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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Técnica práctica y guía de manejo clínico para la versión cefálica externa

Jun Takeda1, Asako Kumagai1, Nami Tamura1

  • 1Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan.

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Resumen

La versión cefálica externa (VCE) ayuda a girar a los bebés de nalgas a una posición de cabeza hacia abajo. Esta guía ofrece técnicas estandarizadas para mejorar el éxito de la VCE y reducir los nacimientos por cesárea.

Palabras clave:
Presentación de nalgasCesáreaVersión cefálica externaProcedimientos obstétricos

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Área de la Ciencia:

  • Obstetricia y Ginecología; Medicina Fetal; Técnicas Quirúrgicas

Sus antecedentes:

  • Las guías internacionales recomiendan la versión cefálica externa (VCE) para presentaciones de nalgas a término para reducir los partos por cesárea.
  • Existe una guía técnica estandarizada y un manejo perioperatorio limitados para la VCE.
  • La VCE implica la manipulación abdominal externa para rotar al feto de la presentación de nalgas a la cefálica.

Objetivo del estudio:

  • Proporcionar una guía práctica y clínicamente aplicable para la versión cefálica externa (VCE).
  • Detallar las medidas preparatorias, una técnica paso a paso y el manejo post-procedimiento para la VCE.
  • Apoyar una implementación más segura y efectiva de la VCE para reducir los nacimientos por cesárea.

Principales métodos:

  • Revisión de un protocolo institucional establecido para la VCE.
  • Descripción detallada de la selección de pacientes, el consentimiento informado y el manejo pre-procedimiento (ultrasonido, monitorización, ritodrina, analgesia).
  • Explicación paso a paso de la técnica de VCE enfatizando el desprendimiento, la rotación y el encajamiento fetal, con medidas de seguridad.

Principales resultados:

  • La VCE está indicada para embarazos de nalgas únicos a las ≥37 semanas de gestación sin contraindicaciones para el parto vaginal.
  • La técnica descrita incluye maniobras específicas para la rotación y el encajamiento, con confirmación por ultrasonido.
  • La realización de la VCE en un quirófano con acceso inmediato a cesárea mejora la seguridad.

Conclusiones:

  • La guía estandarizada de VCE puede mejorar la seguridad y la eficacia del procedimiento.
  • Esta revisión ofrece un enfoque reproducible para la VCE, lo que podría reducir las cesáreas innecesarias.
  • La implementación de esta guía puede mejorar la confianza del médico y los resultados de los pacientes.