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espanolObjetivo Identificar los eventos adversos en pacientes bajo regimen de ventilacion mecanica en la unidad de cuidados intensivos polivalentes de Cienfuegos-Cuba. Metodologia Estudio descriptivo, prospectivo realizado durante los meses de agosto de 2015 a febrero de 2016. El universo estuvo constituido por 155 pacientes ingresados en el servicio bajo regimen de ventilacion mecanica durante el periodo de estudio. Se utilizo el formulario internacional de la Sociedad Espanola de Medicina Intensiva Critica y Unidades Coronarias (SEMICYUC) tomando los items relacionados con la ventilacion mecanica. Se entrego un formulario para cada paciente a su ingreso, diligenciado por personal de enfermeria y medicos de asistencia, para la notificacion de forma voluntaria y anonima de los eventos adversos sucedidos. Resultados De los 158 pacientes 41 presentaron algun tipo de evento adverso (25,9%): 14 de ellos (8,9%) desarrollaron neumonia, 10 (6,3%) atelectasia, 9 (5,7%) desconexion accidental y 8 (5,0%) extubacion no programada. En cuanto a la neumonia asociada a la ventilacion mecanica, los germenes mas frecuentes en los cultivos de las secreciones traqueobronqueales fueron: Acinetobacter baumannii (57,1%), Pseudomona aeroginosa (21,4%) y Estafilococus aureus (7,1%). Conclusiones El conocimiento de los eventos adversos y sus causas permite llegar a su analisis y en consecuencia, a la elaboracion de indicadores de calidad en la atencion de este tipo de pacientes. EnglishObjective To identify adverse events in patients ongoing mechanical ventilation in the intensive care unit polyvalent Cienfuegos-Cuba. Methodology Descriptive, prospective study was conducted during the months of august 2015 to february 2016. The universe was composed of 155 patients admitted to the regime under mechanical ventilation during the study period. The international form of the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC) taking items related to mechanical ventilation was used. One form for each patient on admission, completed by nurses and medical assistance, for reporting voluntary and anonymous of adverse events occurred surrendered. Results 41 from 158 patients had some type of adverse event (25,9 %): 14 of them (8,9%) developed pneumonia, 10 (6,3%) atelectasis, 9 (5,7%), accidental disconnection and 8 (5,0%) unplanned extubation . As for pneumonia associated with mechanical ventilation, the most common germs in cultures of secretions traqueobronqueales were: Acinetobacter baumannii (57,1% ), Pseudomona aeruginosa ( 21,4 %) and Staphylococcus aureus (7,1%). Conclusions Knowledge of adverse events and their causes allows analyze them and consequently to the develop quality care indicators to these patients.

Eventos adversos en pacientes bajo régimen de ventilación mecánica