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        <div id="content-top1">Page 6 - CUIDADOS ESPECIFICOS</div>
        <div id="content-top2">P. 6</div>
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    <pre style="white-space:pre-line"><code>www.enfermeriarespira.es  6. CUIDADOS DEL NEUMOTAPONAMIENTO

                        El neumotaponamiento tiene como objetivos, â€œanclarâ€ el tubo en la trÃ¡quea, sellar la vÃ­a
                        aÃ©rea para permitir la ventilaciÃ³n artificial y aislarla. Comprobar periÃ³dicamente su
                        inflado con un manÃ³metro tiene que formar parte de los cuidados del paciente
                        intubado.

                                                                     Un â€œneumoâ€ mal inflado, produce fugas, favorece
                                                                     la movilizaciÃ³n del tubo con riesgo de intubaciÃ³n
                                                                     selectiva y la broncoaspiraciÃ³n de secreciones. Se
                                                                     ha observado un aumento de infecciones cuando
                                                                     la presiÃ³n del balÃ³n es inferior a 20 cmH2O. Por
                                                                     otro lado, la presiÃ³n excesiva del balÃ³n (superior a
                                                                     30-35 cmH2O) conlleva un alto riesgo de producir
                                                                     isquemia de la mucosa traqueal y necrosis.
                                                                     Lo ideal es mantener la presiÃ³n del balÃ³n entre 20-
                                                                     25 cmH2O, sin que existan fugas. Al margen de no
                                                                     oÃ­r ruidos a nivel traqueal de fuga aÃ©rea,
                                                                     confirmaremos que no la hay si el volumen
                        inspirado y el espirado, coinciden.

                         Actividades:
                        â€¢ Comprobar presiÃ³n del neumo en cada turno o cada 6 horas y previo a

                                movilizaciÃ³n del paciente (aseo, traslado, etcâ€¦)
                        â€¢ Comprobar ruidos respiratorios que indiquen fugas.
                        â€¢ Monitorizar Vc (insp y esp), presiones, fugas en el ventilador.</code></pre>
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