{"id":5783,"date":"2009-05-19T15:04:21","date_gmt":"2009-05-19T15:04:21","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pultt\/"},"modified":"2025-05-14T19:09:26","modified_gmt":"2025-05-14T19:09:26","slug":"pultt","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pultt\/","title":{"rendered":"Indicaciones y Contraindicaciones para la Inserci\u00f3n de Drenaje Tor\u00e1cico"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>En la pr\u00e1ctica hospitalaria actual, los drenajes tor\u00e1cicos se utilizan en muchos entornos cl\u00ednicos diferentes y los m\u00e9dicos de la mayor\u00eda de las especialidades deben ser capaces de insertarlos de forma segura.<!--more--><\/p>\n<p><strong>Indicaciones para la inserci\u00f3n de drenaje tor\u00e1cico<\/strong><\/p>\n<ul>\n<li>Neumot\u00f3rax\n<ul style=\"list-style-type: circle;\">\n<li>en cualquier paciente ventilado<\/li>\n<li>neumot\u00f3rax a tensi\u00f3n o despu\u00e9s de la punci\u00f3n inicial de urgencia<\/li>\n<li>neumot\u00f3rax persistente o recurrente despu\u00e9s de aspiraci\u00f3n simple<\/li>\n<li>neumot\u00f3rax espont\u00e1neo secundario grande en pacientes mayores de 50 a\u00f1os<\/li>\n<\/ul>\n<\/li>\n<li>Derrame pleural maligno<\/li>\n<li>Empiema y derrame pleural paraneum\u00f3nico complicado<\/li>\n<li>Hemoneumot\u00f3rax traum\u00e1tico<\/li>\n<li>Postoperatorio: por ejemplo, toracotom\u00eda, esofagectom\u00eda, cirug\u00eda card\u00edaca<\/li>\n<\/ul>\n<p><strong>Contraindicaciones:<\/strong> No hay contraindicaciones absolutas para colocar tubo de drenaje por toracostom\u00eda, especialmente si el paciente se encuentra con distress respiratorio o neumot\u00f3rax a tensi\u00f3n. La anticoagulaci\u00f3n o di\u00e1tesis hemorr\u00e1gica es una contraindicaci\u00f3n relativa en un paciente sometido a la colocaci\u00f3n de tubo de t\u00f3rax para pleurodesis. La inserci\u00f3n a ciegas de un tubo tor\u00e1cico es peligroso en un paciente con adherencias por infecci\u00f3n, pleurodesis previa, o trasplante pulmonar; el procedimiento guiado por TAC sin contraste es de elecci\u00f3n en estos pacientes.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Laws D, Neville E, Duffy J; Pleural Diseases Group, Standards of Care Committee, British Thoracic Society. BTS guidelines for the insertion of a chest drain. Thorax. 2003 May;58 Suppl 2:ii53-9. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12728150\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 19, 2009<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>En la pr\u00e1ctica hospitalaria actual, los drenajes tor\u00e1cicos se utilizan en muchos entornos cl\u00ednicos diferentes y los m\u00e9dicos de la mayor\u00eda de las especialidades deben ser capaces de insertarlos de forma segura.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[1005,1004,74,73,29,2070,2069,2068,2071],"class_list":["post-5783","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-contraindicaciones","tag-contraindications","tag-indicaciones","tag-indications","tag-pulmonary","tag-thoracostomy","tag-toracostomia","tag-tube","tag-tubo"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5783","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=5783"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5783\/revisions"}],"predecessor-version":[{"id":8892,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5783\/revisions\/8892"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=5783"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=5783"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=5783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}