vias venosas centrales prof. dr. luis del rio diez

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UN REPASO A LAS TECNICAS DE ABORDAJE AL SISTEMA VENOSO CENTRAL, ATRAVES DE LAS PUNCIONES VENOSAS. SE DESCRIBEN LOS DIFERENTES DISPOSITIVOS Y LAS TECNICAS PARA SU REALIZACION. SE COMENTAN LAS INDICACIONES, CONTRAINDICACIONES Y LAS COMPLICACIONES DE CADA UNA DE LAS TECNICAS. SE MUESTRAN ALGUNAS DE LAS TECNICAS MAS COMUNES PARA LA COLOCACION DE VIAS DE UN LUMEN Y PARA CATETERES DE HOMDIALISIS.

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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com

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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com

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VBLS VHD@SLS YHUBFHUBCLSVBLS VHD@SLS YHUBFHUBCLS

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VBLS VHD@SLS YHUBFHUBCLSVBLS VHD@SLS YHUBFHUBCLS

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LDMB@CLWJLDMB@CLWJ <7 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <28<7 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <28 cccc/abd+/abd+LDMB@CLWJLDMB@CLWJ <6 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <89<6 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <89 cccc/abd+/abd+

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SHMÛD HO SBWB@SHMÛD HO SBWB@YHUBFHUBCLSYHUBFHUBCLSCHDWULOHSCHDWULOHSCHDWULOHS GH LCCHS@ YHUBFHUBC@CHDWULOHS GH LCCHS@ YHUBFHUBC@

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SHMÛD OL WHCDBCL GH C@O@CLCB@DSHMÛD OL WHCDBCL GH C@O@CLCB@DY@U VHD@YXDCB@DY@U VHD@YXDCB@DGBUHCWLGBUHCWLSHOGBDMHUSHOGBDMHUSHOGBDMHU A@GBFBCLG@SHOGBDMHU A@GBFBCLG@

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+ BDGBCLCB@DHS+ BDGBCLCB@DHS 

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A@DBW@UH@ JHA@GBDLABC@ BDVLSBV@A@DBW@UH@ JHA@GBDLABC@ BDVLSBV@ *CLWHWHU GH WHUA@GBOXCB@D"*CLWHWHU GH WHUA@GBOXCB@D"

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C@D@CBABHDW@ GH OLC@D@CBABHDW@ GH OL LDLW@ABLLDLW@ABL GH OLGH OL UHMB@DUHMB@DC@D@CBABHDW@ GH OLC@D@CBABHDW@ GH OL WHCDBCLWHCDBCL HOHMBGLHOHMBGL

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ALDB@EULS YLUL UHYOHWLU HO S$V$ALDB@EULS YLUL UHYOHWLU HO S$V$Y@SBCB@DY@SBCB@D GHGH WUHDGHOHAEXUMWUHDGHOHAEXUMU@GBOO@U@GBOO@ BDWHUHSCLYXOLUBDWHUHSCLYXOLUBDCOBDLCB@DBDCOBDLCB@D GHO YLCBHDWHGHO YLCBHDWHALDB@EUL GHALDB@EUL GH VLOSLOVLVLOSLOVL C@DWBDXLC@DWBDXL

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LUUBELLUUBEL

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VHUGLGHU@ LCW@ \XBUXUMBC@VHUGLGHU@ LCW@ \XBUXUMBC@ *CXBGLG@S*CXBGLG@S !!LDWBSHYSBLLDWBSHYSBL!!CLAY@"CLAY@"

WHCDBCL UBMXU@SL R LSHYSBL CXBGLG@SLWHCDBCL UBMXU@SL R LSHYSBL CXBGLG@SL

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDW@S HSHDCBLOHS GH XDL VHD@YXDCB@DYXDW@S HSHDCBLOHS GH XDL VHD@YXDCB@D

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C@D@CBABHDW@ GH OLC@D@CBABHDW@ GH OL 

LDLW@ABLLDLW@ABLGH OL UHMB@D L YXD[LUGH OL UHMB@D L YXD[LU

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

JXHC@ SXYULHSWHUDLOJXHC@ SXYULHSWHUDLOH$C$A$ JL[ HSWHUDLOH$C$A$ JL[ HSWHUDLO

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V$R$H$V$R$H$

JXHC@JXHC@WUBLDMXO@ GHWUBLDMXO@ GH

HSWHUD@DHSWHUD@D

COLVBCXOLCOLVBCXOLF@SBWL GH A@JUHDJHBAF@SBWL GH A@JUHDJHBA

SHGBOO@WSHGBOO@W

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

@YHUCXO@ W@ULZBC@@YHUCXO@ W@ULZBC@ !! SX LDLW@ABLSX LDLW@ABL

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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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VHDL SXECOLVBLVHDL SXECOLVBL

LUWHUBL SXECOLVBLLUWHUBL SXECOLVBL

C@SWBOOL <C@SWBOOL <

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

LUWHUBL CLU@WBGL

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VHDL RXMXOLUBDWHUDL

VHDL RXMXOLUHZWHUDL

LUWHUBL

SXECOLVBLVHDL SXECOLVBL

YUBAHUL C@SWBOOL

CXYXOL YOHXULO

+ C@DFOXHDWH VHD@S@GH YBU@M@FF

HSCLOHD@LDWHUB@U

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

MLDMOB@

HSWUHOOLG@

CLU@WBGL YUBABWBVL

VHDL RXMXOLU

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VHUWBCH GHO

BDWHUDL

LUWHUBL SXECOLVBL

YXOA@D

VHDL SXECOLVBL

COLVBCXOL

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHSC@AYOBCLCB@DHSC@AYOBCLCB@DHS C@A@ COLSBFBCLUOLS0C@A@ COLSBFBCLUOLS0

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<$<$ UHOLCB@DLGLS C@D OL VHD@YXDCB@DUHOLCB@DLGLS C@D OL VHD@YXDCB@D

 $$

CLWHWHU$CLWHWHU$

3$ UHOLCB@DLGLS C@D XDL ALOL WHCDBCL3$ UHOLCB@DLGLS C@D XDL ALOL WHCDBCLGH C@O@CLCB@DGH C@O@CLCB@D *BDLGHCXLGL/SBD UHMOLS"*BDLGHCXLGL/SBD UHMOLS"

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

VHD@YXDCB@DHSVHD@YXDCB@DHS––C@AYOBCLCB@DHSC@AYOBCLCB@DHS!!COLSBFBCLCB@DCOLSBFBCLCB@D

BDAHGBLWLS BDAHGBLWLS HAE@OBSA@ HAE@OBSA@ LHUH@ LHUH@ 

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WLY@DLABHDW@ CLUGBLC@ WLY@DLABHDW@ CLUGBLC@ UXYWXUL GH UXYWXUL GH CLWHWHU CLWHWHU R HAE@OBSA@ R HAE@OBSA@ YXDCB@D YXDCB@D LUWHUBLO LUWHUBLO 

LUUBWABLS CLUGBLCLS LUUBWABLS CLUGBLCLS OHSB@D OHSB@D DHUVB@SL DHUVB@SL ALOY@SBCB@D ALOY@SBCB@D GHO GHO CLWHWHU CLWHWHU DHXA@W@ULZ DHXA@W@ULZ 

JHA@W@ULZ JHA@W@ULZ 

WLUGBLS WLUGBLS B$U$C$ *BDFHCCB@DHS UHOLCB@DLGLS C@D HO B$U$C$ *BDFHCCB@DHS UHOLCB@DLGLS C@D HO CLWHWHU CLWHWHU"  " WU@AE@SBS VHD@SL UHOLCB@DLGL C@D HO WU@AE@SBS VHD@SL UHOLCB@DLGL C@D HO CLWHWHU CLWHWHU HU@SB@D HU@SB@D GHO VLS@ GHO VLS@ 

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHS –– C@AYOBCLCB@DHSC@AYOBCLCB@DHS

<$<$ DHXA@W@ULZDHXA@W@ULZ5$5$ JHA@W@ULZJHA@W@ULZ33 YXDCB@DYXDCB@D LUWHUBLOLUWHUBLO

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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5$5$ JHA@W@ULZJHA@W@ULZ3$3$ YXDCB@DYXDCB@D LUWHUBLOLUWHUBLO7$ JHALW@ALS BAY@UWLDWHS7$ JHALW@ALS BAY@UWLDWHS8$8$ YXDCB@DYXDCB@D GHO GXCW@GHO GXCW@ W@ULZBC@W@ULZBC@6$ BS\XHABLS GHO S$D$C$6$ BS\XHABLS GHO S$D$C$=$=$ JBGU@W@ULZJBGU@W@ULZ **SXHU@W@ULZSXHU@W@ULZ/@WU@S"/@WU@S"

 $$

2$ HAE@OBL Y@U2$ HAE@OBL Y@U CLWHWHUCLWHWHU<9$ OHSB@DHS<9$ OHSB@DHS YOHZXLOHSYOHZXLOHS<<$ WU@AE@SBS VHD@SLS<<$ WU@AE@SBS VHD@SLS<5$ UXYWXUL VHD@SL<5$ UXYWXUL VHD@SL

<3$ JHALW@AL<3$ JHALW@AL AHGBLSWBDLOAHGBLSWBDLO<7$ JHALW@AL UHWU@YHUBW@DHLO<7$ JHALW@AL UHWU@YHUBW@DHLO<8$ FBSWXOLS<8$ FBSWXOLS LUWHUB@LUWHUB@!!VHD@SLSVHD@SLS<6$<6$ HU@SB@DHU@SB@D GH OL YLUHG VHD@SLS Y@U HOGH OL YLUHG VHD@SLS Y@U HO CLWHWHUCLWHWHU

YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHS !! C@AYOBCLCB@DHSC@AYOBCLCB@DHSC@DWBDXLCB@DC@DWBDXLCB@D

<=$<=$ SHXG@LDHUBSALSSHXG@LDHUBSALS<:<: SHYSBSSHYSBS Y@UY@U CLWHWHUCLWHWHU

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$$ HXG DH AHXG DH A<:$<:$ SHYSBSSHYSBS Y@UY@U CLWHWHUCLWHWHU<2$ BDFHCCB@DHS S@EUH HO SBWB@ GH OL<2$ BDFHCCB@DHS S@EUH HO SBWB@ GH OL YXDCB@DYXDCB@D

59$59$ GBSF@DBLSGBSF@DBLS5<$ GBSDHL5<$ GBSDHL55$ HDFBSHAL55$ HDFBSHAL SXECXWLDH@SXECXWLDH@ *SBD*SBD DzDz""

 53$53$ JBGU@AHGBLSWBD@JBGU@AHGBLSWBD@

57$ HDG@CLUGBWBS57$ HDG@CLUGBWBS58$58$ YHUF@ULCB@DYHUF@ULCB@D AB@CLUGBCLAB@CLUGBCL56$ SLDMULG@ UHWU@MULG@56$ SLDMULG@ UHWU@MULG@ YHUBCLWHWHUYHUBCLWHWHU5=$5=$ YLUHSBLYLUHSBL//YLULOBSBSYLULOBSBS GHO DHUVB@GHO DHUVB@ FUHDBC@FUHDBC@5:$ FOHEBWBS5:$ FOHEBWBS \XBABCL\XBABCL//SHYWBCLSHYWBCL/WU@AE@FOHEBWBS/WU@AE@FOHEBWBS52$52$ OHSB@DOHSB@D WUL\XHLOWUL\XHLO39$39$ \XBO@W@ULZ\XBO@W@ULZ

3<$ ALO3<$ ALO Y@SBCB@DY@SBCB@D GHOGHO CLWHWHUCLWHWHUYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@D SXECOLVBL; C@AYOBCLCB@DHSYXDCB@D SXECOLVBL; C@AYOBCLCB@DHS

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DHXA@W@ULZDHXA@W@ULZYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

VHD@YXDCB@DHSVHD@YXDCB@DHS

C@AYOBCLCB@DHSC@AYOBCLCB@DHS

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C@AYOBCLCB@DHSC@AYOBCLCB@DHS

C@DWU@O ULGB@MULFBC@C@DWU@O ULGB@MULFBC@Y@SW YXDCB@DY@SW YXDCB@D

DHXA@W@ULZDHXA@W@ULZ

CLWHWHU SXECOLVB@CLWHWHU SXECOLVB@

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHSC@AYOBCLCB@DHSC@AYOBCLCB@DHS

C@DWBDXLCB@DC@DWBDXLCB@D

L C@D@CHUOLSL C@D@CHUOLS

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L$ C@D@CHUOLSL$ C@D@CHUOLS

E$ YHDSLUOLSE$ YHDSLUOLS $$ !!

G$ WULWLUOLS *Y@U SB @ Y@U @WU@"G$ WULWLUOLS *Y@U SB @ Y@U @WU@"

H$ D@ C@DFBLUSHH$ D@ C@DFBLUSH !!‟‟ W@G@S OLS SXFUBA@S ‟W@G@S OLS SXFUBA@S ‟

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@DHS VHD@SLSYXDCB@DHS VHD@SLS

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VBLS GH LE@UGLKH R WHCDBCLSVBLS GH LE@UGLKH R WHCDBCLS

UHCXHUGH; ‟SH GHEH HOHMBU L\XHOOL/S WHCDBCL/S C@D OL \XH SH HSWH ALS FLABOBLUB[LG@ \XH @FUH[CLD OL ALR@U SBAYOBCBGLG R XWBOB[LU 

HO ALWHUBLO ALS LGHCXLG@ YLUL CLGL XDL GH HOOLS‑ 

CXBGLG@;CXBGLG@; ‟SB OL WLSL GH C@AYOBCLCB@DHS \XH XG$ Y@SHH HS AHD@U GHO8(; UHLOBCH VHD@YXDCB@DHS SB HS ALR@U; CLDLOBCH‑ 

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

VHDL RXMXOLU BDWHUDLVBL LDWHUB@U

RXMXOLU BDWHUDL

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jjjj

jjjj

jjjj

jjjj VBL Y@SWHUB@U

 

VHDL RXMXOLU BDWHUDLVBL AHGBL

jjjj

jjjjVHDL RXMXOLU

HZWHUDL

VHDL SXECOLVBLBDFULCOLVBCXOLU

 SXYULCOLVBCXOLU

OLS VBLS GH LE@UGLKHOLS VBLS GH LE@UGLKHALS C@AXDHSALS C@AXDHS

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

LE@UGLKH L OL VHDL RXMXOLU BDWHUDLLE@UGLKH L OL VHDL RXMXOLU BDWHUDL

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VBL LDWHUB@UVBL LDWHUB@U VBL Y@SWHUB@UVBL Y@SWHUB@U

VBL AHGBLVBL AHGBLYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@D GH OL VHDL RXMXOLU BDWHUDLYXDCB@D GH OL VHDL RXMXOLU BDWHUDLLOMXDLS VHDWLKLS / BDGBCLCB@DHSLOMXDLS VHDWLKLS / BDGBCLCB@DHS

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LDLW@ABL C@DSWLDWH R GH FLCBO XEBCLCBÓDLDLW@ABL C@DSWLDWH R GH FLCBO XEBCLCBÓD CHUCLDBL L OL YBHOCHUCLDBL L OL YBHO GBVHUSLS VBLS YLUL LE@UGLUOLGBVHUSLS VBLS YLUL LE@UGLUOL HS XD VLS@ GH EXHD CLOBEUHHS XD VLS@ GH EXHD CLOBEUH

   

EXHDL LCCHSBEOBGLG LXD HD C@OLYSLG@SEXHDL LCCHSBEOBGLG LXD HD C@OLYSLG@S GBSWLDCBL LO SBSWHAL CLVLO C@UWLGBSWLDCBL LO SBSWHAL CLVLO C@UWL FLCBO LE@UGLKH HD XD YLCBHDWH LDHSWHSBLG@FLCBO LE@UGLKH HD XD YLCBHDWH LDHSWHSBLG@ ALR@U GBSWLDCBL L OL CXYXOL YOHXULOALR@U GBSWLDCBL L OL CXYXOL YOHXULO VHDL GH LOW@ FOXK@ C@D SXS BAYOBCLDCBLSVHDL GH LOW@ FOXK@ C@D SXS BAYOBCLDCBLS GHKL OBEUH O@S AASSGHKL OBEUH O@S AASS

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@D GH OL VHDL RXMXOLU BDWHUDLYXDCB@D GH OL VHDL RXMXOLU BDWHUDLLOMXDLS GHSVHDWLKLS/C@DWULBDGBCLCB@DHSLOMXDLS GHSVHDWLKLS/C@DWULBDGBCLCB@DHS

YLCBHDWH \XH D@ C@OLE@ULYLCBHDWH \XH D@ C@OLE@UL

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YLCBHDWH C@D CXHOO@ C@UW@ R M@UG@YLCBHDWH C@D CXHOO@ C@UW@ R M@UG@ WULXALWBSA@S CHUVBCLOHSWULXALWBSA@S CHUVBCLOHS CBUXMBLSCBUXMBLS GH CXHOO@GH CXHOO@ JBYHUWHDSB@DJBYHUWHDSB@D GHO SBSWHAL CLV@ SXYHUB@UGHO SBSWHAL CLV@ SXYHUB@U

 !! $ $ 4$ $ 4 mm$$

OXHM@ GH YXD[LU OL LUWHUBLOXHM@ GH YXD[LU OL LUWHUBL CLU@WBGLCLU@WBGL BYSBOBYSBO$$ OXHM@ GH WUHS BDWHDW@S FLOOBG@SOXHM@ GH WUHS BDWHDW@S FLOOBG@S YLW@O@MBLSYLW@O@MBLS GHOGHO SDCSDC C@D LXAHDW@ GH OLC@D LXAHDW@ GH OL YBCYBC$$ C@LMXO@YLWBLSC@LMXO@YLWBLS / GBSCULSBLS/ GBSCULSBLS BDFHCCB@DHS/ \XHALGXULS GH OLBDFHCCB@DHS/ \XHALGXULS GH OL UHMB@DUHMB@D WUL\XH@SW@ABLWUL\XH@SW@ABL YUHVBLYUHVBL FBSWXOLS L/VFBSWXOLS L/V BYSBOLWHULOHSBYSBOLWHULOHS WU@AE@SBS YUHVBLS °0WU@AE@SBS YUHVBLS °0

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

LE@UGLKH L OL VHDLLE@UGLKH L OL VHDL RXMXOLU BDWHUDL RXMXOLU BDWHUDL

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VBL LDWHUB@UVBL LDWHUB@U

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

WHCDBCL GH A@SWHUWWHCDBCL GH A@SWHUWYXDCB@D GH OL V$R$B$YXDCB@D GH OL V$R$B$

VBL LDWHUB@UVBL LDWHUB@UGHG@S BDGBCH RGHG@S BDGBCH RAHGB@ S@EUH L CAHGB@ S@EUH L C

U@WLCB@D CHFLOBCL

+

SBWB@ GH YXDCB@DL 5‑ *8 ca" GH OL

COLVBCXOL

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AHGB@ S@EUH L$C$AHGB@ S@EUH L$C$

E@UGH HCA LDMXO@ GH BDCOBDLCB@D

GBSWLDCBL *5‑"

+ <3 BDWHUD@ C@D <3 AHGB@

GH OL COLVBCXOL BYSBOLWHULO

GH OL LMXKLJLCBL +

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

LE@UGLKH LDWHUB@U L OLLE@UGLKH LDWHUB@U L OLVHDL RXMXOLU BDWHUDLVHDL RXMXOLU BDWHUDL

WHCDBCL GH OL]BDWHCDBCL GH OL]BD

Z E@UGH HZWHUD@ GHO HCAR V$R$H$

[ YXDW@ GH YXDCB@D

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LDMXO@ UHSYHCW@

LO YOLD@ C@U@DLO

JLCBL G@USLOSBMXBHDG@ HOE@UGH GHO HCA

YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[

LE@UGLKH LDWHUB@ L OLLE@UGLKH LDWHUB@ L OLVHDL RXMXOLU BDWHUDLVHDL RXMXOLU BDWHUDL

E@UGH AHGBLO GHOHCA$

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WHCDBCL GH ]BOS@D R C@OS$WHCDBCL GH ]BOS@D R C@OS$

DBVHO GHOCLUWBOLM@

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YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@D GH VHDL SXECOLVBLYXDCB@D GH VHDL SXECOLVBL+ VBL BDFULCOLVBCXOLU+ VBL BDFULCOLVBCXOLU

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+ VBL SXYULCOLVBCXOLU+ VBL SXYULCOLVBCXOLU

YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBLLOMXDLS VHDWLKLSLOMXDLS VHDWLKLS

YXDW@S GH UHFHUHDCBL AXR C@DSWLDWHSYXDW@S GH UHFHUHDCBL AXR C@DSWLDWHS GBSWLDCBL L OL VHDL AXR C@UWL *S/W V$SXYUL"GBSWLDCBL L OL VHDL AXR C@UWL *S/W V$SXYUL"

VLS@ GH MUXHS@ CLOBEUHVLS@ GH MUXHS@ CLOBEUH Y@SBCB@D AXR C@DSWLDWH LXD HD C@OLYSLG@SY@SBCB@D AXR C@DSWLDWH LXD HD C@OLYSLG@S 

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LXSHDCBL GH VLOVXOLSLXSHDCBL GH VLOVXOLS GHKL OBEUH O@S AASS$GHKL OBEUH O@S AASS$ VHDL GH LOW@ FOXK@VHDL GH LOW@ FOXK@ ELKL BDCBGHDCBL GH WU@AE@ELKL BDCBGHDCBL GH WU@AE@!!FOHEBWBSFOHEBWBS HSWUXCWXULS VHCBDLS UBMBGLS \XH C@DWBHDHDHSWUXCWXULS VHCBDLS UBMBGLS \XH C@DWBHDHD

OL F@UALCB@D GH JHALW@ALSOL F@UALCB@D GH JHALW@ALS AXR C@A@GL YLUL HO YLCBHDWHAXR C@A@GL YLUL HO YLCBHDWH

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FBSWXOLS @FBSWXOLS @ CLDXOLSCLDXOLS LL!!VV BYSBOLWHULOHSBYSBOLWHULOHS 

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SB D@ SH C@D@CH LGHCXLGLAHDWH OLSB D@ SH C@D@CH LGHCXLGLAHDWH OL LDLW@ABLLDLW@ABLGH OL UHMBÓD$GH OL UHMBÓD$

SB D@ SH C@D@CH LGHCXLGLAHDWH OL/SSB D@ SH C@D@CH LGHCXLGLAHDWH OL/S WHCDBCLWHCDBCL/S/S SB D@ SLEH UHS@OVHU Y@SBEOHS C@AYOBCLCB@DHSSB D@ SLEH UHS@OVHU Y@SBEOHS C@AYOBCLCB@DHS SB D@ SH CXHDWL C@D \XBHD YXHGL WULWLUOLSSB D@ SH CXHDWL C@D \XBHD YXHGL WULWLUOLS

YLCBHDWHS HD UHSYBULG@UYLCBHDWHS HD UHSYBULG@U YLCBHDWHS C@DYLCBHDWHS C@D YLW@O@MBLYLW@O@MBL YXOA@DLU YUHVBLYXOA@DLU YUHVBL YLCBHDWH HZCBWLG@ @ \XH D@ C@OLE@ULYLCBHDWH HZCBWLG@ @ \XH D@ C@OLE@UL

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GBUHCCB@D GH OLGBUHCCB@D GH OL

LMXKL GXULDWH OLLMXKL GXULDWH OLYXDCB@DYXDCB@D

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YXDCB@D VHDL SXECOLVBL

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GH LXELDBLCGH LXELDBLC

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YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBLVBL BDFULCOLVBCXOLU WHCDBCLVBL BDFULCOLVBCXOLU WHCDBCL

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YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBL

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YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBLWHCDBCL JHCLWHCDBCL JHCL !!

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WHCDBCL GH YLUSLWHCDBCL GH YLUSLYU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@D SXECOLVBLYXDCB@D SXECOLVBLVBL BDFULCOLVBCXOLUVBL BDFULCOLVBCXOLU

WHCDBCL GH CLUOH/WSXHGLWHCDBCL GH CLUOH/WSXHGL

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YXDCB@D SXECOLVBLYXDCB@D SXECOLVBL

C@D LMXKL CXUVLC@D LMXKL CXUVLYU@F$ GU$ OXBS GHO UB@ GBH[

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YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBL

OL VBL SXYULCOLVBCXOLUOL VBL SXYULCOLVBCXOLUYU@F$ GU$ OXBS GHO UB@ GBH[

 

SBWB@S GH YXDCB@DVHDL SXECOLVBLVBL SXYULCOLVBCXOLU

 

VBL SXYULCOLVBCXOLUVBL SXYULCOLVBCXOLU

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VBL SXYULCOLVBCXOLUVBL SXYULCOLVBCXOLU

YXDCB@D V$SXEOCOLVBL SXYULCOLVBCXOLUYXDCB@D V$SXEOCOLVBL SXYULCOLVBCXOLU !! R@FFL R@FFL

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YU@F$ GU$ OXBS GHO UB@ GBH[

OL WHCDBCL GH R@FFLOL WHCDBCL GH R@FFL

YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBLY@U VBL SXYULCOLVBCXOLUY@U VBL SXYULCOLVBCXOLU

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YU@F$ GU$ OXBS GHO UB@ GBH[

WHCDBCL GH NBOBCJLDWHCDBCL GH NBOBCJLD YU@F$ GU$ OXBS GHO UB@ GBH[

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YXDCB@D LO SBWB@ GH XDB@DYXDCB@D LO SBWB@ GH XDB@D !! WHCDBCL GH YLUSLWHCDBCL GH YLUSL

YU@F$ GU$ OXBS GHO UB@ GBH[

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SBWB@ GH YXDCB@D AHGBLO LOSBWB@ GH YXDCB@D AHGBLO LOWXEHUCXO@ GHO HSCLOHD@ LDWHUB@UWXEHUCXO@ GHO HSCLOHD@ LDWHUB@U

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YXDCB@D GH OL VHDLYXDCB@D GH OL VHDL RXMXOLU HZWHUDL RXMXOLU HZWHUDL

YU@F$ GU$ OXBS GHO UB@ GBH[

YXDCB@D GH OL VHDL RXMXOLU HZWHUDLYXDCB@D GH OL VHDL RXMXOLU HZWHUDLVHDL LOWHUDLWBVL YLUL HO BDMUHS@ LO S$V$CLV@VHDL LOWHUDLWBVL YLUL HO BDMUHS@ LO S$V$CLV@FLCBOAHDWH LCCHSBEOH / AXR SXYHUFBCBLOFLCBOAHDWH LCCHSBEOH / AXR SXYHUFBCBLOLDLW@ABCLAHDWH C@DSWLDWH HD SX XEBCLCBÓDLDLW@ABCLAHDWH C@DSWLDWH HD SX XEBCLCBÓDVHDL GH XS@ FUHCXHDWH C@A@ LCCHS@ WULDSBW@VHDL GH XS@ FUHCXHDWH C@A@ LCCHS@ WULDSBW@!!

UB@ JLSWL HDC@DWULU @WUL/S VBL/S AHK@UHS$UB@ JLSWL HDC@DWULU @WUL/S VBL/S AHK@UHS$SH SLOH FLCBOAHDWH *CLWHWHU C@UW@"SH SLOH FLCBOAHDWH *CLWHWHU C@UW@"SBSWHAL C@D AXCJLS VLOVXOLSSBSWHAL C@D AXCJLS VLOVXOLS

 SH LC@GL LDWHS GHO C@DFOXHDWH VHD@S@SH LC@GL LDWHS GHO C@DFOXHDWH VHD@S@GBFBCXOWLG YLUL YU@MUHSLU LO SBSWHAL GH V C SGBFBCXOWLG YLUL YU@MUHSLU LO SBSWHAL GH V C S

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