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Las vías respiratorias del obturador esofágico. Una revisión es una revisión
JAMA
|August 26, 1983
Resumen
La vía aérea obturadora esofágica (EOA) carece de evidencia para la ventilación de paro cardíaco prehospitalario y se han reportado complicaciones fatales. Su uso para reemplazar la intubación endotraqueal no está respaldado por la investigación actual.
Área de la Ciencia:
- Medicina de emergencia Medicina de emergencia.
- Cuidados críticos en cuidados intensivos.
- Gestión de las vías aéreas.
Sus antecedentes:
- La vía aérea obturadora esofágica (EOA) es un dispositivo utilizado para la ventilación durante la resucitación cardiopulmonar (RCP).
- Su eficacia y seguridad en comparación con otros métodos de ventilación siguen siendo objeto de debate en entornos prehospitalarios.
Objetivo del estudio:
- Revisar la literatura existente sobre las vías respiratorias del obturador esofágico (EOA).
- Aclarar el papel de la EOA en el manejo ventilatorio para pacientes que requieren RCP.
Principales métodos:
- Se llevó a cabo una revisión exhaustiva de la literatura.
- Se analizaron estudios que comparaban la EOA con métodos alternativos de ventilación en humanos.
- Se hizo hincapié en los estudios de campo que evalúan la eficacia prehospitalaria.
Principales resultados:
- Solo un estudio de campo evaluó la efectividad de la EOA en el paro cardíaco prehospitalario.
- No hay evidencia actual que respalde la eficacia de la EOA para la ventilación en el paro cardíaco prehospitalario.
- Se han documentado complicaciones fatales asociadas con el uso de EOA.
Conclusiones:
- La eficacia de la EOA para la ventilación de paro cardíaco prehospitalario no está justificada.
- La EOA no debe usarse para reemplazar la intubación endotraqueal en el manejo de las vías respiratorias.
- Se necesita más investigación para establecer el papel de la EOA, si lo hay, en la RCP.
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