Fiebre En El Paciente Postoperado

Fiebre en el paciente postoperado Nicolás Bureo Gutiérrez Medicina Interna

Fiebre en el paciente postoperado ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre en el paciente postoperado ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Causas Infecciosas de fiebre postoperatoria

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Causas No Infecciosas de fiebre postoperatoria

Fiebre en el paciente postoperado ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre en el paciente postoperado ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre en el paciente postoperado ,[object Object],[object Object],[object Object],[object Object]

Fiebre en el paciente postoperado ,[object Object],[object Object],[object Object],[object Object],[object Object]

Infección, toxinas microbianas, Mediadores de la inflamación, Reacciones inmunes Monocitos / Macrófagos Células Endoteliales Otras Citoquinas Pirogénicas IL-1, IL-6, TNF, IFN Toxinas Microbianas Endotelio Hipotalámico (receptores específicos) PGE2 cAMP ↑ Centro Termorregulatorio ↑ Conservación de calor ↑ Producción de calor ¡¡¡ Fiebre !!!

Causa según momento de aparición ,[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre Inmediata (horas po) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre Aguda (1ª semana po) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre Aguda (1ª semana po) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Manning, BJ et al. Nasogastric intubation causes gastroesophageal reflux in patients undergoing elective laparotomy. Surgery 2001; 130:788

Fiebre Subaguda (1ª- 4ª semana po) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre Subaguda (1ª- 4ª semana po) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre diferida (> 1 mes po) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas Infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object]

Causas Infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas Infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas no infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas no infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas no infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas no infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causas no infecciosas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Consideraciones en Cirugías Específicas

Cirugía cardiotorácica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Infección de herida esternal y Mediastinitis. ,[object Object],[object Object],[object Object],[object Object]

Infección de herida esternal y Mediastinitis. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Infección de herida esternal y Mediastinitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cirugía cardiotorácica ,[object Object],[object Object],[object Object],[object Object]

Cirugía vascular ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cirugía vascular ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cirugía vascular ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cirugía abdominal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otras cirugías ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otras cirugías ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otras cirugías ,[object Object],[object Object],[object Object],[object Object]

Otras Cirugías ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otras Cirugías ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Manejo de la fiebre po ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fiebre En El Paciente Postoperado

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Fiebre En El Paciente Postoperado