{"id":39563,"date":"2023-08-03T12:08:33","date_gmt":"2023-08-03T12:08:33","guid":{"rendered":"https:\/\/ifevet.com\/?p=37501"},"modified":"2025-01-10T15:54:03","modified_gmt":"2025-01-10T15:54:03","slug":"manejo-de-urgencia-en-paciente-con-colapso-traqueal","status":"publish","type":"post","link":"https:\/\/ifevet.com\/pt\/manejo-de-urgencia-en-paciente-con-colapso-traqueal\/","title":{"rendered":"Tratamento de emerg\u00eancia de doentes com colapso da traqueia"},"content":{"rendered":"

Introdu\u00e7\u00e3o<\/strong><\/p>\n

O colapso da traqueia ocorre frequentemente em ra\u00e7as pequenas. Tanto a por\u00e7\u00e3o intrator\u00e1cica como a extrator\u00e1cica podem ser afectadas, estendendo-se tamb\u00e9m ao br\u00f4nquio principal.<\/p>\n

A sua etiologia reside numa defici\u00eancia na matriz da cartilagem, que resulta num colapso do l\u00famen traqueal.<\/p>\n

 <\/p>\n

Diagn\u00f3stico<\/strong><\/p>\n

I) Sinais cl\u00ednicos: tosse, tosse grave ap\u00f3s excita\u00e7\u00e3o pelo exerc\u00edcio, s\u00edncope ap\u00f3s epis\u00f3dio de tosse, hipertermia, dificuldade respirat\u00f3ria moderada a grave.<\/p>\n

II) Radiografia cervico-tor\u00e1cica, lateral e dorsoventral: – Inspira\u00e7\u00e3o: na radiografia lateral, observa-se um estreitamento da por\u00e7\u00e3o extrator\u00e1cica da traqueia e um alargamento da por\u00e7\u00e3o intrator\u00e1cica. – Expira\u00e7\u00e3o: a radiografia lateral mostra uma dilata\u00e7\u00e3o da por\u00e7\u00e3o cervico-extrator\u00e1cica e um estreitamento da por\u00e7\u00e3o intrator\u00e1cica.<\/p>\n

III) Fluoroscopia<\/p>\n

IV) Broncoscopia<\/p>\n

 <\/p>\n

Controlo e tratamento de urg\u00eancia<\/strong><\/p>\n

I) Oxigenoterapia e seda\u00e7\u00e3o (butorfanol e\/ou acepromazina).<\/p>\n

II) Doses anti-inflamat\u00f3rias de corticoster\u00f3ides: 0,5 mg\/kg IV de metilprednisona.<\/p>\n

III) Terbutalina 0,01 mg\/kg IV, SC<\/p>\n

IV) Arrefecimento ativo do doente se a temperatura for superior a 39,5\u00baC.<\/p>\n

V) Os doentes que t\u00eam de ser entubados e n\u00e3o podem ser extubados devido a um maior colapso de cada vez que se tenta faz\u00ea-lo s\u00e3o candidatos a cirurgia de emerg\u00eancia ou a coloca\u00e7\u00e3o de stent traqueal.<\/p>\n","protected":false},"excerpt":{"rendered":"

Introdu\u00e7\u00e3o O colapso da traqueia ocorre frequentemente em ra\u00e7as pequenas. Tanto a por\u00e7\u00e3o intrator\u00e1cica como a extrator\u00e1cica podem ser afectadas, estendendo-se tamb\u00e9m ao br\u00f4nquio principal. A sua etiologia reside numa defici\u00eancia na matriz da cartilagem, que resulta num colapso do l\u00famen traqueal.   Diagn\u00f3stico I) Sinais cl\u00ednicos: tosse, tosse grave ap\u00f3s excita\u00e7\u00e3o pelo exerc\u00edcio, s\u00edncope […]<\/p>\n","protected":false},"author":1,"featured_media":39610,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[46],"tags":[],"class_list":["post-39563","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-conteudo-clinico"],"yoast_head":"\nTratamento de emerg\u00eancia de doentes com colapso da traqueia - Ifevet International - Portugal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ifevet.com\/pt\/manejo-de-urgencia-en-paciente-con-colapso-traqueal\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tratamento de emerg\u00eancia de doentes com colapso da traqueia - Ifevet International - Portugal\" \/>\n<meta property=\"og:description\" content=\"Introdu\u00e7\u00e3o O colapso da traqueia ocorre frequentemente em ra\u00e7as pequenas. Tanto a por\u00e7\u00e3o intrator\u00e1cica como a extrator\u00e1cica podem ser afectadas, estendendo-se tamb\u00e9m ao br\u00f4nquio principal. 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