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Coronavirus con ASMA.<\/strong><\/p>\n

Las infecciones virales pueden generar cuadros de hiperreactividad bronquial.\u00a0 \u00a0La <\/span><\/span>\u00a0nebulizaci\u00f3n se considera un procedimiento generador de aerosol.\u00a0Para los pacientes con COVID-19 que est\u00e1n intubados y requieren broncodilatadores para una indicaci\u00f3n basada en la evidencia (p. Ej., Broncoespasmo agudo por asma o exacerbaci\u00f3n cr\u00f3nica de la enfermedad pulmonar obstructiva), se prefiera el uso de inhaladores de dosis medidas en l\u00ednea (MDI, es decir, inhaladores secos de polvo) en lugar de la administraci\u00f3n a trav\u00e9s de un nebulizador de malla vibratoria debido al menor riesgo de aerosolizaci\u00f3n asociada con los MDI<\/span>. <\/span><\/p>\n

Para los medicamentos que solo se pueden administrar a trav\u00e9s de un nebulizador, se debe considerar suspender el medicamento si no es esencial para la atenci\u00f3n aguda.<\/span><\/p>\n

La colocaci\u00f3n de un filtro en el puerto espiratorio del circuito de ventilaci\u00f3n durante la nebulizaci\u00f3n es prudente para minimizar la aerosolizaci\u00f3n en la habitaci\u00f3n.\u00a0<\/span>Idealmente, los pacientes que requieren nebulizadores deben estar en una sala de aislamiento de infecciones en el aire.\u00a0<\/span>Solo el personal sanitario necesario para la administraci\u00f3n del nebulizador (p. Ej., Terapeutas respiratorios o enfermeras) debe estar en la sala para iniciar el procedimiento y se deben tomar precauciones similares a las de la intubaci\u00f3n.\u00a0<\/span><\/p>\n

Fuente: https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=18158713<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"