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Evaluación ecográfica preoperatoria, del contenido gástrico en niños una hora después de la ingestión de líquido claro
dc.contributor | Arango, Fernando | |
dc.contributor.advisor | TRUJILLO-MEJIA, ALEXANDER | |
dc.contributor.author | Valencia Cataño, Alejandra | |
dc.date.accessioned | 2022-02-17T19:38:37Z | |
dc.date.available | 2022-02-17T19:38:37Z | |
dc.date.issued | 2022-02-16 | |
dc.identifier.uri | https://repositorio.ucaldas.edu.co/handle/ucaldas/17421 | |
dc.description | Gráficas | spa |
dc.description.abstract | spa:La ecografía gástrica es un método efectivo, no invasivo, para evaluar la naturaleza y el volumen del contenido gástrico en población pediátrica. Un consenso reciente de la Asociación de Anestesiólogos Pediatras de Gran Bretaña e Irlanda, la Sociedad Europea de Anestesiología Pediátrica y la Sociedad de Anestesia y Reanimación francesa recomienda disminuir a una hora el ayuno para líquidos claros en niños. Sin embargo, los estudios que muestran que una hora de ayuno es segura en población pediátrica aún son escasos. Este estudio pretende verificar mediante evaluación ecográfica si una hora de ayuno para líquidos claros es suficiente para tener un estómago vacío antes de la inducción anestésica. Metodología: Se incluyeron pacientes entre 11 meses y 16 años de edad programados para cirugía electiva ambulatoria. Se realizó una evaluación ecográfica cualitativa y cuantitativa calculando el área transversal del antro gástrico, una hora después de haber ingerido un volumen de 3 mL/kg de una bebida deportiva no gaseosa, previo a la inducción anestésica. Resultados: Se incluyeron 50 pacientes en la evaluación, los cuales fueron incluidos en el análisis final. En todas las evaluaciones ecográficas se pudo localizar el antro gástrico de forma adecuada en el área epigástrica. El promedio del área transversal medida ecográficamente fue de 2.85 ± 1.64 cm2 con un promedio de volumen total calculado de 12.9 ± 11.06 mL. Todos los pacientes tuvieron criterio de estómago vacío (volumen calculado ≤ 1.5 mL/kg) durante la evaluación ecográfica, con un promedio de 0.40 ± 0.23 mL/kg. Con la evaluación cualitativa del volumen gástrico, 19 pacientes (38%) fueron clasificados como grado 0, 31 pacientes (62%) como grado 1 y ninguno como grado 2. Conclusión: Una hora de ayuno tras la ingestión de 3mL/kg de una bebida deportiva no gaseosa es suficiente para cumplir criterios ecográficos de estómago vacío en población pediátrica sometida a cirugía ambulatoria electiva. | spa |
dc.description.abstract | eng:Gastric ultrasound is an effective, non-invasive method to assess the nature and volume of gastric content in the pediatric population. A recent consensus of the Association of Pediatric Anesthesiologists of Great Britain and Ireland, the European Society of Pediatric Anesthesiology, and the French Anesthesia and Resuscitation Society recommends shortening the fast for clear fluids in children to one hour. However, studies showing that one hour of fasting is safe in the pediatric population are still scarce. This study aims to verify by ultrasound evaluation if one hour of fasting for clear liquids is sufficient to have an empty stomach before anesthetic induction. Methodology: Patients between 11 months and 16 years of age scheduled for elective outpatient surgery were included. A qualitative and quantitative ultrasound evaluation was performed by calculating the cross-sectional area of the gastric antrum, one hour after ingesting a volume of 3 mL/kg of a non-carbonated sports drink, prior to anesthetic induction. Results: 50 patients were included in the evaluation, which were included in the final analysis. In all the ultrasound evaluations, the gastric antrum could be adequately located in the epigastric area. The average cross-sectional area measured by ultrasound was 2.85 ± 1.64 cm2 with an average calculated total volume of 12.9 ± 11.06 mL. All patients had an empty stomach criterion (calculated volume ≤ 1.5 mL/kg) during the ultrasound evaluation, with an average of 0.40 ± 0.23 mL/kg. With the qualitative evaluation of gastric volume, 19 patients (38%) were classified as grade 0, 31 patients (62%) as grade 1 and none as grade 2. Conclusion: One hour of fasting after ingestion of 3mL/kg of a Non-carbonated sports drink is sufficient to meet ultrasound criteria for empty stomach in pediatric population undergoing elective outpatient surgery | eng |
dc.description.tableofcontents | 1. Introducción/ 2. Planteamiento del problema / 3. Pregunta de investigación / 4. Justificación / 5. Marco teórico / 5.1 Ayuno prequirugico / 5.2 Tiempo de ayuno en pacientes pediátricos / 5.3 Tiempo de vaciamiento gástrico / 5.4 ayuno prequirugico / 5.5 Efectos deletéreos del ayuno prolongado / 5.6 ecografía gástrica / 6. Objetivos / 6.1 Objetivo general / 6.2 Objetivos específicos / 7. Metodología / 7.1 Tipo de investigación / 7.2 Nivel de investigación / 7.3 Población / 7.4 Muestra / 7.5 Criterios de inclusión / 7.6 criterios de exclusión / 7.7 Técnica de recolección de datos / 7.8 Protocolo del estudio / 7.4 análisis estadístico / 8. aspectos bioéticos / 9. resultados / 10. discusión / 11. Conclusión / 12. Anexos / 13. Referencias . | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | eng | spa |
dc.language.iso | spa | spa |
dc.title | Evaluación ecográfica preoperatoria, del contenido gástrico en niños una hora después de la ingestión de líquido claro | eng |
dc.type | Trabajo de grado - Especialización | spa |
dc.description.degreelevel | Especialización | spa |
dc.identifier.instname | Universidad de Caldas | spa |
dc.identifier.reponame | Repositorio institucional Universidad de Caldas | spa |
dc.identifier.repourl | https://repositorio.ucaldas.edu.co/ | spa |
dc.publisher.faculty | Facultad de Ciencias para la Salud | spa |
dc.publisher.place | Manizales | spa |
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dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.subject.lemb | Anestesia | |
dc.subject.lemb | Cirugía infantil | |
dc.subject.proposal | Anesthesia | eng |
dc.subject.proposal | Pediatrics | eng |
dc.subject.proposal | Ultrasonography | eng |
dc.subject.proposal | Measurement | eng |
dc.subject.unesco | Pediatría | |
dc.type.content | Text | spa |
dc.type.driver | info:eu-repo/semantics/bachelorThesis | spa |
dc.type.redcol | https://purl.org/redcol/resource_type/TP | spa |
dc.type.version | info:eu-repo/semantics/publishedVersion | spa |
oaire.version | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
oaire.accessrights | http://purl.org/coar/access_right/c_14cb | spa |
dc.description.degreename | Especialista en Anestesiología | spa |
dc.publisher.program | Especialización en Anestesiología | spa |
dc.description.researchgroup | Ecografia | spa |
dc.rights.coar | http://purl.org/coar/access_right/c_14cb | spa |