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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Rapid IJ (aka Easy Internal Jugular Cannulation)

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lunes, 17 de octubre de 2016

Trendelenburg Position

Resultado de imagen de life in the fast lane
Life in the Fast Lane - By Kane Guthrie
"Summary:
Current data to support the use of the Trendelenburg position during shock are limited and do not reveal any beneficial or sustained changes in systolic blood pressure or cardiac output.
Complications of the Trendelenburg position in the hypotensive patient
  • Anxiety and restlessness
  • Progressive dyspnea
  • Hypoventilation and atelectasis caused by reduced respiratory expansion
  • Altered ventilation/perfusion ratios from gravitation of blood to the poorly ventilated lung apices
  • Increasing venous congestion within and outside the cranium leading to increased intracranial pressure
  • Pressure from abdominal organs is transmitted into the thoracic cavity, which can impair venous return to the heart, leading to a further decreased cardiac output and hypotension
  • Increase risk of aspirating gastric contents"