Ucitraumatorax ii

TRAUMA DE TÒRAX ,[object Object],[object Object]

TRAUMA DE TORAX ,[object Object],[object Object],[object Object],[object Object]

TRAUMA TORÁCICO- HISTORIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

TRAUMA DE TORAX - EVOLUCIÓN ,[object Object],[object Object],[object Object]

LA ERA MODERNA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MECANISMO DE TRAUMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],182 70 40 8 N = 300 TRAUMA DE TORAX UV- HUV. 1993 ACP BALA CERRADO OTRO

IMPACTO EN EL MANEJO DEL TRAUMA TORACICO ,[object Object],[object Object],[object Object],[object Object],[object Object]

ABORDAJE INICIAL DEL TRAUMA TORACICO ,[object Object],[object Object],[object Object],[object Object]

MANEJO INICIAL ,[object Object],[object Object],[object Object],[object Object],REANIMACION MANEJO DEFINITIVO

VALORACIÓN PRIMARIA RESUCITACIÓN ,[object Object],[object Object],[object Object],[object Object],A B C D

LESIONES QUE AMENAZAN LA VIDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LESIONES QUE AMENAZAN LA VIDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A

LESIONES DE LA VÍA AÉREA ,[object Object],[object Object],[object Object],[object Object],[object Object]

LESIONES QUE AMENAZAN LA VIDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B

NEUMOTÓRAX A TENSIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NEUMOTÓRAX A TENSIÓN ,[object Object],[object Object],[object Object]

NEUMOTÓRAX COMUNICANTE ,[object Object],[object Object],[object Object],[object Object]

NEUMOTÓRAX COMUNICANTE ,[object Object],[object Object],[object Object],[object Object],[object Object]

TÓRAX INESTABLE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LESIONES QUE AMENAZAN LA VIDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],C

HEMOTORAX MASIVO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

INDICACIÓN DE TORACOTOMÍA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TAPONAMIENTO CARDIACO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ECOCARDIOGRAFÍA ,[object Object],[object Object],[object Object],[object Object]

ECOGRAFÌA ,[object Object],[object Object]

VENTANA PERICARDICA POR TORACOSCOPÍA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],108 33 (30.6%) 15 8 5 2 3 J Trauma 1997; 42: 273

TRAUMA PRECORDIAL TORACOTOMIA ,[object Object],[object Object],[object Object]

TRAUMA PRECORDIAL – MANEJO SELECTIVO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PRECORDIAL TRAUMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VALORACIÓN SELECTIVA DEL TRAUMA PRECORDIAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LESIONES POTENCIALMENTE LETALES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONTUSIÓN PULMONAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONTUSION CARDIACA Lesiones sin compromiso Hemodinamico. Lesiones isquèmicas Arritmias. Insuficiencias valvulares Alteraciones contractiles. ECG Y ENZIMAS No predicen complicaciones. ECO en trauma cerrado TROPONINA (6 horas) Especìfica daño miocardico.

RUPTURA DE AÒRTA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RUPTURA DE DIAFRAGMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RUPTURA TRAQUEOBRONQUIAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RUPTURA ESOFÀGICA ESOFAGOSTOMÍA + DRENAJE

RUPTURA ESOFÀGICA DESCONEXION ESOFAGOSTOMIA + DRENAJE + YEYUNOSTOMÍA

RUPTURA ESOFÀGICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],INTERPOSICION DE COLON INTERPOSICION DE ESTOMAGO

TRAUMA CRITICAL CARE GOALS ,[object Object],[object Object],[object Object],[object Object]

VALOR DE LA RADIOGRAFIA DE TÓRAX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RX TÒRAX – QUE SE BUSCA ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TAC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TAC ,[object Object],[object Object],[object Object],[object Object]

ABORDAJE INICIAL DEL TRAUMA TORÁCICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONTROL DE DAÑOS EN TRAUMA DE TÒRAX - TORACOTOMÍA EN SALA DE URGENCIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TORACOTOMÍA DIFERIDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TORACOTOMIA ALEJADA ,[object Object],[object Object],[object Object]

VATS – LOS INICIOS ,[object Object],[object Object],[object Object],[object Object]

VATS – EVOLUCIÓN ,[object Object],[object Object]

Indicaciones de toracoscopía Indicaciones de la toracoscopía Cirugía Torácica Videoasistida Toracoscopía Médica

VATS Y TRAUMA TORÁCICO ,[object Object],[object Object],[object Object]

VIDEOTORACOSCOPIA ( VATS ) - INDICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VIDEOTORACOSCOPÍA (VATS) ,[object Object],[object Object],[object Object],[object Object]

NIVELES DE EVIDENCIA Y GRADO DE RECOMENDACIÓN EN TRAUMA DE TÒRAX ,[object Object],[object Object],[object Object],[object Object],[object Object],I II III1 III2 III3 IV A A B.C B,C B,C B,C

NIVELES DE EVIDENCIA EN TRAUMA DE TÒRAX ,[object Object],[object Object],[object Object],III 1 (2.17%) III 2 (7%) III 3 (57.6%) IV (18.4%)

PRUEBAS DIAGNÒSTICAS ,[object Object],[object Object],[object Object]

TRAUMA MANEJO MULTIDISCIPLINARIO Y TECNOLOGÌA

SISTEMA ROBÓTICO TELEQUIRÚRGICO ZEUS REALIDAD ACTUAL

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],REVISIÓN PRIMARIA R E V I S I O N S E C U N D A R I A ENFOQUE INICIAL

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