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1. Republica Bolivariana De Venezuela Ministerio del Poder Popular para la Salud Hospital DR. Luis Razetti Barinas Post Grado De Anestesiología y reanimación Dra. Magdiela Cristancho R1 Del Post Grado de Anestesiología y Reanimación

2. La evaluación de la vía aérea y su manejo es una habilidad fundamental que todo medico debe tener, y esta enfocada principalmente en detectar elementos que sean indicativos de una ventilación difícil y posteriormente una intubación difícil. Lo cual permitirá tomar las medidas correspondientes para su manejo. Valoración de la vía aérea

3. Patient care — You can describe the topic of the section here — Introducción

4. Evaluación de la vía aérea difícil

5. Definiciones Vía aérea difícil : Es aquella situación clínica en la cual un anestesiólogo con entrenamiento convencional experimenta dificultad para la ventilación de la vía aérea superior con una mascarilla facial, dificultad para la intubación traqueal o ambas. Ventilación difícil: Se define como la incapacidad de un anestesiólogo entrenado para mantener la saturación de oxigeno mayor del 90 por ciento usando una mascarilla facial con una fracción inspiratoria de oxigeno del 100 porciento

6. Intubación difícil: Se define como la necesidad de tres o mas intentos para la intubación de la tráquea o mas de 10 minutos para conseguirla Laringospia difícil: No es posible visualizar ninguna porción de la glotis, grados 3 y 4 en la clasificación de laringospia de Cormack y Lehane

7. Historia clínica Detectar antecedentes anestésicos de intubación difícil Siempre que nos encontremos con esta situación debe de hacerse un informe de posibles causas, y del manejo de la misma.

8. Mission Diabetes de larga evolución Enfermedades asociadas que se relacionan con vía aérea difícil

9. Acromegalia : La hipertrofia de lengua y úvula o estreches del cricoides están relacionadas con dificultad en ventilación y intubación Síndrome de Down : Macroglosia Artritis reumatoide : Alteración de la articulación atlanto –axoidea Enfermedades infecciosas o neoplásicas de la vía aérea superior

10. Signos clínicos predictivos de dificultad de ventilación Nemotecnia ventilación difícil: O: Índice de masa corporal mayor de 30 B: Barba E: Edad mayor de 55 anos S: Historia de ronquidos E: Edentulo

11. Signos clínicos predictivos de dificultad de intubacion Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Debemos valorar la anatomía de la cara del paciente para buscar signos que nos orienten a una posible intubación difícil entre ellos.

12. Clase I: visibilidad del paladar blando, úvula y pilares amigdalinos, Clase II: visibilidad del paladar blando y úvula, Clase III: visibilidad del paladar blando base de la úvula, Clase IV: imposibilidad para ver el paladar blando.  

13. Milestones reached 01 02 03 04 Venus It’s the second planet from the Sun Mercury Mercury is the smallest planet Mars Despite being red, Mars is a cold place Saturn Saturn is a gas giant and has several rings

14. Our process Mercury Mercury is the closest planet to the Sun Venus Venus is the second planet from the Sun Jupiter Jupiter is the biggest planet of them all Saturn It’s composed of hydrogen and helium 01 03 02 04

15. Patient care Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon. The planet’s name has nothing to do with the liquid metal, since Mercury was named after the Roman messenger god

16. Areas we cover Jupiter Mercury Venus Mars Area 1 Area 2 Area 3 Area 4

17. Mercury Earth Mars Services Mercury is the closest planet to the Sun and also the smallest of them all Earth is the third planet from the Sun and the only one that harbors life Despite being red, Mars is a cold place, not hot. It’s full of iron oxide dust

18. Key accomplishments 2021 — 2022 — You can list your accomplishments here You can list your accomplishments here You can list your accomplishments here You can list your accomplishments here You can list your accomplishments here You can list your accomplishments here You can list your accomplishments here You can list your accomplishments here

19. Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon 95%

20. Our clinics Mercury Mercury is the closest planet to the Sun Jupiter Jupiter is the biggest planet of them all 1,241,240 patients 41,240 centers

21. Mars Mercury Venus Saturn Innovations Despite being red, Mars is a cold place Venus is the second planet from the Sun Mercury is the closest planet to the Sun Saturn is a gas giant and has several rings

22. Mercury Neptune Venus Mars Saturn Jupiter Quality improvement measures Mercury is the closest planet to the Sun Jupiter is the biggest planet of them all Venus is the second planet from the Sun Mars is actually a very cold place It’s composed of hydrogen and helium Neptune is very far away from the Sun

23. Your health is important

24. A picture is worth a thousand words

25. Testimonials John James, 58 “Neptune is the fourth-largest planet by diameter in the entire Solar System” “Mercury is the closest planet to the Sun and the smallest one in the Solar System” “Saturn is the ringed planet. It’s composed mostly of hydrogen and helium” Jenna Doe, 25 Karen Fisher, 36

26. Our team John Doe Sarah James You can replace the image on the screen with your own You can replace the image on the screen with your own

27. Awards Mercury Mercury is the closest planet to the Sun Venus Venus is the second planet from the Sun Jupiter Jupiter is the biggest planet of them all Saturn It’s composed of hydrogen and helium A B C D

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