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Úloha bronchoskopie v intenzívnej starostlivosti Štefan Laššán, Ivan Majer,  Juraj Demian   Bronchoskopické odd., Klinika PaF LFUK, FNsP Bratislava – prevádzka Ružinov
Charakteristika BSC v intenzívnej starostlivosti:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indikácie BSC v intenzívnej starostlivosti: ,[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]
Bronchoskopia v intenzívnej starostlivosti: ,[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]
Bronchoskopia v intenzívnej starostlivosti: ,[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]
Kontraindikácie k BSC u pac. s urgentnou starostlivosťou: ,[object Object],[object Object],[object Object],[object Object]
Komplikácie BSC výkonov:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Stagnácia sekrétu v tracheobronchiálnom strome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
2. Zabezpečenie priechodnosti centrálnych DC: benígne (postintubačné/ posttracheostomické) stenózy trachey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
2. Zabezpečenie priechodnosti centrálnych DC: nádorové stenózy a obturácie trachey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. Zabezpečenie priechodnosti centrálnych DC  - BSC výkony: ,[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]
Rôzne typy stentov: Polyflex expandible Rush stents Hood stents Dumont stents Covered Ultraflex stent Dumont Y stent Dynamic Freitag stent
2. Zabezpečenie priechodnosti centrálnych DC: intubácia ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
2. Zabezpečenie priechodnosti DC - extrakcia cudzích telies ,[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]
2. Zabezpečenie priechodnosti DC - extrakcia cudzích telies Cieľ urgentnej BSC:   extrakcia cudzieho telesa, toaleta bronchiálneho stromu   rigídna / flexibilná BSC  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
3. Hemoptoe, masívna hemoptýza ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Hemoptoe, masívna hemoptýza ,[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]
4. Poranenia dýchacích ciest ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Poranenia dýchacích ciest ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
5. Tracheoezofageálna,  bronchopleurálna fistula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
6. Komplikácie u pacientov s UPV ,[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]
7. Termické alebo chemické  poškodenie DC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
7. Termické alebo chemické  poškodenie DC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
8. Menej časté indikácie:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Faktory spojené so zvýšeným rizikom komplikácií pri urgentných BSC   Prakash UBS, Am J Crit care Med 1997 ,[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]
 

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Bronchoscopy

  • 1. Úloha bronchoskopie v intenzívnej starostlivosti Štefan Laššán, Ivan Majer, Juraj Demian Bronchoskopické odd., Klinika PaF LFUK, FNsP Bratislava – prevádzka Ružinov
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