mediante ecografía gástrica (pocgus) previa al ecocardiograma transesofágico: ventajas y recomendaciones
DOI:
https://doi.org/10.37615/retic.v8n3a3Palabras clave:
aspiración, ultrasonido gástrico en el punto de atención, ecocardiografía transesofágicaResumen
El riesgo de aspiración gástrica (inhalación de contenido oral, faríngeo o gástrico hacia las vías aéreas inferiores)
durante un procedimiento anestésico o en el periodo perioperatorio se asocia directamente con un aumento de la morbilidad y mortalidad o lesiones permanentes. La Ecocardiografía Transesofágica (ETE) podría considerarse similar a una endoscopia superior o gastroscopia con abolición de los reflejos del tracto gastrointestinal durante la sedación y el consecuente riesgo de aspiración pulmonar especialmente si experimentan factores de riesgo. En el escenario previo a la realización de la ETE en el paciente adulto, la ecografía gástrica realizada por el mismo ecocardiografista y sin cambiar el transductor ni la configuración o preset puede confirmar o descartar estómago lleno y riesgo de aspiración, por lo que este artículo es una propuesta de abordaje para reducir la aspiración durante el procedimiento y sus respectivas complicaciones.
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