33920 (11-04-12) posición de garante. responsabilidad en el postoperatorio
DESCRIPTION
Mi amigo el Maestro Julio E. Acosta Durán, me facilita esta pieza de nuestra Suprema Corte, donde se reiteran criterios jurisprudenciales de imputación objetiva en la práctica médica. Aunque la Sala advierte que el pronunciamiento versará "estrictamente el examen de la violación o no al deber objetivo de cuidado en la práctica médico quirúrgica de naturaleza estética durante la fase del postoperatorio", desarrolla otros temas relacionados como la posición de garante -cuando inicia y cuando termina en la actividad médica-; el riesgo permitido y la autopuesta en peligro.TRANSCRIPT
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 1/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Swjdotj bµ 44<73
DJWYO T_SWOA@ IO E_TYLDL@T@K@ IO D@T@DLÔB SOB@K
A@NLTYW@IJ SJBOBYO@_N_TYJ E" LGÀÐOU N_UAÀB
@SWJG@IJ @DY@ Bj" 070!
Gjnjyà+ I" D"+ jbdo -00, io `gwlk io ijt alk ijdo -7307,
AJYLXJ IO K@ IODLTLÔB
K` Djwyo iodlio ok woduwtj io d`t`dlôb lbyowsuotyj sjw ok
woswotoby`byo io k` s`wyo dlxlk djbyw` k` tobyobdl` ildy`i` ok 0=
io bjxloagwo io 733< sjw ok Eun`ij Tonubij Sob`k iok DlwdulyjBjalb`ij @ieubyj io D`kl+ puo woxjdô ok h`kkj oalylij ok 7> io
a`|j iok altaj `ðj sjw ok Eun`ij Swlaowj Sob`k Aubldls`k io
ot` dlui`i+ puo m`gá` djbiob`ij ` A@B_OK IO EOTÕT D@LDOIJ sjw ok
ioklyj io kotljbot sowtjb`kot duksjt`t"
MODMJT \ @DY_@DLÔB SWJDOT@K WOKOX@BYO
0" Ok 77 io euklj io 7334+ ob k` Dkábld` T`bylkk`b` io D`kl+ IJKK\
A@WLDOK G@TYLI@T KOBLT to tjaoylô ` ub` lbyowxobdlôb pulwõwnld` io
lask`by`dlôb a`a`wl`+ lb|oddlôb nkõyo` | klsjotdukyuw`+ k` puo
sw`dyldô ok dlwue`bj otyìyldj A@B_OK IO EOTÕT D@LDOIJ"
Djaj pulow` puo s`w` ok yowdow iá` iok sjtyjsow yjwlj IJKK\ A@WLDOK o}mlgá` o}yobt`t jb`t io obwjeodlalobyj | õkdow`t io k`
slok iok `gijaob -owlyoa` | osliowaôkltlt,+ ` k`t puo tuaô ub
lbyobtj ijkjw+ hlogwo+ xôalyj | a`koty`w nobow`k+ tu mowa`b` |
0
YOA@T5! ‛Xljk`dlôb j bj `k iogow jgeoylxj io duli`ij ob k` swàdyld` aìildj pulwõwnld io b`yuw`ko otyìyld`iuw`byo k` h`to iok sjtyjsow`yjwlj"‑ ‛K` `tubdlôbxjkuby`wl` io k` swjyoddlôb iok s`dlobyo ob d`kli`i ion`w`byo+ bj yowalb` s`w` ok aìildj djb k` wo`kl`dlôbiok yw`y`alobyj tlbj puo to o}ylobio `k ajaobyj ob puoto` i`ij io `ky` djb d`wàdyow iohlblylxj —puo x` aàt`kkà sjw tusuotyj+ io k` tjk` t`kli` io k` dkábld` j dobywjio `yobdlôb! j k` sowtjb` tjaoyli` `k yw`y`alobyj+ kj`g`bijbo xjkuby`wl`aobyo"‑ !Klgowy`i wjg`yjwl`
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 2/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
ub` `aln` kk`a`wjb yokohôbld`aobyo `k dlwue`bj+ pulob iotsuìt
io x`wl t mjw`t `duilô `k ijaldlklj io k` s`dlobyo | yw`t
`utduky`wk` ko lbhjwaô puo to yw`y`g` io ub swjdotj bjwa`k io
wodusow`dlôb+ tlb blbnub` jyw` otsodlhld`dlôb puo klaly`wto `
jwiob`w ilo -03, totljbot io dàa`w` mlsowgàwld`"
Ok swjdotj io tuhwlalobyj io k` slok puo lbldlô swjg`gkoaobyo
djb ok yw`ua` d`ut`ij sjw k` klsjtuddlôb tusowhldl`k puo m`gwá`
jd`tljb`ij k` wusyuw` io kjt x`tjt t`bnuábojt io kjt sk`bjt
tusowljwot iok `gijaob+ to `nuilô iuw`byo k` h`to
sjtyjsow`yjwl` | `x`bô m`dl` ub` bodwjtlt yltuk`w io nw`b
y`a`ðj | ` ub` lbhoddlôb nw`xo swjiudli` sjw ty`sm|kjdjddut
`owut | stouijajb`t `owunlbjt`+ s`yjkjná`t puo bj wodlglowjb
yw`y`alobyj iltylbyj sjw ildmj n`kobj+ ` k` jwiob io jyw`t ilo
-03, totljbot io yow`sl` mlsowgàwld`+ k` wodoy` io ubaoild`aobyj puo bj djasjwyô dugwlalobyj `bylglôyldj `iodu`ij
ob y`byj bj to iltsutj ok dukylxj sowylbobyo s`w` liobylhld`w ok
nowaob lbhoddljtj |+ ok iotgwli`alobyj io k` slok `askl`aobyo
bodwjt`i`+ y`wiáj | bj djbywjk`ij aoil`byo mjtsly`kl`dlôb"
K` h`ky` io `yobdlôb djaskoy` | jsjwyub` io y`kot s`iodlalobyjt
sjw s`wyo iok ijdyjw D@LDOIJ+ jgkln`wjb ` k` toðjw` G@TYLI@T KOBLT `
djbtuky`w ` jywjt swjhotljb`kot io k` t`kui+ otsodl`kl`ijt ob k`t
àwo`t io iowa`yjkjná` o lbhodyjkjná` | ` `duilw `k towxldlj io
uwnobdl`t io Djahob`kdj+ tlobij yw`y`i` m`ty` jgyobow djaskoy`
dld`ywl`dlôb io tut mowli`t"
Djaj djbtoduobdl` io k`t kotljbot d`ut`i`t+ to ildy`albô ub`
lbd`s`dli`i aìildj kon`k iohlblylx` io 9? iá`t | toduok`t
djbtltyobyot ob iohjwali`i hátld` puo `hody` ok duowsj io
d`wàdyow sowa`bobyo"
7
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 3/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
7" Sjw otyjt modmjt+ ok 43 io obowj io 7339+ IJKK\ A@WLDOK G@TYLI@T
KOBLT hjwaukô iobubdl` `byo k` Ilwoddlôb Toddljb`k io Hltd`ká`t io
D`kl0"
4" Ok 4 io hogwowj iok altaj `ðj+ k` Hltd`ká` 7? Kjd`k io k`
alta` dlui`i iltsutj k` `sowyuw` io lbxotyln`dlôb swoxl`7"
9" Sw`dyld`i`t x`wl`t swuog`t+ ok 7= io eublj io 7338 to iodk`wô
hjwa`kaobyo `glowy` k` lbxotyln`dlôb | to iltsutj k` xlbduk`dlôb
aoil`byo lbi`n`yjwl` io A@B_OK IO EOTÕT D@LDOIJ4"
?" Sjw wotjkudlôb iok 7> io hogwowj io 733> to iodk`wô doww`i` k`
lbxotyln`dlôb9 | ok > io a`|j tlnulobyo+ to d`klhldô ok aìwlyj iok
tua`wlj djb wotjkudlôb io `dut`dlôb djbyw` ok lbi`n`ij sjw k`
djbiudy` sublgko io kotljbot sowtjb`kot duksjt`t -`wyádukjt 000+007 lbdltj tonubij+ 004 lbdltj tonubij | 073 io k` Ko| ?<< io
7333,?"
8" Ok 8 io euklj io 733>+ ok Eun`ij Swlaowj Sob`k Aubldls`k io
D`kl `tualô djbjdlalobyj iok `tubyj | iltsutj djwwow ok yw`tk`ij
io puo yw`y` ok `wyádukj 933 io k` Ko| 833 io 73338
"
>" K` `uilobdl` swos`w`yjwl` to dokogwô ok 40 io `njtyj tlnulobyo>
| k` io eun`alobyj to kkoxô ` d`gj ok 04 io `gwlk io 733<="
0 Dhw" hjkljt 0!7 iok du`iowbj jwlnlb`k 0"7 Dhw" hjklj 9 lgáioa"4 Dhw" hjklj =4 lgáioa"9 Dhw" hjklj 0>8 lgáioa"? Dhw" hjkljt 73=!708 lgáioa"8 Dhw" hjklj 779 lgáioa"> Dhw" hjklj 74? lgáioa"= Dhw" hjkljt 494!484 iok du`iowbj jwlnlb`k 7"
4
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 4/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
=" Ok 7> io a`|j io 733< ok Euo swjhlwlô h`kkj djbiob`yjwlj
djbyw` A@B_OK IO EOTÕT D@LDOIJ ob d`kli`i io `uyjw iok ioklyj io
kotljbot sowtjb`kot duksjt`t+ ko lasutj k`t sob`t swlbdls`kot io
du`ywj -9, aotot+ xolbyldu`ywj -79, iá`t io swltlôb+ auky` ob
du`byá` io dlbdj subyj ijt -?"7, t k`wljt aáblajt kon`kot
aobtu`kot xlnobyot | k`t `ddotjwl`t io lbm`glkly`dlôb s`w` ok
oeowdldlj io iowodmjt | hubdljbot sõgkld`t sjw ok altaj yìwalbj
io k` t`bdlôb swlx`ylx` io k` klgowy`i | io lbm`glkly`dlôb iok
oeowdldlj io k` aoildlb` sjw ub -0, `ðj" Y`aglìb kj tobyobdlô `k
s`nj io )09<"483"803 —kjt puo iogowá`b tow `dyu`kl`ijt djb
lbyowotot djwwlobyot j lbio}`ijt m`ty` puo to swjiud` ok s`nj! |
dlobyj dlbduoby` -0?3, t`k`wljt aáblajt kon`kot aobtu`kot sjw
djbdosyj io soweuldljt a`yowl`kot | ajw`kot+ wotsodylx`aobyo"
Iok altaj ajij+ ko djbdoilô k` tutsobtlôb djbildljb`k io k`
oeodudlôb io k` sob`<"
<" Woduwwli` k` iodltlôb sjw k` iohobt`+ ok 0= io bjxloagwo io
733<+ huo woxjd`i` sjw ok Eun`ij Tonubij Sob`k iok Dlwdulyj io
D`kl Bjalb`ij @ieubyj+ ob ok tobylij io `gtjkxow `k obeuldl`ij
iok d`wnj lasuy`ij03"
03" Djbyw` k` swjxliobdl` io tonubij nw`ij+ k` s`wyo dlxlk
lbyowsutj00 | tutyobyô ok woduwtj o}yw`jwilb`wlj io d`t`dlôb07"
00" Ob ok yw`tk`ij ` kjt bj woduwwobyot+ k` iohobt` iok `dut`ij
swotobyô ok `kon`yj djwwotsjbilobyo04"
< Dhw" hjkljt 978!9?0 lgáioa"03 Dhw" hjkljt 9=>!?38 lgáioa"00 Dhw" hjklj ?04 lgáioa"07 Dhw" hjkljt ?70!?94 lgáioa"04 Dhw" hjkljt ??<!?>= lgáioa"
9
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 5/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
07" Ok swjdotj huo woalylij ` k` Djwyo | `tlnb`ij `k a`nltyw`ij
sjbobyo09"
04" K` ioa`bi` io d`t`dlôb iltdwodljb`k lbldl`kaobyo to `ialylô
sjw `uyj io sjbobyo iok 73 io a`|j io 73030? | ub` xo wodlglij
ok djbdosyj io k` Swjduw`iuwá` Nobow`k io k` B`dlôb08+ s`tô `k
iots`dmj s`w` oalylw ok h`kkj io wlnjw"
09" Aoil`byo `uyj iok 0µ io a`wj io 7307 k` T`k` io D`t`dlôb
Sob`k iodk`wô k` bukli`i iok wohowlij `uyj `ialtjwlj s`w` puo
huow` k` djkonl`yuw` ob skobj k` puo iodlilow` tl m`| kun`w `
djbjdow iok woduwtj"
0?" @ialyli` k` ioa`bi` sjw k` T`k` ob `uyj iok > io a`wj
tlnulobyo ob ok puo to `ixlwylô ajylx`i`aobyo puo ok woduwtjo}yw`jwilb`wlj tá huo lbyowsuotyj | tutyoby`ij jsjwyub`aobyo+
ub` xo wodlglij buox`aobyo ok djbdosyj iok Albltyowlj Sõgkldj+
djwwotsjbio ` k` T`k` ildy`w k` tobyobdl` wotsodylx`"
K@ IOA@BI@
Ob ub swlaow aoajwl`k+ `k `as`wj iok `wyádukj 73? io k` Ko| 833
io 7333+ ok woswotoby`byo io k` s`wyo dlxlk lbxjd` k` d`t`dlôb
iltdwodljb`k s`w` ok iot`wwjkkj io k` euwltswuiobdl`+
otsodáhld`aobyo ob subyj io k` jaltlôb `k iogow jgeoylxj io
duli`ij | k` sjtldlôb io n`w`byo io kjt aìildjt iuw`byo k` h`to
iok sjtyjsow`yjwlj"
09 Dhw" hjklj 7 iok du`iowbj io k` Djwyo"0? Dhw" hjklj 7< lgáioa"08 Dhw" hjkljt 8!48 lgáioa"
?
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 6/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
@k wotsodyj+ ioty`d` puo k` Djwyo m` otyuil`ij ok yoa` io k`
lasuy`dlôb jgeoylx` iok wotuky`ij hwobyo ` k` `yobdlôb iok
s`dlobyo iuw`byo k` lbyowxobdlôb pulwõwnld` -tobyobdl` iok 77 io
a`|j io 733=+ w`ild`dlôb 7>"4?>, | puo ok Ywlgub`k B`dljb`k io
Ìyld` Aìild` djbjdlô io ub` `sok`dlôb -iodltlôb iok 0= io `njtyj
io 733< iobywj iok w`ild`ij >0?, ob k` puo djbhlwaô k`
tutsobtlôb io ub aìildj sjw iotduli`w ub` s`dlobyo tjaoyli` `
klsjtuddlôb iuw`byo ok sjtyjsow`yjwlj6 sowj ot lasow`ylxj puo k`
Djwsjw`dlôb to swjbubdlo tjgwo ok s`wylduk`w+ djaj aà}laj
ywlgub`k io d`t`dlôb"
S`w` ok dobtjw y`aglìb ot yw`tdobiobyo puo k` T`k` to swjbubdlo
tjgwo ‛k` klgowy`i swjg`yjwl` ob wok`dlôb djb kjt yotylajbljt io k`t sowtjb`t
`kkon`i`t ` k` xádyla` | ` pulobot kot djbty` ok ioyowljwj io k` t`kui sjw kjt tlnbjt |
kjt tábyja`t xltlgkot‑0>
+ `tá djaj hwobyo ‛`k djbtobylalobyj puo iogo hlwa`w ok s`dlobyo swoxl` k` lbhjwa`dlôb tjgwo kjt wlotnjt iok swjdoilalobyj pulwõwnldj‑0="
Sjw tu s`wyo+ ob k` ioa`bi` ub` xo ok lasunb`byo m`do ub`
tábyotlt io kjt modmjt | io k` `dyu`dlôb swjdot`k o liobylhld` k`t
s`wyot | k` tobyobdl` lasunb`i`+ obubdl` djaj swoyobtljbot k`t
io `ialylw ok klgokj+ d`t`w ok h`kkj `gtjkuyjwlj s`w` ob tu kun`w+
`buk`wkj | swjhowlw ok io wooask`j ‛woxlxlìbijto ok io swlaow`
lbty`bdl`‑0< |+ tugtlil`wl`aobyo+ d`t`wkj s`w` djbiob`w `k
swjdot`ij sjw ok ioklyj io kotljbot sowtjb`kot duksjt`t"
Obtonuli`+ sjtyuk` ijt d`wnjt6 ok swlbdls`k+ djbhjwao ` k` d`ut`k
yowdow` iok `wyádukj 73> io k` Ko| 833 io 7333 sjw k` djaswjg`i`
o}ltyobdl` io ub` lwwonuk`wli`i tuty`bdl`k puo `hodyô ok ioglij
0> Dhw" hjklj 9 iok aoajwl`k io d`t`dlôb iltdwodljb`k ` hjklj ?79 lgáioa"0= Dhw" hjklj > iok aoajwl`k io d`t`dlôb iltdwodljb`k ` hjklj ?7= lgáioa"0< Dhw" hjklj ? io k` ioa`bi` ` hjklj ?49 lgáioa"
8
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 7/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
swjdotj | ok tugtlil`wlj+ sjw xljk dlôb lbilwody` io k` ko|
tuty`bdl`k ob ok tobylij io h`ktj w`dljdlblj"
0" Swlaow d`wnj -swlbdls`k,"
@dut` ok dobtjw k` tobyobdl` io tonubi` lbty`bdl` io m`gow tlij
ildy`i` ob ub euldlj xldl`ij io bukli`i sjw du`byj ok eun`ijw io
tonubij blxok ko ilj skob` x`klio ` k` mltyjwl` dkábld` io k`
s`dlobyo `sjwy`i` sjw k` iohobt` iuw`byo ok duwtj io k`
`uilobdl` sõgkld` ob k` puo to i`g` duoby` io k`t jd`tljbot ob
puo okk` huo `yobili` sjw ok `dut`ij+ soto ` puo ok euo io
swlaow nw`ij a`blhotyô tjgwo otyo yôsldj puo to `gtyobá` ‛io
m`dow swjbubdl`alobyj `knubj hwobyo ` kjt ijduaobyjt `sjwy`ijt sjw tow swuog`t
o}yoasjwàbo`t‑73 | ` puo oty` iodltlôb bj huo lasunb`i`"
Wot`ky` puo `k yobjw iok `wyádukj 747 io k` Ko| 833 io 7333+ kjt
aoiljt swjg`yjwljt iogob tow kon`k+ wonuk`w | jsjwyub`aobyo
`kkon`ijt ` k` `dyu`dlôb" @tá+ o}skld` puo djbhjwao ` kjt
`wyádukjt 930 | 934 oeõtioa+ ob k` `uilobdl` swos`w`yjwl` ko
djwwotsjbio `k eun`ijw iodlilw tjgwo k`t bukli`iot | swuog`t `
sw`dyld`w ob k` `uilobdl` sõgkld` j sjw huow` iok iots`dmj+ tonõb
ok d`tj" Kj `byowljw+ djb ok hlb io h`dlkly`w ok oeowdldlj iok
iowodmj io djbyw`ilddlôb"
@tá altaj+ kuonj io `kuilw ` kjt wopultlyjt euwltswuiobdl`kot s`w`
iobubdl`w ob toio io d`t`dlôb k` `hody`dlôb io k` otywudyuw` iok
ioglij swjdotj j io k`t n`w`byá`t io k`t s`wyot o lbyowxlblobyot |
` k` d`ut`k io bukli`i swoxlty` ob ok `wyádukj 438"7 oeõtioa+
`hlwa` puo k` bukli`i puo swonjb`+ io d`wàdyow lbtugt`b`gko+
`hodyô kjt iowodmjt hubi`aoby`kot io tu a`bi`byo ob d`kli`i io
73 Dhw" hjklj > io k` ioa`bi` ` hjklj ?48 lgáioa"
>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 8/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
xádyla` ob y`byj djwwotsjbio ` ub `tubyj io tonuwli`i euwáild`+
suot ‛tl bj muglow` y`k obalobi` d`i` hltd`k | euo `dyu`wá`b tlb tueodlôb ` ildm`t
o}lnobdl`t‑70"
Dly` ok `s`wyo iok h`kkj io tonubi` lbty`bdl` ob ok puo to `swodlô
k` wohowli` mltyjwl` dkábld` | djbdku|o puo k` lwwonuk`wli`i
swjsunb`i` `hodyô tuty`bdl`kaobyo ok ioglij swjdotj | kjt
iowodmjt ` k` eutyldl`+ ` k` xowi`i | ` k` wos`w`dlôb io k` toðjw`
G@TYLI@T KOBLT+ ob y`byj ‛oto opulxjd`iátlaj o lbx kli`ij euldlj io x`kjw
swjxoblobyo io k` x`kjw`dlôb io ot` swuog` lkon`k+ sjw tow o}yoasjwàbo`+ huo
tjsjwyo hubi`byo s`w` owlnlw ok h`kkj `gtjkuyjwlj‑77"
Woa`y` tjkldly`bij iodwoy`w k` bukli`i+ `ubpuo swodlt` puo
yw`yàbijto io ub owwjw lb luild`bij to iogo swjhowlw h`kkj io
wooask`j puo a`byobn` xlnobyo k` tobyobdl` djbiob`yjwl` ioswlaow` lbty`bdl`+ ob kjt yìwalbjt iok `wyádukj 70>"0 oeõtioa"
7" Tonubij d`wnj -tugtlil`wlj,"
@k yobjw io k` d`ut`k swlaow`+ duowsj tonubij iok `wyádukj 73> io
k` Ko| 833 io 7333+ ok ioa`bi`byo `dut` ok h`kkj io tonubij
nw`ij io lbduwwlw ob xljk`dlôb lbilwody` io k` ko| tuty`bdl`k
swjiudyj io h`ktjt w`dljdlbljt puo jd`tljb`wjb k` `skld`dlôb
lbiogli` io kjt `wyádukj 74+ 7?+ 000+ 007+ 004+ 00> | 073 iok
Dôilnj Sob k+ 747 iok Dôilnj io Swjdoilalobyj Sob`k+ ` k` h`ky`
io `skld`dlôb io kjt `wyádukjt 7+ >+ 08 | 73 oeõtioa | 7< io k`
Djbtylyudlôb Sjkáyld` | ` k` xljk`dlôb lbyowaoil` io kjt `wyádukjt
747+ 744+ 04>+ 74=+ 799 ` 79>+ 788+ 7>> | 7=9 ` 7=> io k` Ko| 833
io 7333"
70 Lgáioa"77 Dhw" hjklj = io k` ioa`bi` ` hjklj ?4> lgáioa"
=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 9/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Yw`t swodlt`w puo ok woswjdmo kj otywudyuw`wá` iotio ok modmj
lbild`ijw s`w` ioajtyw`w puo ok o}`aob swjg`yjwlj iok euo
sob`k iok dlwdulyj huo oww`ij+ ok dobtjw lbldl` ok iltobtj
`tonuw`bij puo to iotdjbjdlô ok swlbdlslj io klgowy`i swjg`yjwl`
swoxltyj ob ok `wyádukj 74> oeõtioa suot tl glob ` ohodyj io
‛oty`gkodow k` swoo}ltyobdl` io s`yjkjná t j io sowyuwg`dljbot hubdljb kot j
stldjkônld t j djbtoduobdl`t tjaàyld`t+ iotsuìt io ub` lbyowxobdlôb pulwõwnld`‑74
ot wokox`byo k` swuog` sowldl k aìild`+ wotuky` opulxjd`ijtjtyobow puo ` yw`xìt io swuog` yotylajbl`k —bj o}sowy`! bj ot
sjtlgko djaswjg`w ‛k`t djbtoduobdl`t xltlgkot iok ioyowljwj io k` t`kui io
pulob to obduobyw` ob ub swjdotj sjtyjsow`yjwlj djb tábyja`t | tlnbjt xltlgkot‑79+
djaj kj tjb k`t bàuto`t j ok a`koty`w puo laslio kox`by`wto"
Iotsuìt io dly`w kjt `s`wyot sowylbobyot iok h`kkj lasunb`ij+ okklgoklty` `dut` `k eun`ijw io otsoduk`w du`bij `hlwaô puo ‛ok
oty`ij ioskjw`gko io k` s`dlobyo ow` bjwa`k‑7?+ tlobij puo tu iokld`ij
oty`ij io t`kui k` jgklnô ` djbtuky`w djb ub` iowa`yôkjn` | ub
lbhodyôkjnj" Ob oto jwiob+ djbtliow` puo k` h`kk`ijw` iot`yobilô
k`t wonk`t io k` o}sowlobdl` suot tl k` soweuild`i` muglow`
‛djby`ij djb ok duli`ij | ok `sj|j iok aìildj yw`y`byo+ bj m`gwá` swotoby`ij k`t
djaskld`dljbot puo to yw`iueowjb ob kjt tábyja`t ioty`d`ijt | iodk`w`ijt sjw k`t
sowtjb`t puo otyuxlowjb djb okk` ob oto sowájij sjtyowljw ` k` jsow`dlôb‑78"
@ djbylbu`dlôb+ ioty`d` puo k` eun`ijw` wodjbjdlô k` lbhoddlôb
toxow` puo s`iodá` tu swjmle`i` | kuonj io `kuilw ` `knubjt
`s`wyot io k` iobubdl` | ` k` `askl`dlôb io k` alta` ob kjt puo
to tjtyuxj puo s`w` ok n`kobj yjij ow` bjwa`k+ ` k`t hjyjnw`há`tio k` s`dlobyo+ ` k`t mltyjwl`t dkábld`t+ `k ildy`aob aìildj kon`k
74 Dhw" hjklj < io k` ioa`bi` ` hjklj ?4= lgáioa"79 Lgáioa"7? Dhw" hjklj 03 io k` ioa`bi` ` hjklj ?4< lgáioa"78 Lgáioa"
<
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 10/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
| ` kjt yotylajbljt io B_GL@ KOBLYM G@TYLI@T+ ÀBNOKOT KOAJT WL@TDJT |
HKJWOTALKI@ XLX@T D@TYWJ -mowa`b`+ `aln` | oasko`i` ijaìtyld` io
k` xádyla`+ ob tu jwiob,+ lbild` puo blbnub` io ot`t oxliobdl`t
‛ko aowodlowjb `bàkltlt `k Eun`ij io tonubi` lbty`bdl`‑7>+ sowj swodlt` puo
ok `y`puo bj kj obwuy` sjw ok tobiowj iok owwjw io modmj sjw
jaltlôb io swuog` tlbj sjw ok iok h`ktj w`dljdlblj suot `tonuw`
puo ‛ok o}`aob nkjg`k kj mlj xlwyu`kaobyo `k `wwlg`w ` k`t owwôbo t djbdkutljbot
puo ioyowalb`wjb ok h`kkj `gtjkuyjwlj‑7="
Djbdku|o hwobyo ` otyo `tsodyj puo io m`gowto x`kjw`ij k`
swuog` yotylajbl`k | ijduaoby`k djbhjwao ` k`t wonk`t io k` t`b`
dwáyld`+ ob otsodl`k+ ‛io k` o}sowlobdl` djbtltyobyot ob puo k`t sowtjb`t
dowd`b`t ` k` xádyla` swotobdl`wjb ilwody`aobyo tu `dokow`ij ioyowljwj io k` t`kui
hátld` | stápuld 6 | k`t ko|ot io k` dlobdl` iowlx`i`t io kjt lbhjwaot+ mltyjwl t
dkábld`t | sowly`njt io kjt o}sowyjt io Aoildlb` Kon`k‑+ to m`gwá` `wwlg`ij `
ub` tobyobdl` djbiob`yjwl`+ `k djaswjg`w puo ok lbduks`ij xljkô
ok iogow jgeoylxj io duli`ij ob ok sjtyjsow`yjwlj"
Y`aglìb k` tobyobdl`ijw` lbduwwlô ob ub ‛oww`ij `bàkltlt‑7< —ildo ok
klgoklty`! sjwpuo `hlwaô puo to iogá` woxlt`w ok swjdoilalobyj
`byot | iuw`byo k` dlwuná`+ tlobij puo tl glob ubj suoio
iosobiow iok jywj+ to lasjbo hw`ddljb`w d`i` ub` io k`t h`tot
sjwpuo ylobob ub otdob`wlj lbiosobilobyo" Ob ot` aoili`+ ‛VoQk
sjtyjsow yjwlj huo dwudl`k s`w` ok wotuky`ij `byleuwáildj sjw k` `dylyui iok aìildj
puo ioeô `g`bijb`i` ` tu s`dlobyo xádyla`‑43" @tá altaj+ djbtliow` puo tl
ok swjdot`ij ow` ub` sowtjb` au| d`klhld`i`+ ko ow` o}lnlgko ub
a`|jw iogow jgeoylxj io duli`ij"
7> Dhw" hjklj 07 io k` ioa`bi` ` hjklj ?90 lgáioa"7= Lgáioa"7< Dhw" hjklj 04 io k` ioa`bi` ` hjklj ?97 lgáioa"43 Lgáioa"
03
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 11/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Swoild` k` o}ltyobdl` io jywj h`ktj w`dljdlblj iowlx`ij io puo k`
eun`ijw` ileow` puo ` k` s`dlobyo to ko jhwodlô ‛lbhjwa`dlôb tjgwo
kjt wlotnjt iok swjdoilalobyj pulwõwnldj+ djbeuwàbijto djb okkj wotuky`ijt yásldjt+
`byleuwáildjt | duksjtjt ob VtuQ mua`bli`i ‑40+ du`bij kj dlowyj ot puo ok
duasklalobyj io ildmj iogow bj o}lao `k aìildj io k`
wotsjbt`glkli`i puo ko `tltyo iuw`byo ok sjtyjsow`yjwlj"
@nwon` puo+ ‛VkQ t djbtoduobdl`t io ub sjtypulwõwnldj tjb dlobyáhld`aobyo
swoiodlgkot | swoxltlgkot‑47
` s`wylw iok otyuilj swoxlj | djbdjaly`byo` k` lbyowxobdlôb+ io `duowij djb ok iogow jgeoylxj io duli`ij
iok aìildj+ sjw kj puo ` euldlj iok woduwwobyo+ `ioaàt io
puogw`by`w kjt sjtyuk`ijt io k` kônld`+ ot ‛ s`w`iôeldj djb k` oxliobdl`
| sjdj iohowobyo djb k` xádyla`+ `hlwa`w puo okk` huo wotsjbt`gko io tu tuowyo |
`konwoaobyo | tlb hubi`aobyj euwáildj `knubj klgow`w `k tlbild`ij io tu
djaswjaltj djb k` s`dlobyo ob k` `yobdlôb bodot`wl` | uwnobyo ob oto swjdotj
ukyowljw io k` jsow`dlôb‑44"
@toxow` puo b`i` ob ok swjdotj lbild` puo muglow` tlij k` h`ky`
io mlnlobo ob k` d`t` io k` soweuild`i` kj puo jd`tljbô k`
lbhoddlôb+ aà}lao du`bij okk` to swojdusô sjw `duilw ` k`
iowa`yôkjn` | `k lbhodyôkjnj `k oxliobdl`w ok `g`bijbj sjw s`wyo
iok dlwue`bj"
Dly` ok yotylajblj iok aìildj nobow`k ^LKKL@A GOE@W@BJ LN_LY@ |
djbdku|o puo djbyw`wlj ` kj ioiudlij sjw k` h`kk`ijw`+ k`
jhobili` tá to oty`g` duli`bij+ sowj ok yw`y`alobyj puo tlnulô bj
ko tlwxlô | y`asjdj yuxj k` `yobdlôb iok obeuldl`ij s`w` puo ko
d`agl`w` kjt aoild`aobyjt s`w` djbeuw`w k` lbhoddlôb | tut
ohodyjt bjdlxjt"
40 Lgáioa"47 Dhw" hjklj 09 io k` ioa`bi` ` hjklj ?94 lgáioa"44 Lgáioa"
00
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 12/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Duotyljb` ` k` @i puoa sjw ioe`w io x`kjw`w lbyonw`kaobyo ok
yotylajblj iok wohowlij n`kobj+ y`aglìb lbhowlw puo k`
bonklnobdl` huo tu|` | bj io tu swjduw`i` | sjw oasko`w ok
Lbyowboy s`w` otsoduk`w | iotdjbjdow k` swuog` jgw`byo ob ok
o}soilobyo puo swuog`b k` o}ltyobdl` io k`t kotljbot | k` d`ut`
io okk`t"
Lnu`kaobyo+ `toxow` puo soto ` puo ok yotylajblj io k` ijdyjw`
A@WYM@ OKOB@ D@ASJ ELAÌBOU -iowa`yôkjn`, huo lasjwy`byo s`w` ok
otdk`wodlalobyj io kjt modmjt+ `sob`t huo x`kjw`ij ob ub yowdlj
io mje` ob ok puo sjw kj aobjt+ `dosyô puo yw`yô ` tu swjmle`i`
djb `bylglôyldjt | aoili`t kjd`kot s`w` ok swjdotj lbhoddljtj"
@ s`wylw io oty` iotswoxobli` iodk`w`dlôb ow` sjtlgko oty`gkodow
puo ‛k` tlyu`dlôb s`yjkônld` kuonj io k` jsow`dlôb bj ow` bjwa`k ob oto ylsj iodlwuná`t‑49 | puo mugj jaltlôb `k iogow jgeoylxj io duli`ij
iuw`byo ok sjtypulwõwnldj suot huowjb bodot`wljt jywjt
`bylglôyldjt"
Tlalk`w wos`wj hjwauk` ob wok`dlôb djb ok yotylajblj iok aìildj
lbhodyôkjnj DÌT@W @W@BNJ E@W@ALKKJ+ ok puo `tonuw` bj huo o}`alb`ij
dlobyáhld`aobyo ob tu ubly`wlj djbyo}yj" Obtonuli` dly` k`
iodk`w`dlôb ob tut `s`wyot aàt tjgwot`klobyot"
Woa`y` wolyow`bij puo l, k` djbtuky` ob Lbyowboy ‛ s`wodo aàt ub`
yw`btdwlsdlôb otduoy` d`wobyo io yjij `bàkltlt djb ioywlaobyj‑4? io k` swuog`
wod`ui`i + ll, k` eun`ijw` s`wodlow` `gjn`w sjwpuo k`
soweuild`i` tjsjwy`w` ok `g`bijbj io tu aìildj | k`lasjtlglkli`i io djbtuky`w ` jywjt aìildjt+ lll, k` h`kk`ijw`
lbduwwlô ob djbyw`ilddljbot `k `hlwa`w puo k` s`dlobyo suij49 Dhw" hjklj 0? io k` ioa`bi` ` hjklj ?99 lgáioa"4? Dhw" hjklj 0> io k` ioa`bi` ` hjklj ?98 lgáioa"
07
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 13/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`ipulwlw k`t g`dyowl`t ob ok pulwôh`bj sowj puo okkj bj to
ioajtywô"
Sjw õkylaj+ `dm`d` ` k` @i puoa ok owwjw io m`gow a`blhoty`ij
puo djbyw` k` tobyobdl` io tonubij nw`ij bj d`go woduwtj
`knubj"
@KON@YJ IOK BJ WOD_WWOBYO
Ok iohobtjw io A@B_OK IO EOTÕT D@LDOIJ to jsutj ` k` `ialtlôb io k`
ioa`bi` sjwpuo ` tu euldlj ok woduwtj io d`t`dlôb to lbyowsutj
io hjwa` o}yoasjwàbo` djaj pulow` puo k` bjylhld`dlôb `k
swjdot`ij io k` tobyobdl` io tonubi` lbty`bdl` to tuwylô ok 7> io
bjxloagwo io 733<+ du`bij xobdlô ok yìwalbj io hle`dlôb iok
oildyj -`wyádukj 0=3 io k` Ko| 833 io 7333, | `puok bj to lbyobyôiobywj io kjt pulbdo -0?, iá`t tlnulobyot ` k` bjylhld`dlôb+ otyj
ot+ `byot iok 04 io obowj io 7303+ yji` xo puo ok ijdyjw D@WKJT
OBWLP_O OTYOK@ T_ÀWOU swotobyô ijt otdwlyjt+ ubj ok 78 io bjxloagwo
io 733< | jywj ok 07 io obowj io 7303 sowj blbnubj io okkjt
`kkonô ob kon`k | iogli` hjwa` djb k`t wlyu`kli`iot swjsl`t io k`
d`t`dlôb iltdwodljb`k swoxlty`t ob ok `wyádukj 73? oeõtioa+ ot
iodlw+ `bubdl`bij ok hlb puo to sowtlnuo djb ok altaj+ |` to` ok
iot`wwjkkj io k` euwltswuiobdl` j k` n`w`byá` io kjt iowodmjt
hubi`aoby`kot"
Tugw`|` `tá altaj+ djb `sj|j ob ok `uyj iok 79 io `njtyj io
0<<9 —bj obubdl` k` w`ild`dlôb!+ puo du`bij pulob lbyowsjbo ok
woduwtj ot `gjn`ij+ iogo tow dk wj | djbyubiobyo ob tu
lbyowsjtldlôb+ tj sob` io xukbow`w ok wlnjw puo o}lno y`k `dyj" Ok
yjn`ij bj duasklô djb `puokkj sjwpuo ob ok swlaow aoajwl`k
04
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 14/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
swoyobio puo k` Djwyo x`kjwo io buoxj k`t swuog`t | ob ok
tonubij+ lbxjd` k` xukbow`dlôb io k` ko| tuty`bdl`k | a`yowl`k"
Io jyw` s`wyo+ ioty`d` puo bj djlbdlio ok ajylxj io d`t`dlôb
lbild`ij sjw ok wohowlij `gjn`ij | sjw ok ijdyjw O_IJWJ ODMOXOWW\
P _LBY@B@ pulob kj tutylyu|ô+ suot otyo lbxjdô k` d t`dlôb
iltdwodljb`k s`w` iot`wwjkk`w k` euwltswuiobdl`+ kj puo tlnblhld`
puo ‛bj m`| liobyli`i yoaàyld` iotio k` hjwauk`dlôb iok woduwtj‑48"
Ob yjij d`tj+ otyla` puo k` ioa`bi` bj ioauotyw` k` bodotli`i
io lbyowxobdlôb io k` Djwyo ob ok d`tj djbdwoyj |` puo ot
aobylw` puo ok swjdot`ij m`|` `g`bijb`ij ` tu s`dlobyo suot kj
puo tudoilô huo puo ìty` to tutyw`ej xjkuby`wl`aobyo `k
yw`y`alobyj | duli`ij sjtyjsow`yjwlj lbild`ij sjw `puìk+ `aìb
puo bj `tltylô ` k`t dly`t io djbywjk wotsodylx`t"
Toð`k` puo k`t bjwa`t dly`i`t sjw ok dobtjw bj jhwodob blbnub`
iui` hwobyo ` tu lbyowswoy`dlôb" @ioaàt+ kj iotd`klhld` sjw
xljkoby`w kjt sjtyuk`ijt io ‛djmowobdl`+ bj o}dkutlôb | bj djbyw`ilddlôb‑4>+
`k lbxjd`w ok swlbdlslj io klgowy`i swjg`yjwl` | ` k` xo+ `ialylw
puo bj lnbjw` k` bodotli`i io k` swuog` yìdbld`+ k` puoeuty`aobyo+ o}dku|o oto sjtyuk`ij ob a`yowl` dlobyáhld`"
Iotdjbjdo ok ioa`bi`byo —ildo ok yjn`ij! puo ob k` tobyobdl`
io k` Djwyo dly`i` ob ok klgokj+ okk` to swjbubdlô wotsodyj `
duàbij ub aìildj jtyoby` j bj k` sjtldlôb io n`w`byo"
Ob du`byj `k swlaow d`wnj+ lbild` puo ok xldlj swonjb`ij bj
jduwwlô suot huo du`bij iuw`byo k` `uilobdl` sõgkld` ok euo io
48 Dhw" hjklj < iok `kon`yj iok bj woduwwobyo ` hjklj ?8> lgáioa"4> Dhw" hjklj 03 iok `kon`yj io bj woduwwobyo ` hjklj ?8= lgáioa"
09
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 15/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djbjdlalobyj wopulwlô `k `dut`ij s`w` puo a`blhoty`w` tl
o}ltyá`b buoxjt modmjt wokox`byot `k swjdotj puo bj muglow`
i`ij ` djbjdow ob k` lbi`n`yjwl`+ puo ok obd`wy`ij oeowdlô ok
iowodmj ` k` iohobt` a yowl`k io d`wàdyow lwwobubdl`gko"
@ioaàt+ ok woswotoby`byo io k` s`wyo dlxlk yuxj k` jsjwyubli`i io
djbyw`iodlw kjt modmjt j djbyw`lbyowwjn`w `k obeuldl`ij sowj bj
kj mlj"
Hwobyo `k tonubij d`wnj+ `hlwa` puo djwwotsjbio ` ub `kon`yj io
lbty`bdl` | puo bj mlj ub` `bàkltlt io yji`t k`t swuog`t puo
jgw`b ob ok swjdotj+ io y`k hjwa` puo ‛` tu `a`ðj | djbxoblobdl`
otdjno `knub`t io okk`t | ` tu xo jduky` jyw`t‑4="
Ob djbdwoyj+ toð`k` puo ok ioa`bi`byo to klalyô ` yw`btdwlglw
hw`naobyjt io k` swuog` yotylajbl`k | ` dly`w k`t mltyjwl`tdkábld`t+ ok ildy`aob aìildj kon`k | jyw`t swuog`t ijduaoby`kot
nu`wi`bij tlkobdlj tjgwo tu djbyoblij dlobyáhldj" @tá altaj+ kj
duks` io bj swotoby`w k` djbyw`oxliobdl` dlobyáhld` puo sowaly`
dwlyld`w k`t djbtliow`dljbot iok h`kkj lasunb`ij | io iot`yobiow
k` iodk`w`dlôb wobili` sjw ok swjdot`ij ob k` `uilobdl` sõgkld` |
k` mltyjwl` dkábld` io k` xádyla`"
Sjw õkylaj+ djbdku|o puo ok klgoklty` ‛bj wo`klô ok buoxj `bàkltlt io k`
yjy`kli`i iok `dowxj swjg`yjwlj puo jgw ob ok skob`wlj+ y`asjdj ohodyuô
djbhwjby`dlôb `knub` obywo okk`t+ bl x`kjwô k`t swuog`t sjw ìk jalyli`t+ bl lbildô kjt
sjtyuk`ijt dlobyáhldjt djwwodyjt bl k`t ko|ot io k` dlobdl` `skld`gkot k` -tld, d`tj
otsodáhldj‑4<"
Ob djbtoduobdl`+ tjkldly` lb`ialylw k` ioa`bi` |+ ob d`tj io
towkj+ bj d`t`w k` tobyobdl` `dut`i`" Lnu`kaobyo+ slio yobow ob
4= Dhw" hjklj 0= iok `kon`yj io bj woduwwobyo ` hjklj ?>8 lgáioa"4< Dhw" hjklj 0< iok `kon`yj io bj woduwwobyo ` hjklj ?>> lgáioa"
0?
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 16/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
duoby` ub aoajwl`k puo jgw` ob ok du`iowbj jwlnlb`k io tonubi`
lbty`bdl`" Hlb`kaobyo+ ioty`d` puo ok `gjn`ij D@WKJT OBWLP_O OTYOK@
T_ÀWOU bj yobá` k` d`kli`i s`w` tutyoby`w ` h`xjw io k` xádyla` ok
woduwtj io d`t`dlôb aoil`byo otdwlyj iok 0µ io a`wj io 7303"
DJBDOSYJ IOK ALBLTYOWLJ SÕGKLDJ
K` Swjduw`ijw` Yowdow` Iokon`i` s`w` k` D`t`dlôb Sob`k tjkldly`
d`t`w k` tobyobdl` lasunb`i`+ djb hubi`aobyj ob k`t tlnulobyot
djbtliow`dljbot5
0" Swlaow D`wnj"
Yw`t dly`w ok hw`naobyj iok `dy` io k` `uilobdl` io eun`alobyj
puo i` duoby` iok `sjwyo io k` djsl` io k` mltyjwl` dkábld` | iojywjt ijduaobyjt wok`dljb`ijt djb k` `yobdlôb aìild` swoty`i`
` k` s`dlobyo | io k` iodltlôb iok @ puj ob ok tobylij io
iodk`w`wkjt o}yoasjwàbojt+ k` woswotoby`byo iok Albltyowlj
Sõgkldj ioty`d` puo bj jgty`byo puo ob swlaow nw`ij okkjt bj
tlwxlowjb io hubi`aobyj `k h`kkj+ tl huowjb `swodl`ijt ob k`
tonubi` lbty`bdl` s`w` yobow sjw swjg`ij puo ok obd`wy`ij táwo`klô ub tonulalobyj sjtypulwõwnldj ` IJKK\ A@WLDOK iuw`byo kjt
iá`t 7?+ 78 | 7< io euklj | 0+ 9 | = io `njtyj io 7334+ kj puo
djbtliow` ub owwjw puo ob yjij d`tj bj ot yw`tdobiobyo |` puo ok
modmj `dwoily`ij djb oto aoilj o}yoasjwàboj+ otyj ot+ puo ok
aìildj yw`y`byo wo`klô xltly`t ijaldlkl`wl`t ` k` s`dlobyo+ djb
sjtyowljwli`i ` k` dlwuná` ‛|` m`gá` tlij ioajtyw`ij djb jywjt aoiljt io
swuog` y`kot djaj k` iodk`w`dlôb io k` xádyla` | ok wok`yj altaj puo io kjt modmjt
mlj ok swjdot`ij‑93"
93 Dhw" hjklj 00 iok djbdosyj ` hjklj 034 iok du`iowbj io k` Djwyo"
08
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 17/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
@ioaàt+ y`aglìb ot lwwokox`byo —`tonuw`! sjwpuo k` `gtjkudlôb
iok swjdot`ij to hubi`aobyô ob puo ok wotuky`ij yásldj bj to
swjiuej sjw k` bonklnobdl` iok n`kobj tlbj sjw ‛ok iohodyujtj swjdotj
io dld`ywl`dlôb io k` s`dlobyo puo to `nw`xô sjw djbtuky`w ilhowobyot aìildjt+ puo
to djaskldô sjw du`byj `ipulwlô ijt g`dyowl`t —oty`hlkjdjdj ijw`ij | stouijajb`
`owunlbjt`! tlb puo to muglow` swjg`ij dôaj | ob puì dlwdubty`bdl`t6 io tuowyo
puo+ ok hubi`aobyj io k` iodltlôb woduwwli` bj ot õbld` | o}dkutlx`aobyo k`
x`kjw`dlôb io ot` swuog` o}yoasjwàbo`‑90"
Sjw kj y`byj+ otyla` puo ok d`wnj bj otyà kk`a`ij ` swjtsow`w"
7" Tonubij d`wnj"
Ob du`byj ` k` swotuby` xukbow`dlôb iok swlbdlslj io klgowy`i
swjg`yjwl` djbt`nw`ij ob ok `wyádukj 74> io k` Ko| 833 io 7333+
ob y`byj ok eun`ijw io tonubij nw`ij djbtliowô puo k` swuog`yotylajbl`k bj ot liôbo` s`w` ioajtyw`w k`t djbtoduobdl`t iok
ioyowljwj io k` t`kui io ub` sowtjb` iuw`byo ok sjtyjsow`yjwlj |+
ob d`aglj+ to wopulowo swuog` yìdbld` s`w` `dwoily`w otyo
modmj+ kuonj io puo k` Iokon`i` tlbyoyl` k`t iodk`w`dljbot io
B_GL@ KOGLYM G@TYLI@T KOBLT+ A@WÁ@ IO KJT ÀBNOKOT KOAJT WL@TDJT | HKJWOTALKI@
XLX@T D@TYWJ -mowa`b`+ `aln` | oasko`i` ijaìtyld` io k`jhobili`, tjtylobo puo okk`t tjb wokox`byot s`w` oty`gkodow puo
k` xádyla` bj to wodusowô t`ylth`dyjwl`aobyo | puo tu oty`ij io
t`kui lbxjkudljbô"
Ob djbtoduobdl`+ ot iok dwlyowlj puo ok @i puoa lbduwwlô ob |owwj
puo iotdjbjdlô ok swlbdlslj io x kjw`dlôb swjg`yjwl` ob
djbeubyj+ io `duowij djb k`t wonk`t io k` t`b` dwáyld` | ok
sjtyuk`ij io klgowy`i swjg`yjwl` iotdwlyjt ob kjt `wyádukjt 74> |
90 Lgáioa"
0>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 18/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
74= io k` Ko| 833 io 7333+ m`gli` duoby` puo tl glob `puokk`t bj
sjiá`b wooask``w ok o}`aob iok sowlyj aìildj s`w` ioyowalb`w
k`t kotljbot sowtjb`kot lbxotyln`i`t+ tá djbhlwa`g`b k` xowtlôb io
k` iobubdl`byo wotsodyj ` k`t dlwdubty`bdl`t io yloasj+ ajij |
kun`w ob puo jduwwlowjb kjt modmjt"
@tá altaj+ s`w` k` woswotoby`byo io k` tjdloi`i `ubpuo bj to
duotyljb`b k`t d`kli`iot iok aìildj swjdot`ij | ok
swjdoilalobyj pulwõwnldj+ okk`t tjb lasjwy`byot s`w` oty`gkodow‛ok bo}j io d`ut`kli`i io tu djbiudy` djb ok wotuky`ij woswjdm`ij‑97" Ob ot`
aoili`+ otyla` puo `ubpuo k` wotsjbt`glkli`i to swoilpuo io k`
oy`s` sjtypulwõwnld`+ tá ot bodot`wlj m`dow ub `bàkltlt io yji`t
k`t `dylxli`iot wok`ylx`t `k `dyj aìildj ob tut h`tot
swopulwõwnld`+ pulwõwnld` | sjtyjsow`yjwl`"
S`wylduk`waobyo+ ob yw`yàbijto io ub` dlwuná` otyìyld` ob k` puo
bj to djbtuky` s`w` `klxl`w ub` s`yjkjná` j djb ub` ajylx`dlôb
hubdljb`k tlbj s`w` ajilhld`w ok `tsodyj hátldj+ to ylobo puo ob
ub swlaow ajaobyj ok yw`y`byo jhwodo ‛k`t jsdljbot pulwõwnld`t j
yow sìuyld`t o}skld`bij `k s`dlobyo ob puì djbtltyo d`i` ub` io okk t+ kjt
wotuky`ijt otsow`gkot+ kjt wlotnjt aàt hwoduobyot | ok ylsj io sjtyjsow`yjwlj puo
iogo tonulwto+ o}skld`dlôb puo ob d`tj io tow `dosy`i` | djbtobyli`+ hlb`kl`wà djbk` tutdwlsdlôb iok djbtobylalobyj lbhjwa`ij‑94"
Kuonj+ tlnuo k` oy`s` pulwõwnld` puo lbldl` djb ok lbnwotj iok
s`dlobyo `k dobywj aìildj `uyjwl`ij sjw k` Todwoy`wá` io T`kui
io d`i` aubldlslj+ `g`wd` ok lbyw`jsow`yjwlj+ k` wodusow`dlôb
lbaoil`y` | ok onwotj io k` lbtylyudlôb+ s`w` tonulw djb k` h`to io
wodusow`dlôb puo djaswobio ‛ok duasklalobyj io lbild`dljbot puo ok
h`duky`ylxj swotdwlgo `k s`dlobyo -yja` io aoild`aobyjt+ wuylb`t+ iloy`+ duw`dljbot
o liobylhld`dlôb io tlnbjt io `k`wa`, | sjw s`wyo iok yw`y`byo k` swjnw`a`dlôb io97 Dhw" hjklj 0? iok djbdosyj ` hjklj 03> lgáioa"94 Dhw" hjklj 08 iok djbdosyj ` hjklj 03= lgáioa"
0=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 19/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djbtuky` sjtyjsow`yjwl` j xltly`t io tonulalobyj s`w` jgtowx`w k`t wotuky`t io k`
dlwuná` | a`byobow j `ijsy`w k` djbiudy` puo iogo tonulwto‑99"
Io djbyow`+ tjtylobo+ bj djasjwy` ub h ktj w`dljdlblj k`
ox`ku`dlôb io k`t d kli`iot swjhotljb kot iok n kobj+ iok
djbtobylalobyj lbhjwa`ij | io k` `tostl` iok kun`w ijbio to
sw`dyldô k` dlwuná`"
Y`aglìb ioty`dô puo k` `kutlôb `k djbtobylalobyj lbhjwa`ij obk` tobyobdl` `dut`i`+ to mlj s`w` iotdwlglw tu djbyoblij" Ob oto
jwiob+ k` Iokon`i` bj obduobyw` puo ‛` s`wylw io oto ijduaobyj
muglow` djbdkulij ok euo io dlwdulyj puo sjw djbjdow k` s`dlobyo puo to yw`y`g` io
ub` jgkln`dlôb io aoilj | bj io wotuky`ij+ ot` tlyu`dlôb o}lalô `k ijdyjw D`ldoij
io yji` wotsjbt`glkli`i aìild`‑9?" @ioaàt puo k` `ixowyobdl` tjgwo kjt
oxobyu`kot wlotnjt bj laskld` puo okkjt bj jduww`b+ sjw kj puo to
wopulowo puo ob d`tj io tudoiow+ ok swjhotljb`k io k` t`kui
`ijsyo k`t aoili`t bodot`wl`t s`w` tu `yobdlôb"
@nwon` puo+ io `duowij djb ok yotylajblj iok ijdyjw ^LKKL@A
GOE@W@BJ LN_LY@+ kjt aoild`aobyjt puo oty`g` yja`bij k`
iobubdl`byo bj oty`g`b tlobij ohodylxjt soto ` puo ow`b
`iodu`ijt+ kuonj+ ‛ sjiwá` djbdkulwto puo djb ub tonulalobyj aàt ioy kk`ij |
sowa`bobyo -otywldy` ilklnobdl` aìild`, sjw s`wyo iok aìildj yw`y`byo+ to mugloto
sjilij `ijsy w ub d`aglj io k` `bylgljyldjyow`sl` djaj wotuky`ij io k` yja` io ub
dukylxj+ i`ij ok oty`ij io lbxjkudlôb io k`t kotljbot io k` s`dlobyo‑98" Sjw kj
y`byj+ toð`k` puo bj ot djwwodyj tjtyobow+ djb `sj|j ob ildm`
iodk`w`dlôb+ puo k` djaskld`dlôb sjtypulwõwnld` to ioglô `
djbildljbot swjsl`t io k` s`dlobyo | iotodm`w k` xljk`dlôb `k
iogow jgeoylxj io duli`ij sjw s`wyo iok swjdot`ij"
99 Dhw" hjklj 0> iok djbdosyj ` hjklj 03< lgáioa"9? Dhw" hjklj 0= iok djbdosyj ` hjklj 003 lgáioa"98 Dhw" hjklj 0< iok djbdosyj ` hjklj 000 lgáioa"
0<
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 20/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Ob ok altaj tobylij+ ildo puo k` iodk`w`dlôb io k` ijdyjw` A@WYM@
OKOB@ D@ASJ kkox` ` oty`gkodow puo tl muglow` m`glij ub duli`ijtj
tonulalobyj sjw s`wyo iok obeuldl`ij iuw`byo k` wohowli` h`to ‛to
m`gwá` sjilij wo`kl`w ok kox`by`alobyj io k`t otd`w`t swoxl`aobyo+ oxly`bij k`
`s`wldlôb io k` lbhoddlôb+ `tá djaj jwiob`w ok dukylxj io k` kotlôb s`w` xowlhld`w puo
kjt aoild`aobyjt swotdwlyjt huow`b kjt lbild`ijt‑9>"
Djb yjij+ swodlt` puo bj sjwpuo to yw`yo io ub` oxjkudlôb
`bjwa`k+ djaj kj ilej k` iosjbobyo+ to suoio djbdkulw k`xljk`dlôb `k iogow jgeoylxj io duli`ij+ |` puo ob k` aoildlb`
suoiob jduwwlw tlyu`dljbot lbhwoduobyot puo bj ylobob wohowobyo
ob y`k lbhw`ddlôb"
Lnu`kaobyo+ `ubpuo ` s`wylw io kj wohowlij sjw ok ijdyjw DÌT@W
@_N_TYJ E@W@ALKKJ to t`go puo k` jhobili` `duilô ` x`wljt
swjhotljb`kot+ okkj bj o}dku|o sjw tá altaj k` lbjgtowx`bdl` iok
iogow jgeoylxj io duli`ij iok `dut`ij+ suot ok iosjbobyo
y`aglìb ilej puo m`gwá` tlij wodjaobi`gko puo ok a`boej io k`
lbhoddlôb to muglow` modmj g`ej mjtsly`kl`dlôb" @ioaàt+ hwobyo
`k swjdotj lbhoddljtj puo iot`wwjkkô+ bj jgty`byo puo bj ot
xl`gko o}lnlw `k n`kobj puo kj swoxlow` | oxly`w`+ tá m` ioglij
m`dowko tonulalobyj+ bj tjkj djb k`t xltly`t ijaldlkl`wl`t tlbj
‛yja`bij djbiudy`t `dylx`t+ y`kot djaj k` swotdwlsdlôb io o}àaobot io k`gjw`yjwlj
| dukylxjt puo ko sowalylow`b `ijsy`w d`agljt io djbiudy` ob k`
`byljgljyldjyow`sl`+ yji` xo puo k` lbxjkudlôb io k` kotlôb |` ko sowalyá` lbhowlw
puo k`t g`dyowl t m`gá`b modmj wotltyobdl ` kjt `bylglôyldjt puo to oty g`b
iltsobt`bij+ j djaj õkylaj woduwtj `duilw ` ub` lbyowdjbtuky` djb ub otsodl`klty`
ob lbhodyjkjná`+ i`i` k` djaskoeli`i puo ok d`tj oty`g` woxltylobij‑9="
9> Dhw" hjklj 73 iok djbdosyj ` hjklj 007 lgáioa"9= Dhw" hjkljt 70!77 iok djbdosyj ` hjkljt 004!009 lgáioa"
73
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 21/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Djbdku|o puo mugj owwjwot yw tdobiobyot ob k` x`kjw`dlôb
swjg`yjwl` puo lbdlilowjb ob k` kon`kli`i iok h`kkj |` puo iuw`byo
ok sjtyjsow`yjwlj mugj djaskld`dljbot ` k`t puo bj to kot swotyô
a`|jw lasjwy`bdl`+ `k subyj puo ok dlwue`bj `hlwaô puo k`
oxjkudlôb io k` s`dlobyo ow` bjwa`k | puo okk` mugj io `duilw `
jywjt swjhotljb`kot | wopuowlwkj y`aglìb s`w` puo ko sw`dyld`w` ok
iotgwli`alobyj"
Ob `dàslyo lbiosobilobyo+ wodjwiô puo k` Djwyo to m` jdus`ij io
yw`y`w ok yoa` io k` lasuy`dlôb jgeoylx` | k` dwo`dlôb iok wlotnj
bj sowalylij ob ok ioklyj laswuiobyo+ dly`bij ob o}yobtj s`w` ok
ohodyj+ k` tobyobdl` iok 77 io a`|j io 733=+ w`ild`ij 7>"4?>"
@mjw`+ yw`yàbijto io k` lbhw`ddlôb `k iogow jgeoylxj io duli`ij
aìildj iuw`byo ok sjtyjsow`yjwlj+ k` Swjduw`ijw` ot iok dwlyowljpuo to `skld`b kjt altajt okoaobyjt puo s`w` kjt ioklyjt
duksjtjt+ otyj ot+ k` xljk`dlôb `k iogow jgeoylxj io duli`ij sjw
lasowldl`+ bonklnobdl`+ laswuiobdl` j xljk`dlôb io wonk`aobyjt+
ub wotuky`ij yásldj | ok bo}j io d`ut`kli`i obywo kjt ijt"
@tá altaj+ `wnuaoby` puo k`t bjwa`t `skld`gkot ` k` swàdyld`aìild` iuw`byo ok sjtypulwõwnldj tjb kjt `wyádukjt 08 io k` Ko| 74
io 0<=0 | 03 | 04 iok Iodwoyj 44=3 io 0<=0 | ioty`d` k`
wokox`bdl` io kjt swjyjdjkjt aìildjt | io m`dow ub ‛ euldlj
djas`w`ylxj obywo ok `dyj aìildj jgeoyj io duotyljb`alobyj | `puok puo muglow`
wo`kl`ij ub swjhotljb`k io lnu`kot djbildljbot+ iotio ok subyj io xlty` io kjt
djbjdlalobyjt otsodáhldjt+ io a`bow` swuiobyo | ilklnobyo‑9<"
Wot`ky` puo iuw`byo ok sjtyjsow`yjwlj —lbaoil`yj+ aoil`yj |
y`wiáj! ok aìildj ylobo ub iogow otywldyj io xlnlk`bdl` iok
9< Dhw" hjklj 43 iok djbdosyj ` hjklj 077 lgáioa"
70
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 22/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
s`dlobyo+ io y`k hjwa` puo iogo lbhjwa`w ob puì djbildljbot kj
ioe` kuonj io k` dlwuná`+ obtonuli` swjnw`a`w kjt djbywjkot
wotsodylxjt o lbild`w kjt duli`ijt iok d`tj" @tá+ to ylobo puo ‛ok
iotdulij ob ok sjtyjsow`yjwlj ot ub` dk`w` mlsôyotlt io wotsjbt`glkli`i aìild`+ puo
`ipulowo wokox`bdl` sob`k du`bij to djbdwoy` ob ub i`ðj ` ub glob euwáild`aobyo
yuyok`ij+ sjw lbjgtowx`w ok iogow io xlnlk`bdl` swuiobyo puo laskld` swjsjwdljb`wko
`dylx`t | euldljt`t aoili`t yow`sìuyld`t `iodu`i`t puo ok oty`ij io k` dlobdl`
ioyowalbo ob d`i` d`tj ob djbdwoyj+ tonõb k`t djbildljbot swjsl`t iok s`dlobyo‑?3"
Tjkj tl soto ` `dyu`w io ot` a`bow` to swotoby` k` kotlôb ob ok
s`dlobyo+ to iogo djbdkulw puo bj m`| kun`w ` k` wotsjbt`glkli`i
sob`k"
Tjgwo ok d`tj djbdwoyj+ iotsuìt io wohowlwto ` k`t djaskld`dljbot
hwoduobyot | bj y`b djaubot ob k`t dlwuná`t skàtyld`t | io
wodjwi`w k`t puo tuhwlô k` iobubdl`byo+ `tá djaj ok a`boej
aìildj puo ko ilj ok swjdot`ij ` k`t alta`t g`ej ok swoild`ij iopuo yjij ow` bjwa`k | k` `dylyui puo `k wotsodyj `tualô k`
soweuild`i`+ k` Iokon`i` `ixlwylô k` o}ltyobdl` io ub` lbhw`ddlôb
`k iogow jgeoylxj io duli`ij sjw s`wyo iok ijdyjw D@LDOIJ
iowlx`i` io l, bj m`dow kjt o}àaobot s`w` liobylhld`w io hjwa`
otsodl`kl`i` ok oty`ij io t`kui io k` s`dlobyo+ ll, ioe`w io
oty`gkodow tl kjt aoild`aobyjt tualbltyw`ijt ow`b kjt `iodu`ijt|+ lll, klaly`w k` tusowxltlôb aìild` ` k` woxltlôb hjwa`k io k`
s`dlobyo io y`k hjwa` puo k` oxjkudlôb io k` djaskld`dlôb nobowô
k` bodwjtlt io k` slok"
Woa`yô lbild`bij puo ‛ok wotuky`ij bj to ioglô ` k`t djbildljbot swjsl`t io
k` s`dlobyo+ bl ` bj m`gow tonulij k`t lbtywuddljbot i`i`t sjw ok aìildj yw`y`byo+ bl
`k modmj io m`gow djbtuky`ij jywjt aìildjt+ djaj oww`i`aobyo kj tjtyuxj ok Euo
io tonubij nw`ij+ to ioglô ` k` bonklnobyo jaltlôb iok Iw" D`ldoij pulob bj jwiobô` yloasj kjt o}àaobot djwwotsjbilobyot s`w` a`boe`w k` lbhoddlôb | bj otyuxj
`yobyj ` xowlhld`w puo kjt aoild`aobyjt tlnulow`b tlobij kjt lbild`ijt s`w` k`
?3 Dhw" hjklj 44 iok djbdosyj ` hjklj 07? lgáioa"
77
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 23/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
obyli`i io k` lbhoddlôb puo lg` oxjkudljb`bij ob k` s`dlobyo | oasojw`g` tu
swjdotj io dld`ywl dlôb‑?0"
DJBTLIOW@DLJBOT
0" Duotyljbot swoxl`t"
0"0" Ob `uyj iok s`t`ij 0µ io a`wj k` Djwsjw`dlôb ioyodyô k`
puo ob tu ajaobyj djbtliowô ub` lwwonuk`wli`i iowlx`i` io puook swjxoáij `ialtjwlj io k` ioa`bi` io d`t`dlôb iltdwodljb`k
muglow` tlij tutdwlyj sjw `uyj io a`nltyw`ij sjbobyo | bj io k`
T`k`+ djaj ob swlbdlslj+ to ioiudlwá` iok `wyádukj 73? io k` Ko|
833 io 7333"
Sjw djbtlnulobyo+ to iodk`wô k` bukli`i io kj `dyu`ij iotio ot`
swjxliobdl` | ob `uyj iok > iok altaj aot | `ðj to `ialylô
buox`aobyo+ sowj oty` xo+ djb k` wõgwld` io yjijt kjt
a`nltyw`ijt lbyonw`byot io k` T`k` Sob`k+ iltsjblobij djwwow jyw`
xo ok yw`tk`ij io puo yw`y` ok `wyádukj 704 oeõtioa"
Bj jgty`byo+ ub` buox` `swj}la`dlôb puo djbtuky` ok swlbdlslj
io kon`kli`i | ko djbhlowo ohld`dl` bjwa`ylx` `k `}lja` io
swox`kobdl` iok iowodmj tuty`bdl`k tjgwo ok hjwa`k+ djbxjd` ` k`
Djwyo ` swodlt`w `puokk` sjtyuw` ob jwiob ` oty`gkodow+ puo k`t
ioa`bi`t io d`t`dlôb lbxjd`i`t sjw k` xá` iltdwodljb`k glob
suoiob tow `ialyli`t aoil`byo `uyj tutdwlyj sjw ok sjbobyo j
sjw k` T`k` io D`t`dlôb Sob`k ob skobj"
Ob ohodyj+ djaj ok `uyj puo `ialyo k` ioa`bi` bj ot io
d`wàdyow lbyowkjduyjwlj ob kjt yìwalbjt iok `wyádukj 0>0 io k` Ko|
?0 Dhw" hjklj 4> iok djbdosyj ` hjklj 07< lgáioa"
74
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 24/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
833 io 7333+ tlbj io tuty`bdl`dlôb j io aowj ywàalyo —| ob oto
jwiob+ tu hlb ot ok io i`w lasuktj ` k` `dyu`dlôb swjdot`k!+
wotuky` dk`wj puo ob swlbdlslj+ ‛VkQjt `uyjt io tuty`bdl`dlôb towàb ildy`ijt
sjw ok a`nltyw ij sjbobyo‑+ `k yobjw iok lbdltj 0µ iok `wyádukj 0>7
lgáioa"
Tlb oag`wnj+ blbnub` klaly`dlôb o}ltyo s`w` puo k` iodltlôb io
`xjd`w ok djbjdlalobyj io ub` ioa`bi` lbxjd`i` sjw k` wuy`
iltdwodljb`k to` `ijsy`i` djb ok xjyj h`xjw`gko io k` T`k`+ sjwxlwyui io k` h`duky`i o}dosdljb`k puo ko m` tlij djbhl`i` ob
swjduw` io oeowdow ub djbywjk djbtylyudljb`k | kon`k tjgwo kjt
h`kkjt io tonubij nw`ij ildy`ijt wotsodyj io ioklyjt puo bj
o}doi`b kjt jdmj -=, `ðjt io swltlôb j bj m`|`b tlij swjhowlijt
sjw kjt ywlgub`kot tusowljwot io iltywlyj euildl`k | ok Ywlgub`k
Sob`k Alkly`w+ du`bij pulow` puo ‛kj djbtliowo bodot wlj s`w` okiot wwjkkj io k` euwltswuiobdl` j k` n`w`byá io kjt iowodmjt hubi`aoby`kot+
tloaswo puo woõb` kjt ioaàt wopultlyjt o}lnlijt sjw k` Ko| ‑?7"
0"7" Ob swoyobtlôb lbdkuli` iobywj iok tonubij d`wnj sowj `ltk`i`
io kjt iobubdl`ijt h`ktjt w`dljdlbljt puo swonjb` ob ok altaj+ ok
ioa`bi`byo duotyljb` k` tobyobdl` io tonubi` lbty`bdl` sjw
lbild`w puo djbyw` ot` swjxliobdl` bj d`gá` woduwtj `knubj"
@ubpuo hubi`ij ob swlbdlslj ok woswjdmo+ sjwpuo ob ohodyj to
djbty`y` puo ob k` s`wyo wotjkuylx` iok h`kkj io tonubij blxok to
djbtlnbô ob tu buaow`k du`wyj puo ‛VdQjbyw` oty` iodltlôb bj swjdoio
woduwtj `knubj‑?4+ | oty` `ixowyobdl` ot oalbobyoaobyo
yw`btnwotjw` io kjt iowodmjt hubi`aoby`kot `k ioglij swjdotj+ `k`ddotj ` k` `ialbltyw`dlôb io eutyldl` | iok swlbdlslj io kon`kli`i
ob subyj io k` n`w`byá` io `duilw `k woduwtj o}yw`jwilb`wlj io
?7 Lbdltj 4µ iok `wyádukj 73? io k` Ko| 833 io 7333"?4 Dhw" hjklj 0< io k` tobyobdl` io tonubi` lbty`bdl` ` hjklj ?3? iok du`iowbj jwlnlb`k 7"
79
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 25/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
d`t`dlôb+ k` dobtuw` ioxlobo lbtuty`bdl`k ob k` aoili` puo y`k
o}swotlôb —klyow`k | swjmlgli`! bj djbtylyu|ô lasoilaobyj s`w`
puo ok woswotoby`byo io k` s`wyo dlxlk lbyowsutlow` k`
lasunb`dlôb o}yw`jwilb`wl`+ ko huow` djbdoilij sjw k` eun`ijw`
| kj tutyoby`w` iobywj io k` jsjwyubli`i kon`k"
0"4" @mjw`+ y`aglìb ot wokox`byo subyu kl`w puo ub` xo
wo`kl`ij ok otyuilj io `ialtlôb | tusow ijt kjt iohodyjt kônldj
`wnuaoby`ylxjt puo o}mlgá` ok klgokj+ puo kj huo djb ok otywldyj
swjsôtlyj io swjduw`w k` xlnobdl` io kjt hlbot iok woduwtj |
iot`wwjkk`w k` euwltswuiobdl` ob subyj iok wìnlaob io lasuy`dlôb
sob`k ob yw`yàbijto io ioklyjt duksjtjt j laswuiobyot+ d`ut`ijt
sjw k` dwo`dlôb j lbdwoaobyj iok wlotnj sowalylij !swjyjdjkj
yow`sìuyldj! ob k` `yobdlôb aìild` swoty`i` sjw kjt aìildjt
iuw`byo k` h`to iok sjtyjsow`yjwlj j sjtyw`y`alobyj+ k`lasjwy`bdl` bjwa`ylx` iok djbtobylalobyj lbhjwa`ij puo yjij
s`dlobyo j tu `duilobyo iogo tutdwlglw+ swoxlj ` tjaoyowto ` ub`
lbyowxobdlôb djwsjw`k sjw s`wyo io tu aìildj yw`y`byo |+ ok
`kd`bdo io k` swuog` yotylajbl`k ilwody` sowj bj o}sowy` hwobyo
` `tubyjt io b`yuw`ko` aìild` | tu wok`dlôb djb ok swlbdlslj io
klgowy`i swjg`yjwl`+ bj m`| kun`w ` iotd`klhld`w k` ioa`bi` obw`ôb io kjt `tsodyjt yìdbldj hjwa`kot puo wlnob k` d`t`dlôb |
puo bj huowjb `yobilijt "
0"9" Io jywj k`ij+ k` xlbduk`dlôb lbokuilgko `k swlbdlslj io
djbnwuobdl` djaj n`w`byá` gàtld` iok iowodmj `k swjdotj ioglij+
ioa`bi` s`w` k` Djwyo djaj s`w` kjt eun`ijwot io lbty`bdl`+ k`
jgkln`dlôb io wotsoy`w ok bõdkoj gàtldj io k` lasuy`dlôb hàdyld`
djbtjkli`ij ob k` wotjkudlôb io `dut`dlôb"
7?
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 26/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Ob oto jwiob+ iotio |` k` T`k` `ixlowyo puo ok jgeoyj io
swjbubdl`alobyj kj towà otywldy`aobyo ok o}`aob io k` xljk`dlôb
j bj `k iogow jgeoylxj io duli`ij ob k` swàdyld` aìildj
pulwõwnld` io b`yuw ko` otyìyld` iuw`byo k` h`to iok
sjtyjsow`yjwlj"
Tlb oag`wnj+ k` Djwyo bj suoio ioe`w io kk`a`w k` `yobdlôb `k
obyo `dut`ijw —| ` kjt h`kk`ijwot! sjw klaly`w k` `ddlôb sob`k ` k`
lbxotyln`dlôb | eun`alobyj iok djasjwy`alobyj iotskon`ij sjwok swjdot`ij iuw`byo ot` o}dkutlx` oy`s`+ suot g`ty` ub
iotswoxoblij `dowd`alobyj `k a`yowl`k swjg`yjwlj ox`ku`ij sjw
k`t lbty`bdl`t s`w` iotdugwlw puo ow` lbiltsobt`gko otduiwlð`w tl
k` djbiudy` duksjt` y`aglìb ko ow` `ywlgulgko `k swjdot`ij ob
w`ôb io k t h`tot `byowljw -djbtobylalobyj lbhjwa`ij |
swos`w`dlôb swojsow`yjwl`, | djbdjaly`byo -yìdbld` euwáild`djbhjwao ` k` ko} `wylt, ` k` dlwuná` skàtyld` io klsjtuddlôb"
Kj `byowljw+ yoblobij ob duoby` puo k` swuog` yotylajbl`k io kjt
swjhotljb`kot otsodl`kl`ijt ob iowa`yjkjná` o lbhodyjkjná`+ ok
ildy`aob aìildj kon`k o lbdkutj ok altaj swjdot`ij+ `ixlwylowjb
tjgwo k` sjtlglkli`i io yobow djaj aod`bltaj d`ut`k ‛ub
djaswjaltj ltpuìaldj yltuk`w kjd`kl`ij djb kotlôb io sko}j tugiìwaldj j du`kpulow
jyw` djbildlôb puo iltalbu|j -tld, ok `sjwyo io t`bnwo ` k` slok+ tlyu`dlôb puo
nobow` ub ioyowljwj swjnwotlxj | auowyo yltuk`w duyàbo`‑?9+ `ub`ij ` puo ok
sowlyj aìildj toð`k`w` puo ‛bj to iotd`wy` puo h`dyjwot `tjdl`ijt ` k`
yìdbld` pulwõwnld` j djbildljbot swjsl t io k` s`dlobyo m`n`b iot`wwjkk`w k`
djaskld`dlôb djb a`|jw sjtlglkli`i ‑??+ aà}lao du`bij `k o}soilobyo to
`sjwyô swuog` io puo sjw kj aobjt+ jyw` s`dlobyo?8 iok n`kobj
?9 Dhw" hjklj 9 iok ildy`aob ` hjklj 08< iok du`iowbj jwlnlb`k 0"?? Dhw" hjklj ? iok ildy`aob ` hjklj 0>3 lgáioa"?8 Dhw" hjkljt 783!7=< lgáioa" K` iobubdl`byo m`do wohowobdl` ob k` iobubdl` ` jywjt 4 d`tjt+sowj tjgwo okkjt+ bj to `sjwyô blbnub` swuog`"
78
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 27/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`puá eun`ij+ tuhwlô liìbyld` djaskld`dlôb djb toaoe`byot
djbtoduobdl`t kotlx`t io k` lbyonwli`i sowtjb`k"
7" Swlaow d`wnj"
Ok ioa`bi`byo swoild` k` djbdwodlôb io ub` lwwonuk`wli`i
tuty`bdl`k djaj swjiudyj io puo ok h`kk`ijw io tonubi` lbty`bdl`
muglow` x`kjw`ij k` mltyjwl` dkábld` io k` s`dlobyo `sjwy`i` sjw ok
swjdot`ij iuw`byo k` `uilobdl` sõgkld` soto ` puo ok eun`ijw io
swlaow blxok o}swot`aobyo k` iodk`wô o}yoasjwàbo`"
@k wotsodyj+ y`k djaj to `byldlsô ob ok `dàslyo swodoiobyo+ k`
`swodl`dlôb io ub` swuog` puo to `dut` io lkon`k bj djbyw`o k`
t`bdlôb io lbx`klio iok swjdotj | tjkj+ oxobyu`kaobyo+ tu
o}dkutlôb iok djbeubyj swjg`yjwlj+ alta` puo ob otyo d`tj bj tosuoio iodk`w`w sjw k`t tlnulobyot w`jbot"
l, Ob ok tltyoa` io obeuldl`alobyj sob`k wonlij sjw k` Ko| 833 io
7333 k` jsjwyubli`i s`w` tjkldly`w | sw`dyld`w swuog`t b`do ob ok
yw`tk`ij iok `wyádukj 933 oeõtioa | to djbtowx` m`ty` `byot io
puo to iì lbldlj ` k`t lbyowxobdljbot io kjt tueoyjt swjdot`kotiuw`byo k` `uilobdl` sõgkld` io eun`alobyj"
ll, Ob ok `tubyj tjaoylij ` o}`aob to `ixlowyo puo ok `sjwyo io
k` mltyjwl` dkábld` io k` s`dlobyo | io jywjt ijduaobyjt to
swjiuej ob ok wohowlij `dyj+ iotsuìt io puo ok eun`ijw to
swjbubdl`w` tjgwo ub` soyldlôb io bukli`i+ `byot io puo ok
obeuldl`ij oaso`w` ` wotsjbiow ok lbyowwjn`yjwlj puo ok euo ko
hjwauk`w` ob kjt yìwalbjt iok `wyádukj 934 io k` Ko| 833 io 7333
|+ ob yjij d`tj+ swoxlj `k lbldlj io k` lbyowxobdlôb io kjt tueoyjt
7>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 28/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
swjdot`kot -hltd`k+ iohobtjw | albltyowlj sõgkldj+ ob tu jwiob,"
@tá djbty` ob ok `dy` wotsodylx` puo ob kj sowylbobyo ot djaj
tlnuo5
‛-…, I`ij puo to obduobyw` swotobyo ok swjdot`ij A@B_OK IO EOTÕT
D@LDOIJ+ ob `wajbá` djb ok `wyádukj 934 iok D" io S" Sob`k+ to swjdoio `
lbyowwjn`wkj+ sjblìbijko io swotobyo ok `wyádukj 44> iok D" io S" Sob`k+
`ixlwylobij puo k` ilklnobdl` bj to wodlgo g`ej nw`xoi`i iok euw`aobyj+
puo ylobo iowodmj ` nu`wi`w tlkobdlj+ puo tl iodlio nu`wi`w tlkobdlj+ ìtyo
djasjwy`alobyj bj towà yja`ij djaj lbildlj ob tu djbyw`+ puo k`
ilklnobdl` ot xjkuby`wl` | klgwo io `swoalj+ puo bj ylobo k` jgkln`dlôb io
iodk`w`w djbyw` tá altaj+ bl djbyw` tut s`wlobyot iobywj iok du`wyj nw`ij
io djbt`nulbli`i j dlxlk+ tonubij io `hlbli`i+ bl djbyw` tu dôb|uno+
djas`ðowj j djas`ðow sowa`bobyo+ to `dyu`kl`b tut nobow kot io ko|
io k` tlnulobyo a`bow` -…," SWON_BY@IJ5 A`blhlotyo `k -tld, tl o}ltyob
buoxj -tld, modmjt puo utyoi djbtliowo puo tjb lasjwy`byot s`w` ok
swjdotj | puo bj kjt m`|` i`ij ` djbjdow ob k` ilklnobdl` io lbi`n yjwl`"
DJBYOTYJ5 Iotoj `sjwy`w k` mltyjwl` dkábld` io k` s`dlobyo k` du`k bubd`
huo `sjwy`i` `k swjdotj | ob k` puo djbty` kjt `yobilalobyjt -tld, puo to
ko mldlowjb ` k` toðjw` `byot | iotsuìt io k` dlwuná`+ `tá altaj io
o}`aob io k`gjw`yjwlj swojsow`yjwlj+ o}`aob io k`gjw`yjwlj
sjtyjsow yjwlj+ hjyjt ijbio otyà yji` k` toduobdl sjty pulwõwnld` iok
`yobilalobyj -tld, puo to ko mlj ` k` s`dlobyo | ijbio djbty`b k`t hodm`t
puo tutyoby`b kj ok`gjw`ij ob k` mltyjwl` dkábld` m`ty` ok iá` puo ob puo
k` toðjw` iodlilô bj wonwot`w aàt `k djbtukyjwlj+ ob 07 hjyjt+ iodk`w`dlôb
iok aìildj iowa`yôkjnj o lbhodyôkjnj+ ijduaobyj swlx`ij puo djbylobo
a`blhoty`dljbot+ tutdwly` sjw ok ijdyjw K_LT MOWB@BIJ AJWOBJ A@DL@T+
wodlgj hlwa`ij sjw k` toðjw` IJKK\ A@WLDOK G@TYLI@T ijbio to ko
`sjwy` k` tua` io )0"440"333"jj+ sjw djbdosyj io aoild`aobyjt |
o}`aob io k`gjw`yjwlj+ ob ub hjklj" To ioe` djbty`bdl` puo ok swjdot`ij
m`do obywon` io ijt hjkljt aoagwoyo`ijt sjw ok Iw" A@B_OK IO EOTÕT
D@LDOIJ djb hodm` 07 io eublj io 7334"‑?>
lll, Kj `byowljw lbild` puo+ ob swlbdlslj+ k` mltyjwl` dkábld` io k`
toðjw` G@TYLI@T huo `sjwy`i` iobywj io k` jsjwyubli`i kon`k sjw ok
`dut`ij+ otyj ot+ `byot io puo to ilow` s`tj ` k` h`to io kjt
`kon`yjt hlb`kot ob k` `uilobdl` sõgkld` io eun`alobyj"
?> Dhw" hjkljt 49?!498 iok du`iowbj jwlnlb`k 7"
7=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 29/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Bj jgty`byo+ y`aglìb to jgtowx` puo ` wobnkôb tonulij ok euo
io djbjdlalobyj to swjbubdlô ob kjt tlnulobyot yìwalbjt wotsodyj
io kjt ijduaobyjt `sjwy`ijt5
‛-…, ok Iots`dmj to `gtylobo io m`dow swjbubdl`alobyj `knubj hwobyo `
kjt ijduaobyjt `sjwy`ijt sjw tow swuog`t o}yoasjwàbo`t" -…,‑?=
@dowd` io oty` ioyowalb`dlôb+ bl k` iohobt` bl jywj tueoyj
swjdot`k mldlowjb a`blhoty`dlôb `knub`+ ajtyw`bij djbhjwali`idjb kj iodlilij sjw ok eun`ijw ob ok tobylij io bj `ialylw djaj
swuog`t xàkli`t y`kot ijduaobyjt"
Ot `tá puo sjw otyo modmj kjt eun`ijwot dlowy`aobyo oty`g`b
lasoilijt s`w` `gjwi`w ok o}`aob io ildmjt otdwlyjt+ |
djbdwoy`aobyo io k` `kuili` mltyjwl` dkábld`" Owwô+ obyjbdot+ ok
h`kk`ijw io tonubi` lbty`bdl` `k yobow obywo k`t swuog`t puo
tlwxlowjb io hubi`aobyj ` k` tobyobdl` `gtjkuyjwl`+ k` wohowli`
swuog` ijduaoby`k"
Tlb oag`wnj+ ob toio io d`t`dlôb bj g`ty` `dwoily`w k`
djbhlnuw`dlôb iok |owwj ob ok h`kkj lasunb`ij+ tlbj puo to iogo
ioajtyw`w puo ok altaj ot yw`tdobiobyo s`w` k` ioyowalb`dlôbiok tobylij io eutyldl` lbdjwsjw`ij ` k` iodltlôb `dut`i`+ kj puo
ob otyo oxobyj bj to sowdlgo+ suot djaj djb `dlowyj kj m`do xow
k` Iokon`i` iok Albltyowlj Sõgkldj+ ok tusuotyj hàdyldj puo
`dwoily` k` mltyjwl` dkábld`+ otyj ot+ puo k` iobubdl`byo huo
`yobili` ob x`wl`t jd`tljbot sjw ok swjdot`ij ob tu djbtukyjwlj |
ijaldlkl`wl`aobyo y`aglìb to swjgô djb ok ildmj y`byj iok
obeuldl`ij djaj io k` alta` iobubdl`byo+ io y`k tuowyo puo
wotukyô sowhody`aobyo tusowhku` j lbõylk s`w` ioajtyw`w `knj aàt
?= Dhw" hjklj 498 lgáioa"
7<
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 30/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`kkà puo kj puo |` to djbjdá` ob k` `dyu`dlôb | to iodk`wô ob ok
h`kkj `gtjkuyjwlj+ ot iodlw+ puo ok dlwue`bj `utdukyô ` tu s`dlobyo
iuw`byo k` h`to iok sjtyjsow`yjwlj"
Kj iotdwlyj ot wokox`byo tl to djbtliow` puo bj huo k` swuog`
aobdljb`i` k` puo tlwxlô io g`to `k euo io dlwdulyj s`w`
iotd`wy`w k` jaltlôb `k iogow jgeoylxj io duli`ij sjw s`wyo iok
swjhotljb`k io k` aoildlb` obd`ut`ij+ m`gli` duoby` puo k`
`gtjkudlôb tjgwoxlbj djaj djbtoduobdl` io puo ok tobyobdl`ijwdjbtliow`w` puo k`t kotljbot d`ut`i`t ` k` toðjw` G@TYLI@T KOBLT to
swjiueowjb sjwpuo okk` bj yuxj ub guob a`boej iok swjdotj io
dld`ywl`dlôb+ ob y`byj djbtukyô tu s`iodlalobyj djb x`wljt
aìildjt otsodl`klty`t | `ipulwlô ub` lbhoddlôb sjw k` lbdliobdl`
io ijt g`dyowl`t puo suoiob oty`w swotobyot ob du`kpulow kun`w+
kj puo otd`s`wá` ` `knub` swoxltlglkli`i"
@tá k`t djt`t+ bj m`| kun`w ` d`t`w ok h`kkj lasunb`ij sjw w`ôb
io otyo woswjdmo"
4" Tonubij d`wnj -tugtlil`wlj,"
4"0" K` lasuy`dlôb jgeoylx` iok wotuky`ij ob kjt ioklyjtlaswuiobyot" Wotsjbt`glkli`i sob`k aìild`"
4"0"0" Tjgwo k` yw`btldlôb iotio k` lasuy`dlôb iok ioklyj duksjtj
djaj ub` hjwa` io duks`glkli`i nobow`i` ob k` laswuiobdl`+ k`
bonklnobdl` j k` lasowldl` puo woná` ob ok tltyoa` io
wotsjbt`glkli`i sob`k wonk`ij sjw ok Iodwoyj Ko| 033 io 0<=3
-`wyádukj 4>, | to `sj|`g` o}dkutlx`aobyo ob k` yojwá` io k`
d`ut`kli`i+ m`dl` k` lasuy`dlôb euwáild` iok wotuky`ij io kjt
lbeutyjt laswuiobyot djbhjwao `k ijna` io k` lasuy`dlôb
jgeoylx` g`t`ij ob k` lbhw`ddlôb `k iogow jgeoylxj io duli`ij |
43
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 31/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
wodjnlij ob ok `dyu`k d`bjb 74 io k` Ko| ?<< io 7333+ k`
tobyobdl` iok 77 io a`|j io 733= swjhowli` sjw oty`
Djwsjw`dlôb+ w`ild`dlôb 7>"4?>+ wotuky` tow `swjsl`i` s`w`
djaswobiow kjt swotusuotyjt `dyu kaobyo bodot`wljt s`w k`
`ywlgudlôb sob`k iok wotuky`ij kotlxj io kjt globot euwáildjt
yuyok`ijt sjw ok iowodmj sob`k+ puo `ialyob k` wotsjbt`glkli`i
duksjt`+ k` puo ob tu s`wyo aàt woswotoby`ylx` toð`k`5
‛Ob djbdkutlôb+ io `duowij djb k` oxjkudlôb ijdywlb`wl` | euwltswuiobdl`kiok ioklyj laswuiobyo+ kj otobdl k io k` duks` bj wotlio ob `dyjt io
xjkuby`wloi`i iok tueoyj `nobyo+
tusow`bij `tá `puokk`t yobiobdl t
jbyjkjnldlty`t puo obk``g`b `ddlôb | wotuky`ij djb o}dkutlxj `sj|j ob
k`t djbjdli`t yojwá`t io k` d`ut`kli`i ’ yojwá` io k` opulx`kobdl`+ djbilylj
tlbo pu` bjb+ d`ut`kli`i `iodu`i`+ wokox`bdl` yásld
’ + tlbj ob ok iotx`kjw io
k` `ddlôb sjw ìk wo`kl`i`+ tlnb`ij sjw k` djbyw`wloi`i j iotdjbjdlalobyj
iok iogow jgeoylxj io duli`ij+ tloaswo | du`bij ob `puokk`+ ob k`
`ddlôb+ to djbdwoyo+ sjw ub bo}j io d`ut`kli`i j ioyowalb`dlôb+ ok
wotuky`ij yásldj+ ot iodlw+ ok iotx`kjw iok wotuky`ij+ puo otyuxj ob
djbildljbot io djbjdow | swoxow ok tueoyj `dylxj
"
7"7" Ob k` ijdywlb` sob`k djbyoasjwàbo`+ k` jslblôb ijalb`byo
djbtliow` puo k` wo`kl`dlôb iok ylsj jgeoylxj ob ok ioklyj laswuiobyo - j+
aoejw ildmj+ k` lbhw`ddlôb `k iogow io duli`ij, to t`ylth`do djb k` yojwá` io
k` lasuy`dlôb jgeoylx`+ io `duowij djb k` du`k ub modmj d`ut`ij sjw ok
`nobyo ko ot euwáild`aobyo `ywlgulgko ` ìk tl djb tu djasjwy`alobyj m`
dwo`ij ub soklnwj s`w` ok jgeoyj io k` `ddlôb bj `g`wd`ij sjw ok wlotnj
sowalylij | ildmj soklnwj to wo`kl` ob ok wotuky`ij djbdwoyj
"
Kj `byowljw tlnblhld` puo tl k` lbhw`ddlôb `k iogow io duli`ij to djbdwoy`
ob ok iotdjbjdlalobyj io k` bjwa` io duli`ij lbmowobyo ` `dylxli`iot ob
du|j àaglyj to nobow`b wlotnjt j suoty` ob soklnwj io globot
euwáild`aobyo yuyok`ijt+ ot bodot`wlj hle`w ok a`wdj ob ok du k to wo`klô
k` djbiudy` | toð`k`w k`t bjwa`t puo k` njgowb`g`b+ ` hlb io ioxok`w tl
aoil`byo k` djbeubdlôb x`kjw`ylx` o} `byo | o} sjty+ ok wotuky`ij puo to
swjiuej+ suoio tow lasuy ij `k djasjwy`alobyj iok swjdot`ij"
Ob jyw`t s`k`gw`t+ hwobyo ` ub` sjtlgko djbiudy` duksjt + ok euo+ ob
swlaow kun`w+ iogo x`kjw`w tl k` sowtjb` dwoô ub wlotnj euwáild`aobyo
iot`swjg`ij iotio ub` sowtsodylx` o} `byo+ ot iodlw+ yoblobij puo
woywjyw`owto `k ajaobyj io wo`kl`dlôb io k` `ddlôb | o}`alb`bij tl
40
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 32/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djbhjwao ` k`t djbildljbot io ub jgtowx`ijw lbyoklnobyo tlyu`ij ob k`
sjtldlôb iok `uyjw+ ` kj puo m`gwà io tuaàwtoko kjt djbjdlalobyjt
otsodl`kot io otyo õkylaj+ ok modmj towá` j bj `iodu`ij s`w` swjiudlw ok
wotuky`ij yásldj?<
"
Ob tonubij kun`w+ ok hubdljb`wlj ylobo puo x`kjw`w tl oto soklnwj to
wo`klô ob ok wotuky`ij+ yoblobij ob duoby` yji`t k`t dlwdubty`bdl`t
djbjdli`t o} sjty
"
7"4" Ob `w`t io oty`gkodow duàbij to djbdwoy` k` dwo`dlôb io ub wlotnj bj
sowalylij | duàbij bj+ k` yojwá` io k` lasuy`dlôb jgeoylx` lbyonw` x`wljtdwlyowljt klaly byot j djwwodylxjt puo kkob`b ` ot` o}swotlôb io
djbyoblij+ kjt du`kot y`aglìb m`b yoblij `djnli` ob k` euwltswuiobdl` io
k` T`k`83
5
7"4"0" Bj swjxjd` ub wlotnj euwáild`aobyo iot`swjg`ij pulob lbduwwo ob
ub` ‛ djbiudy` tjdl`kaobyo bjwa`k | nobow`kaobyo bj soklnwjt
`‑ 80 + puo sjw kj
y`byj bj otyà swjmlgli` sjw ok jwiob`alobyj euwáildj+ ` sot`w io puo djb
k` alta` m`|` jd`tljb`ij io a`bow` d`ut`k ub wotuky`ij yásldj j lbdkutj
m`|` tlij ioyowalb`byo s`w` tu wo`kl`dlôb
"
7"4"7" Y`asjdj to djbdwoy` ok wlotnj bj sowalylij du`bij+ ob ok a`wdj
io ub` djjsow`dlôb djb ilxltlôb iok yw`g`ej+ ob ok oeowdldlj io du`kpulow
`dylxli`i otsodl`kl`i` j swjhotlôb+ ok tueoyj `nobyo jgtowx` kjt iogowot
puo ko ow`b o}lnlgkot | ot jyw` sowtjb` sowyobodlobyo `k nwusj k` puo bj
wotsoy` k`t bjwa`t j k`t wonk`t iok `wyo -ko} `wylt, sowylbobyot" Kj
`byowljw+ ob xlwyui iok kk`a`ij swlbdlslj io djbhl`b`+ tonõb ok du`k ‛ok
mjagwo bjwa`k otsow` puo kjt ioaàt `dyõob io `duowij djb kjt a`bi`yjtkon`kot+ iobywj io tu djasoyobdl`‑87"
-…,
7"4"4" Lnu`kaobyo+ h`ky` k` dwo`dlôb iok wlotnj iot`swjg`ij du`bij
`knulob tôkj m` s`wyldls`ij djb wotsodyj ` k` djbiudy` io jywj ob ub`
‛
`ddlôb ` swjslj wlotnj‑84+ j ub` ‛
`uyjsuoty` ob soklnwj ijkjt`‑89+ -…,"
-…,
?< Dhw" Ajklb` Howbàbio+ Howb`bij+ @byleuwlildli`i sob`k | tltyoa` io ioklyj+ E" A" Gjtdm+
G`wdokjb`+ 7330+ sàn" 4>=83 Dhw" Tobyobdl`t io 9 io `gwlk+ 73 io a`|j io 7334+ | 73 io `gwlk io 7338+ W`ild`dljbot Bµ07>97+ 08848 | 77<90+ wotsodylx`aobyo"80 Wj}lb+ Dk`ut+ Js" dly"+ ® 79+ 9?87 Tobyobdl` io 73 io a`|j io 7334+ w`ild`dlôb 08848"84 E`fjgt+ Nûbymow+ Iowodmj sob`k" S`wyo nobow`k" Hubi`aobyjt | yojwá` io k` lasuy`dlôb+A`wdl`k Sjbt+ A`iwli+ 0<<>+ sàn" 7<4 | tt"89 Wj}lb+ Dk`ut+ Js" dly" ® 79+ 9?
47
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 33/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
7"4"9" Ob d`aglj+ ‛ sjw wonk` `gtjkuy`aobyo nobow k to m`gwà io wodjbjdow
djaj dwo`dlôb io ub soklnwj tuhldlobyo k` lbhw`ddlôb io bjwa`t euwáild`t puo
sowtlnuob k` oxly`dlôb iok wotuky`ij swjiudlij‑8?"
7"4"?" @tá altaj+ to dwo` ub wlotnj euwáild`aobyo iot`swjg`ij du`bij
djbduwwo ok hobôaobj io k` okox`dlôb iok wlotnj+ puo to swotoby` ‛du`bij
ub` sowtjb` djb tu djasjwy`alobyj tusow` ok `wwltdj `ialylij j yjkow`ij
euwáild | tjdl`kaobyo+ `tá djaj du`bij+ yw`t tjgwos t`w ok káalyo io kj
`dosy`ij j sowalylij+ lbyobtlhld` ok soklnwj io d`ut dlôb io i`ðj‑88"‑
-Tugw`|`t huow` iok yo}yj jwlnlb`k,"
To o}yw`o io oty` dly` puo+ aàt `kkà iok tjkj bo}j io d`ut`kli`i
obywo k` `ddlôb | ok wotuky`ij+ k` `ywlgudlôb io wotsjbt`glkli`i
ob nw`ij io duks` ioa`bi` puo ok djasjwy`alobyj laswuiobyo
iok tueoyj `dylxj io k` lbhw`ddlôb to iotsklonuo dwo`bij j
o}yobilobij ub wlotnj bj sowalylij j euwáild`aobyo iot`swjg`ij
—ob wok`dlôb djb k`t bjwa`t io duli`ij j wonk`t io djbiudy`! |
bodot`wl`aobyo to djbdwoyo ob k` swjiuddlôb iok wotuky`ij
yásldj+ kotlxj io ub glob euwáildj swjyonlij"
Otyj+ yoblobij ob duoby` puo ob xlnobdl` io k` Ko| ?<< io 7333
-`wyádukj <µ,+ ‛k` d`ut`kli`i sjw tá tjk` bj g`ty` s`w` k` lasuy`dlôb euwáild` iok
wotuky`ij"‑
4"0"7" @mjw` glob+ k` yojwá` iotdwly` y`aglìb m` tlij k` sjtyuw`
wolyow`i` io k` T`k` ob yoa`t `ylbobyot ` k` otywudyuw`dlôb io
djbiudy`t sublgkot laswuiobyot ob ok oeowdldlj io k` swjhotlôb
aìild`" @tá kj toð`kô ob tobyobdl` iok 7= io jdyugwo io 733<+
w`ild`dlôb 47"?=7+ du`bij tjtyuxj puo ‛k` euwltswuiobdl xlobo
lbtltylobij puo s`w` djbty`y`w k` d`ut`kli`i b`yuw`k to wopulowob ub`t s`uy`taábla`t+ sjw kj y`byj+ e`aàt towàb tuhldlobyot s`w` k` `ywlgudlôb io ub wotuky`ij
`byleuwáildj" Djbhjwao djb otyj+ ub` xo ioyowalb`ij ok bo}j+ ot laswotdlbilgko
8? Wj}lb+ Dk`ut+ Js" dly"+ ® 79+ 0>"88 Tobyobdl` io > io ildloagwo io 733?+ w`ild`dlôb 798<8"
44
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 34/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djbhwjby`w tl sjw d`ut` iok `nobyo to dwoô j lbdwoaobyô ok wlotnj euwáild`aobyo
iot`swjg`ij s`w` k` swjiuddlôb iok wotuky`ij" Djbhjwao ` otyjt sjtyuk`ijt+
djaswjg`i` k` bodot`wl` d`ut`kli`i b`yuw`k+ k` lasuy`dlôb iok wotuky`ij wopulowo`ioaàt xowlhld`w tl k` `ddlôb iok `uyjw m` nobow`ij j lbdwoaoby`ij ub soklnwj
euwáild`aobyo iot`swjg`ij s`w` k` swjiuddlôb iok wotuky`ij kotlxj"‑
Ob ohodyj+ ok swjhotljb`k io k` aoildlb` bj ot `eobj ` k`
oxobyu`kli`i io oeoduy`w `ddljbot iltx`kljt`t d`s`dot io `hody`w
k` t`kui+ k` lbyonwli`i sowtjb`k o lbdkutj k` xli`+ kj puo jduwwo
du`bij m`globij `tualij xjkuby`wl`aobyo k` sjtldlôb io n`w`byo
hwobyo ` tu s`dlobyo+ otyj ot+ ob kjt yìwalbjt iok buaow`k 0µ iok
`wyádukj 7? iok Dôilnj Sob`k+ `wwjnàbijto k` ‛ swjyoddlôb wo`k io ub`
sowtjb` -…,+‑+ `puìk bj nu`wi` ok iogow jgeoylxj io duli`ij puo
djbhjwao ` k` ko} `wylt ko ot lba`bobyo |+ djaj djbtoduobdl` io
okkj+ ko d`ut` ub i`ðj `byleuwáildj"
Dk`w`aobyo+ ok `uaobyj iok wlotnj bjwa`ylx`aobyo yjkow`gko
suoio kkon`w ` iohw`ui`w k` o}sody`ylx` puo ob yjwbj ` k`
lijboli`i iok n`kobj to ioglow swoild`w sjw tow sjwy`ijw io ub
yáyukj `d`iìaldj | io k` o}sowlobdl` puo kj `uyjwl` | konlyla`
s`w` oeowdow k` swjhotlôb6 okkj+ tloaswo | du`bij k` xljk`dlôb iok
otyàbi`w tjdl`kaobyo `ialylij to wo`kldo yw`t k` `tubdlôbohodylx` io k` sjtldlôb io n`w`byo+ otyj ot+ djb ok il`nbôtyldj+
yw`y`alobyj j sjtyw`y`alobyj d`s` io d`ut`w ub ohodyj bjdlxj |
djwwok`dljb`k iok glob euwáild`aobyo yuyok`ij+ puo to m`gwá
sjilij oxly`w !sjw tow swoxltlgko! io m`gowto `dyu`ij djb k`t
swod`udljbot yìdbld`t iok d`tj"
Ot `tá puo+ k` sjtldlôb io n`w`byo tuwno iotio ok swlaow
ajaobyj ob puo ok h`duky`ylxj lbldl` k` `yobdlôb aìild` | ot
euty`aobyo otyo ok subyj io s`wyli` iotio ok du`k ko ot o}lnlgko |
49
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 35/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`dyu`k k` jgkln`dlôb io xok`w sjw k` duw`dlôb+ aoejwá` j
`albjw`dlôb io k` djbildlôb `hkldylx` io k` t`kui io tu s`dlobyo+
m`ty` ok káalyo io wo`kl`w k` `ddlôb sjtlgko lbild`i` ob k` ko}
`wylt s`w` d`i` s yjkjná`+ ob kjt yìwalbjt otywldyjt iok
djaswjaltj `wwjn`ij io hjwa` sjyoty`ylx` —bj to wopulowo ub
djbyw`yj hjwa`k!8>"
Tjgwo k` sjtldlôb io n`w`byá` io kjt swjhotljb`kot aìildjt DM@L@
woduowi` puo5
‛Ok aìildj bj suoio iotswobiowto io du`kpulow hjwa` iok s`dlobyo `
pulob m` djaob`ij ` `yobiow+ yji` xo puo k` tuowyo io otyo õkylaj to
obduobyw otywodm`aobyo xlbduk i` ` k` swàdyld` lbldl`i` sjw ok
h`duky ylxj+ pulob to m` djbxowylij ob ok o}dkutlxj djbiudyjw io tu
swjdotj io t`b`dlôb"
Ok n`kobj `tualô ub wlotnj | iogo oxly`w k` djbtua`dlôb io ub wotuky`ij
kotlxj —hwutyw`wkj ot tu jgeoylxj! j+ `k aobjt+ sjbow `k towxldlj iok
obhowaj tut `dyu`kl`ijt djbjdlalobyjt s`w` kjnw`w ot` hlb`kli`i" Ot`
`tubdlôb io wlotnj ko lasjbo tow ìk altaj ok djbylbu`ijw io k` `ddlôb io
t`kx`aobyj oaswobili + duotylôb puo tl lbyowwuaso io a`bow`
lb`iodu`i` kj djbxlowyo ob wotsjbt`gko iok a`|jw wlotnj —| djbtoduobyo
wotuky`ij! puo nobowo"
Sjw y`k ajylxj+ tl bj to obduobyw` ob djbildljbot hàdyld`t j yìdbld`t io swoty`w ub towxldlj ohld` s`w` djbeuw`w ok a`k iogo djkjd`w `k s`dlobyo
ob ub dobywj io a`|jw djaskoeli`i j `byo ub swjhotljb`k puo+ iuw`byo
8> Djbhjwao `k `wyádukj ?µ io k` Ko| 74 io 0<=0 ‛VkQ` wok`dlôb aìildj!s`dlobyo to duasko ob kjttlnulobyot d`tjt50" — Sjw iodltlôb xjkuby`wl` | otsjbyàbo` io `ag`t s`wyot"7" Sjw `ddlôb ublk`yow`k iok aìildj+ ob d`tj io oaownobdl`"4" — Sjw tjkldlyui io yowdow`t sowtjb`t"9" — Sjw m`gow `ipulwlij ok djaswjaltj io `yobiow ` sowtjb`t puo otyàb ` d`wnj io ub` obyli`i
swlx`i` j sõgkld "‑
4?
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 36/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
ok k`stj io yloasj puo ok obhowaj to obduobywo g`ej tu jwgly` -tld,+ to
obylobio puo m` `tualij ok wlotnj io tu duli`ij8="‑8<
Ot io otyo ajij dk`wj puo k` jgkln`dlôb iok n`kobj io `dyu`w djb
ok duli`ij puo ok jwiob`alobyj ko lasjbo s`w` oxly`w k` dwo`dlôb
j lbyobtlhld`dlôb io ub wlotnj lbbodot`wlj —huow` iok `ialylij ob
k` sw`}lt! | k` djbtoduobyo wo`kl`dlôb io ub i`ðj wok`dljb`ij
djb k` huobyo io wlotnj puo iogo dutyjil`w+ ioyowalb` k`
`tubdlôb io k` sjtldlôb io n`w`byo puo to a`yowl`kl` ob bjoeoduy`w blbnub` djbiudy` puo sowyuwgo k` lijboli`i iok
yw`y`alobyj aìildj otsodl`kl`ij puo k` dlobdl` | k`t bjwa`t
euwáild`t a`bi`b ob d`i` oxobyj j+ ob jyw`t s`k`gw`t+ ob
`iodu`w tu djasjwy`alobyj `k duli`ij puo ko ot ioglij io
`duowij djb k`t hôwauk`t nobow`kot io k` `dylxli`i"
Io oty` a`bow`+ tl k` djbiudy` iok aìildj+ bj jgty`byo dwo`w j
`uaoby`w ub wlotnj to a`blhloty` iobywj iok àaglyj iok soklnwj
puo k` djaubli`i bjwa`ylx` m` oilhld`ij djaj káalyo ` k`
swàdyld` aìild` wotsodylx` |+ ob yjij d`tj+ to swjiudo ok
wotuky`ij lbh`utyj j+ tl djbtjkli`ij ok i`ðj —`nw`x`dlôb io k`
djbildlôb dkábld` swla`wl`+ sjw oeoaskj! ok n`kobj wotsoy` k`t
s`uy`t j swjyjdjkjt yobilobij ` `albjw`w kjt wlotnjt swjsljt io
k` lbyowxobdlôb djwsjw`k j stápuld` j+ tl soto ` k` dwo`dlôb j+
lbdwoaobyj iok soklnwj sowalylij+ k` `ddlôb djaltlx` u jaltlx`
bj to woswotoby` ob ub wotuky`ij i`ðlbj iowlx`ij
bodot`wl`aobyo io `puokk` | wokox`byo s`w` ok iowodmj sob`k j
ob yjij d`tj+ otyo to wo`kl` sjw huow` iok otsodywj io
8= Io lnu`k a`bow`+ pulob lbyowwuaso ub yw`y`alobyj djbiudlij sjw jywj aìildj | `tuao k`djbiuddlôb iok yw`y`alobyj+ ob iohlblylx`+ otyà `tualobij ok wlotnj+ m`dlobij wobubdl`w `ks`dlobyo ` jyw` dk`to io swjyoddlôb+ duotylôb puo kj m`do wotsjbt`gko ob kjt yìwalbjt iokwlotnj `tualij -E@DJGT+ Otyuiljt io iowodmj sob`k+ s" 49= | tt","8< DM@L@+ Wugìb @" Wotsjbt`glkli`i Sob`k Aìild`" Oilyjwl`k M`aauw`gl" Guobjt @lwot" 7338"s" >0"
48
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 37/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
swjyoddlôb io k` bjwa`+ j to djbty`y` puo bj m`gá` ub
djasjwy`alobyj `kyowb`ylxj iobywj iok àaglyj io nu`wi` iok
glob euwáildj puo muglow` sjilij lasoilw k` djbtua`dlôb
dobtuw`i`+ bj m`gwà kun`w ` ioiudlw ok ioklyj io jaltlôb
laswjsl`+ y`aglìb kk`a`ij io djaltlôb sjw jaltlôb"
S`w` oty`gkodow tl ok h`duky`ylxj xljkô j bj ok iogow jgeoylxj io
duli`ij |+ djb okkj+ dwoô j `asklô ok w`ilj io `ddlôb iok wlotnj
sjwpuo tu `dyu`w kj tlyuô aàt `kkà iok otyàbi`w `uyjwl`ij j
wokox`byo+ ot laswotdlbilgko ioyowalb`w duàk ot ok s`wàaoywj io
swod`udlôb —swjyjdjkj+ bjwa`+ a`bu`k+ g`woaj j `dylxli`i
djbdwoy` djbhjwao ` k` ko} `wylt>3! puo to iogá` `skld`w `k d`tj
otsodáhldj j puo mlsjyìyld`aobyo sjiwá` m`gow oasko`ij jywj
swjhotljb`k swuiobyo !djb k` alta` otsodl`kli`i | o}sowlobdl`!
ob tlalk`wot dlwdubty`bdl`t+ s`w obtonuli`+ djbhwjby`wkj djb okdjasjwy`alobyj iotskon`ij sjw ok tueoyj `dylxj iok wo`yj"
\ ot puo tl m`| ub` `dylxli`i soklnwjt` ob k` puo to iogo
djbtobylw k` o}ltyobdl` io ub wlotnj sowalylij+ ot` ot k`
aoildlb`" Ob xowi`i+ to `ialyo dlowyj blxok io o}sjtldlôb `k
i`ðj lbmowobyo ` tu oeowdldlj+ ob y`byj to yw`y` io ub` dlobdl`bj o}`dy` du|` swàdyld` ioa`bi` s`w` ok djkodylxj tjdl`k k`
bodotli`i io `dosy`w djaj `iodu`i` k` oxobyu`k hwutyw`dlôb io
o}sody`ylx`t io duw`dlôb j wodusow`dlôb+ tloaswo puo bj to
yw`tdlobi` ` k` otywudyuw`dlôb io ub` `swj}la`dlôb `k i`ðj
oxly`gko j bj yjkow`ij"
Ob ot` aoili`+ to iogo tow au| duli`ijtj `k oty`gkodow tl ub`
djbiudy` tusowô j bj ok wlotnj sowalylij" Tjgwo ok s`wylduk`w+
>3 Obyobili` djaj ok djbeubyj io wonk`t dlobyáhld`t j io k` o}sowlobdl` xowlhld`gkot | `dyu`kotpuo lbyonw`b ok djbjdlalobyj `swjg`ij sjw k` djaubli`i dlobyáhld`"
4>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 38/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
WJ]LB>0 toð`k` puo otyo `tsodyj a`wd` ok subyj iotio ok puo to
`x`b` ` k` oilhld`dlôb io k` laswuiobdl`" Djb oto swjsôtlyj+ tl
glob ob `knubjt d tjt ohldlobyo tuoko tow k` woxltlôb iok
duasklalobyj io k`t wonk`aoby`dljbot t`bly`wl`t puo wlnob
ioyowalb`i` swàdyld`+ `yobilobij ok d`wàdyow ilbàaldj io oty`
dlobdl` | k` aukylskldli`i io `dylxli`iot yow`sìuyld`t |
`tltyobdl`kot puo s`w` ok yw`y`alobyj io d`i` s`yjkjná
djo}ltyob+ kj lbiltsobt`gko ot `duilw ` kjt s`wàaoywjt io k` ko}
`wylt —jgeoylxjt+ djbtobtu`ijt+ xlnobyot | xowlhld`gkot! |
ioyowalb`w+ tl ok aìyjij j yìdbld` dlobyáhld` `skld`i` sjw ok
n`kobj+ `tá s`wod` jwyjij}j j o}ôyldj —puo bj o}sowlaoby`k j
laswjxlt`ij | ob yjij d`tj `x`k`ij sjw k` djaubli`i dlobyáhld`!>7+
t`ylthlj k` o}sody`ylx` io wodusow`dlôb+ duw`dlôb j `albjw`dlôb
io k` `hklddlôb+ yw``i` iotio ub lbldlj | tl sjw djbtlnulobyo+ ok
glob euwáildj swjyonlij to a`byuxj ` t`kxj"
Ot io oty` a`bow` puo ob tu `wyádukj 08 io k` Ko| 74 io 0<=0
-sjw k` du`k to ildy`b bjwa`t ob a`yowl` io ìyld` aìild`,+
iltsjbo puo ‛VkQ wotsjbt`glkli`i iok aìildj sjw wo`ddljbot `ixowt t+
lbaoil`y`t j y`wiá`t+ swjiudli`t sjw ohodyjt iok yw`y`alobyj+ bj lwà aàt `kkà iok
wlotnj swoxltyj" Ok aìildj `ixowylwà io ìk `k s`dlobyo j ` tut h`alkl wot j
`kkon`ijt"‑
\ io `duowij djb ok `wyádukj 04 iok Iodwoyj 44=3 iok altaj `ðj+
to swoxì puo ‛VyQoblobij ob duoby` puo ok yw`y`alobyj j swjdoilalobyj aìildj
suoio djasjwy`w ohodyjt `ixowtjt j io d`wàdyow laswoxltlgko+ ok aìildj bj towà
wotsjbt`gko sjw wlotnjt+ wo`ddljbot j wotuky`ijt ioth`xjw`gkot+ lbaoil`yjt j y`wiájt
io lasjtlgko j ilhádlk swoxltlôb iobywj iok d`asj io k` swàdyld` aìild` `k swotdwlglw
j ohodyu`w ub yw`y`alobyj j swjdoilalobyj aìildj‑"
>0 WJ]LB+ Dk`ut" Iowodmj sob`k" S`wyo Nobow`k" S" 88">7 Io `duowij djb ok `wyádukj 07 oeõtioa+ ‛VoQk aìildj tjk`aobyo oasko`wà aoiljt il`nbôtyldjt jyow`sìuyldjt iogli`aobyo `dosy`ijt sjw k`t lbtylyudljbot dlobyáhld`t kon`kaobyo wodjbjdli`t"‑
4=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 39/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
_b` klty` —bj o}m`utylx`+ sjw tusuotyj! io k`t swod`udljbot puo
djb d`wàdyow nobow`k iogo `yobiow ok swjhotljb`k io k` aoildlb`
to sjiwá` lbyonw`w djb k`t jgkln`dljbot io l, jgyobow ok yáyukj
swjhotljb`k puo kj m`glkly` s`w` oeowdow djaj aìildj |
otsodl`klty` j tugotsodl`klty` ob ioyowalb`i` àwo`+ kj puo bj
tlnblhld` puo k` sjtldlôb io n`w`byo tuwe` b`yuw`k io k` tlasko
jtyoby`dlôb io `puok+ suot to ioa`bi` k` `tubdlôb xjkuby`wl`
iok wlotnj+ j to` io k` swjyoddlôb io k` sowtjb`+ ll, `dyu`kl`w tut
djbjdlalobyjt djb otyuilj | swàdyld` djbty`byo ob ok àaglyj io
tu djasoyobdl`+ lll, ok`gjw`w k` mltyjwl` dkábld` djaskoy` iok
s`dlobyo+ djbhjwao ` ub lbyowwjn`yjwlj `iodu`ij | aoyôildj lx,
m`dow k` woaltlôb `k otsodl`klty` djwwotsjbilobyo+ `byo k`
d`wobdl` io kjt djbjdlalobyjt puo ko sowaly`b gwlbi`w ub`
`yobdlôb lbyonw`k ` ub obhowaj+ x, il`nbjtyld`w djwwody`aobyo k`
s`yjkjná` | oty`gkodow k` yow`sl` ` tonulw>4+ xl, lbhjwa`w djbswodltlôb `k tueoyj+ kjt wlotnjt j djaskld`dljbot sjtlgkot iok
yw`y`alobyj j lbyowxobdlôb | jgyobow ok djbtobylalobyj
lbhjwa`ij iok s`dlobyo j io tu `duilobyo>9+ xll, oeoduy`w ok
swjdoilalobyj —pulwõwnldj j bj! wotsoy`bij djb otsodl`k
ilklnobdl` yji`t k`t wonk`t puo k` yìdbld` aìild` ioa`bio s`w`
k` `dylxli`i ob s`wylduk`w |+ xlll, oeowdow ub djaskoyj | djbty`byodjbywjk iuw`byo ok sjtyjsow`yjwlj j sjtyw`y`alobyj+ m`ty` puo to
`njyo k` lbyowxobdlôb iok aìildj yw`y`byo j ok s`dlobyo
`g`bijbo k` yow`sl`"
Y`k djaj to xlobo tjtyoblobij+ bj g`ty` k` djbty`y`dlôb io k`
lbhw`ddlôb `k iogow jgeoylxj io duli`ij+ s`w` `ywlgulw ok
djasjwy`alobyj duksjtj6 y`asjdj ok lbdwoaobyj j dwo`dlôb iok
>4 Ob kjt yìwalbjt iok `wyádukj 03 io k` Ko| 74 io 0<=0+ ‛ VoQk aìildj ioild`wà ` tu s`dlobyo okyloasj bodot wlj s`w m`dow ub` ox ku dlôb `iodu`i` io tu t kui o lbild w kjt o}àaobotlbiltsobt`gkot s`w` swodlt`w ok il`nbôtyldj | swotdwlglw k` yow`sìuyld` djwwotsjbilobyo
"‑>9 @k yobjw iok `wyádukj 0? oeõtioa+ ok aìildj iogo soilw ok djbtobylalobyj iok s`dlobyo‛ s`w` `skld`w kjt yw`y`alobyjt aìildjt | pulwõwnldjt puo djbtliowo lbiltsobt`gkot | puo suoiob`hody`wkj hátld` j tápuld`aobyo+ t`kxj ob kjt d`tjt ob puo okkj bj huowo sjtlgko+ | ko o}skld`wà `k s`dlobyo j ` tut wotsjbt`gkot io y`kot djbtoduobdl`t `byldls`i`aobyo"‑
4<
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 40/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
wlotnj bj sowalylij" To lbtltyo+ k` djbiudy` bonklnobyo iok
h`duky`ylxj iogo yobow wosowdutlôb ilwody` ob ok iltx`kjw io
wotuky`ij+ suot tl k` kotlôb j k` auowyo io k` sowtjb` tjgwoxlobo
djaj iowlx`dlôb io tlyu`dljbot `k a`wnob io k` swàdyld` aìild`
j sjw `knub` yàdyld` iltyw`dyjw` iok yw`y`alobyj `tuali` sjw
s`wyo iok s`dlobyo —`uyjsuoty` ob soklnwj j `ddlôb ` swjslj
wlotnj!+ bj m`gwá` kun`w ` lasuy`w ok ioklyj laswuiobyo `k n`kobj+
suot towá` ` `puìk | bj ` ìtyo+ obyjbdot+ ` pulob to iogowá`
`ywlgulw k` djbywlgudlôb `k iotobk`do yw`btnwotjw iok lbyowìt
euwáildj yuyok`ij"
4"0"4" K` tlyu`dlôb iotdwly` bj ot iltylby` iuw`byo ok
sjtyjsow`yjwlj j sjtyw`y`alobyj+ |` puo ub` xo dukalb` djb
ì}lyj j lbdkutj djb `knub`t djaskld`dljbot ok swjdoilalobyj
pulwõwnldj j ok yw`y`alobyj bj lbx`tlxj+ to lbldl` ub` h`to lnu`k jio a`|jw duli`ij puo k` jsow`yjwl` puo ` xodot ot ioe`i` io
k`ij u jkxli`i` —djaj ob ok d`tj ob otyuilj! sowj io ub` `kyátla`
djbbjy`dlôb iobywj io kjt swjyjdjkjt puo nuá`b ok oeowdldlj
liôboj io k` aoildlb`+ |` puo tl ok sjtypulwõwnldj ot `iodu`ij+
t`ylth`dyjwlj j lbyonw`k+ n`w`byl` k` wodusow`dlôb+ duw`dlôb j
`albjw`dlôb iok s`iodlalobyj `hkldylxj io k` t`kui"
Ob k` oy`s` `kuili`+ `k aìildj yw`y`byo ko wotuky` hjwjtj
‛tjaoyow `k s`dlobyo ` ub ioglij | duli`ijtj djbywjk+ djb tonulalobyj sowtjb`k
m`ty` tu iowlx`dlôb j `ky` iohlblylx + |` puo bj g`ty` tow ilklnobyo ob ok
yw`y`alobyj+ tl kuonj to iotduli` ok oty`ij sjtyowljw ‑>? -Tugw`|`t io k`
Djwsjw`dlôb,"
@ubpuo iosobilobij iok ylsj io swjdoilalobyj sw`dyld`ij `k
s`dlobyo+ k` h`to sjtypulwõwnld` j io sjtyw`y`alobyj to dlðo `
>? DM@L@" Js" dly" s" <9"
93
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 41/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
ilhowobyot ylsjt io otsodlhld`dljbot+ obywo okk`t+ k` las`wyldlôb
io ub` nw`b x`wloi`i io swod`udljbot ` yobow ob duoby` sjw k`
sowtjb` lbyowxobli` |*j tut `duilobyot+ k` Ko| 74 io 0<=0 | tut
iodwoyjt wonk`aoby`wljt swoxìb djaj s`wàaoywj nobow`k puo
iogo tow otywldy`aobyo `d`y`ij sjw ok swjhotljb`k io k` t`kui `
hlb io a`byobow tu `dylxli`i iobywj iok a`wnob iok wlotnj
sowalylij+ ok io bj o}sjbow ` tu s`dlobyo ` wlotnjt lbeutylhld`ijt
-`wyádukj 0?,+ obyobilijt otyjt djaj ‛-…, `puokkjt ` kjt du`kot to`
tjaoylij ok s`dlobyo | bj djwwotsjbi`b ` k`t djbildljbot dkábldjs`yjkônld`t iok
altaj‑ -d`bjb <µ iok Iodwoyj 44=3 io 0<=0,"
Sjw a`bow` puo k` `tubdlôb xjkuby`wl` io k` swjyoddlôb iok
s`dlobyo ob d`kli`i io n`w`byo+ bj yowalb` s`w` ok aìildj djb k`
wo`kl`dlôb iok yw`y`alobyj tlbj puo to o}ylobio `k ajaobyj ob
puo to` i`ij io `ky` djb d`wàdyow iohlblylxj —puo x` aàt `kkà sjwtusuotyj+ io k` tjk` t`kli` io k` dkábld` j dobywj io `yobdlôb! j k`
sowtjb` tjaoyli` `k yw`y`alobyj+ kj `g`bijbo xjkuby`wl`aobyo"
4"7" Swlbdlslj io klgowy`i swjg`yjwl`" Wolyow`dlôb io
euwltswuiobdl`"
Kjt ijt tltyoa`t io obeuldl`alobyj sob`k puo djo}ltyob
`dyu`kaobyo ob Djkjagl` —Ko| 833 io 7333 | Ko| <38 io 7339! to
hubi`b ob ok tltyoa` io sowtu`tlôb w`dljb`k ob ok puo hubno
djaj wonk` wodyjw` io d`wàdyow nobow`k ok swlbdlslj io k` klgowy`i
swjg`yjwl`"
Otyo sjtyuk`ij otyà o}swot`aobyo djbt`nw`ij ob kjt `wyádukjt
74> io k` Ko| 833 io 7333 | 4>4 io k` Ko| <38 io 7339+ kjt puo
tjb io otyo yobjw5
90
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 42/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
‛ @WYLD_KJ 74>" KLGOWY@I SWJG@YJWL@" Kjt okoaobyjt djbtylyuylxjt io
k` djbiudy` sublgko+ k` wotsjbt`glkli`i iok swjdot`ij+ k`t d`ut`kot io
`nw`x`dlôb | `yobu`dlôb sublylx`+ k`t puo o}dku|ob k` wotsjbt`glkli`i+ k`
b`yuw`ko` | du`byá` io kjt soweuldljt+ sjiwàb ioajtyw`wto djb du`kpulow
aoilj swjg`yjwlj+ ` aobjt puo k` ko| o}le` swuog` otsodl`k+ wotsoy`bij
tloaswo kjt iowodmjt hubi`aoby`kot"‑
‛ @WYÁD_KJ 4>4" KLGOWY@I" Kjt modmjt | dlwdubty`bdl t io lbyowìt s`w k`
tjkudlôb djwwody` iok d`tj+ to sjiwàb swjg`w sjw du`kpulow` io kjt
aoiljt oty`gkodlijt ob otyo dôilnj j sjw du`kpulow jywj aoilj yìdbldj j
dlobyáhldj+ puo bj xljko kjt iowodmjt mua`bjt"‑
Otyj tlnblhld` puo djb swoyobtlôb io nobow`kli`i ob a`yowl`
sob`k to suoio oasko`w du`kpulow aoilj swjg`yjwlj io kjt
`uyjwl`ijt ob ok oty`yuyj swjdoilaoby`k s`w` `dwoily`w kjtmodmjt | dlwdubty`bdl`t `ylbobyot `k jgeoyj io k` lbxotyln`dlôb |
eun`alobyj+ tlb aàt káalyot puo kjt io wotsoy`w k` kon`kli`i ob
k` swjiuddlôb o lbdjwsjw`dlôb iok okoaobyj io sowtu`tlôb `k
swjdotj+ djb o}swot` swod`udlôb io n`w`byl`w k` xlnobdl` io kjt
iowodmjt otobdl`kot iok dlui`i`bj | t`ylth`dow kjt `ywlguyjt
swjsljt io k` swuog` ob yìwalbjt io wokox`bdl`+ otyjt tjb+ k`
sowylbobdl`+ k` djbiudobdl` | k` uylkli`i iok aoilj io djbxlddlôb
hwobyo `k jgeoyj io swuog`"
Kj ildmj ob swodoiobdl` ioyowalb` puo k` `swodl`dlôb djbeuby`
io kjt aoiljt io djbxlddlôb to m`n` sjw ok euo io djbjdlalobyj
io hjwa` `uyôbja` djbhjwao ` k`t wonk`t io k` t`b` dwáyld`" Tjkj
sjw o}dosdlôb+ ok konltk`ijw m` lasuotyj dlowy`t y`wlh`t kon`kot+
djaj jduwwo ob ok tltyoa` swjdot`k iok 7333 djb k` lasjtlglkli`i
io djbhowlwko aìwlyj ` kjt lbhjwaot io sjkldá` euildl`k puo tjkj
suoiob tow uylkl`ijt sjw ok tobyobdl`ijw djaj dwlyowlj `u}lkl`w j
97
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 43/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djb k` swuog` io wohowobdl` ob ok otpuoa` wlyu`k iok 7339+ k` puo
bj suoio towxlw io hubi`aobyj õbldj iok h`kkj"
Ob oto jwiob io lio t+ tl k` wonk` nobow`k ot puo bj m`|
wotywlddlôb `knub` s`w` puo du`kpulow aoilj io swuog` puo
duask` s`wàaoywjt io wokox`bdl` | kon`kli`i to` oasko`ij s`w`
swjg`w ioyowalb`ij modmj+ bj ot xl`gko s`w` ok eun`ijw o}lnlw
puo k`t dlwdubty`bdl`t puo yobn`b `knub` `tdobiobdl` ob dlowyj
`tsodyj yìdbldj —ián`to sjw oeoaskj+ k` aoildlb`+ k` lbnoblowá`+
k` hátld`+ k` puáald`+ oyd"! to`b swjg`i`t o}dkutlx`aobyo djb
swuog` lnu`kaobyo yìdbld` j hjwobto+ suot ub` djbdosdlôb y`k+
tuduago ` k` hlb`kli`i lbywábtod` io k` swuog` ob ok iowodmj
sob`k+ du`k ot k` io kkox`w `k eun`ijw `k djbjdlalobyj io kjt
modmjt sjw du`kpulow aoilj+ tloaswo puo to` kon`k | wotsoyo kjt
iowodmjt hubi`aoby`kot"
Djb kj o}suotyj+ e`aàt to suoio kkon`w ` sobt`w tlpulow` puo k`
Djwyo `x`k` `knõb ylsj io aobjtswodlj hwobyo `k sjiow tu`tjwlj
lbiltduylgko io k` swuog` yìdbld`+ k` puo ob aàt io kjt d`tjt
kjnw` `sjwy`w yw`tdobioby`kot okoaobyjt io euldlj `k
tobyobdl`ijw s`w` kkon`w `k otdk`wodlalobyj io kjt modmjt" Bj+ kjpuo k` T`k` pulowo tlnblhld`w ot puo bj sjwpuo `knõb `tsodyj
yìdbldj wotukyo swjg`ij sjw jywj aoilj io swuog` bj sowldl`k+ ot
xl`gko woty`wko aìwlyj j o}dkulwkj io x`kjw`dlôb"
G`ej otyo dwlyowlj kon`k to a`ywlduk` k` T`k`+ puo ob `byowljw
jsjwyubli`i —`kuilobij `k tltyoa` io swjdot`alobyj sob`k djb
yobiobdl` `dut`yjwl` puo `dyu`kaobyo wlno ob Djkjagl`+ sowj
puo ot obyow`aobyo `skld`gko `k wìnlaob wlyu`ij sjw k` Ko| 833
io 7333! tjtyuxj kj puo mj| to wolyow`5
94
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 44/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
‛Bj to iltduyo `mjw` puo ob Djkjagl` swla` iotio `by`ðj+ sjw
djbyw`sjtldlôb ` k` kk`a`i` ‛y`wlh` kon`k‑+ ok swlbdlslj io klgowy`i
swjg`yjwl + sjw du|` djbtoduobdl`+ djaj kj djbt`nw` ok wyádukj 4>4 io k`
Ko| <38 io 7339+ wonuk`yjwl` iok `tubyj5 ‛Kjt modmjt | dlwdubty`bdl t io
lbyowìt s`w` k` tjkudlôb djwwody` iok d`tj+ to sjiwàb swjg`w sjw
du`kpulow` io kjt aoiljt oty`gkodlijt ob otyo dôilnj j sjw du`kpulow jywj
aoilj yìdbldj j dlobyáhldj+ puo bj xljko kjt iowodmjt mua`bjt‑"
G`ej oty` djbdosdlôb kon`k+ puo iotio kuonj tlnuo k`t s`uy`t `djnli`t ob
buotywj tltyoa` sob`k iotio `ðjt `ywàt+ ot dk`wj puo bl kjt tueoyjt
swjdot`kot otyàb `y`ijt sjw ioyowalb`ij aoilj s`w` m`dow x`kow tut
swoyobtljbot+ bl ok hubdljb`wlj euildl`k suoio o}lnlw io ub` otsodáhld`
`dylxli`i swjg`yjwl` s`w` hubi`w tu iodltlôb+ ob ok obyobilij+ muokn`
wot`ky`w+ puo `k djbjdlalobyj bodot`wlj s`w` kkon`w `k djbxobdlalobyj io
kj jduwwlij | djbtoduobyo s`wyldls`dlôb iok `dut`ij+ to suoio kkon`w sjw
aõkylskot d`albjt+ tloaswo puo okkjt to yw`iud`b+ djaj o}lno k` ko|+ ob
swuog` kon`k+ wonuk`w | jsjwyub`aobyo sjwy`i` `k swjdotj"
@tá altaj+ tl k` s`wyo m` swotoby ij swuog` sowylbobyo | djbiudobyo
obd`alb`i` ` xowlhld w ok jgeoyj dobyw k iok iog`yo j ubj io kjt
`ddotjwljt lbyowot`byot `k altaj+ ot jgkln`dlôb iok hubdljb`wlj euildl`k
o}`alb`wkjt s`w` xowlhld`w k` dwoilglkli`i puo djasjwy`b+ tlb puo to` io
tu wotjwyo+ sjwpuo k` ko| bj kj sowalyo i`i` k` djbt`nw`dlôb iok tltyoa`
io klgowy`i swjg`yjwl` sjw djbyw`sjtldlôb `k io y`wlh` kon`k+ jalylw tu
o}`aob j ijy`wkjt io ub` otsodlo io ‛d`slylt ilalbuylj‑ tôkj sjwpuo bj
to djas`iodob djb ok ylsj io swuog` puo ìk otyla` õbld` j bodot`wl`
s`w` ok d`tj djbdwoyj"
@k ohodyj+ du`bij ok hubdljb`wlj euildl k o}lno puo ioyowalb`ij modmj j
dlwdubty`bdl`+ õbld`aobyo suoi` tow swjg`ij+ x`kn` ok oeoaskj+ djb
aoiljt dlobyáhldjt j yìdbldjt+ tlb puo k` ko| o}swot`aobyo kj wodk`ao `tá+
otyà s`t`bij sjw `kyj oto swlbdlslj hubi`byo | ` k` xo lasjblobij ` k`
s`wyo ub` d`wn` eob` ` tu iogow swjg`yjwlj"
Iotio kuonj+ bj iotdjbjdo k` T`k` puo ob dlowyjt oxobyjt wotuky` aàt
djbyubiobyo j ohodylxj ioyowalb`ij aoilj+ i`i` tu d`s`dli`i tu`tjwl`"
Sowj+ to woslyo+ io `kká bj to tlnuo puo oto to` ok õbldj woduwtj kon`k s`w`
ioajtyw`w ok modmj+ j puo+ `kkon`ijt jywjt aoiljt sowylbobyot |
99
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 45/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djbiudobyot+ okkjt bj to`b tuhldlobyot sjw tá altajt s`w` swjiudlw ok
ohodyj io djbxlddlôb gutd`ij sjw k` s`wyo"
Ob yjijt kjt d`tjt+ djaj sjw kj ioaàt sowobyjwl`aobyo kj o}lno k` ko|+
ot jgkln`yjwlj xowlhld w ok `kd`bdo ioajtyw`ylxj io d`i` aoilj ob
s`wylduk w | kuonj `wylduk`wkj djb ok djbeubyj io swuog t+ s`w` io oty`
hjwa`+ ob tonulalobyj io kjt sjtyuk`ijt puo tlnb`b k` t`b` dwáyld`+
kkon`w ` k` iodltlôb puo wotuokxo ok djbhkldyj"
\+ iotio kuonj+ tl ok hubdljb wlj otyla` puo ioyowalb`ij aoilj
swotoby ij sjw k` s`wyo s`w` tutyoby w tu yojwá` iok d`tj+ bj ottuhldlobyo j d`wodo io dwoilglkli`i+ `tá ylobo puo toð`k wkj ob k`
ajylx`dlôb+ wohlwlìbijto ob djbdwoyj ` ot` swuog`+ tj sob` io lbduwwlw
ob ok h`ktj euldlj io o}ltyobdl` sjw jaltlôb puo h`duky` k` djbywjxowtl` ob
ok otdob`wlj io k` d`t`dlôb"
Wotsodyj iok yôsldj io k` Klgowy`i swjg`yjwl` mj| lasow`byo ob buotywj
tltyoa` sob`k+ otyj ilej k` Djwyo>85
‛4" Ob ok tusuotyj puo jdus` k` `yobdlôb io k` Djwyo+ ok wos`wj iok
dobtjw otyà tutyoby ij ob ok `wnuaobyj djbtltyobyo ob puo ob ok
ywàalyo bj jgw` swuog` dlobyáhld` puo ioyowalbo+ ob tu dwlyowlj+ ob
nw`ij io dowyo + puo ok d`iàxow m`kk`ij djwwotsjbiá` `k io Wjgowy io
Eotõt"
Hwobyo `k woswjdmo sk`byo`ij sjw ok d`t`dljblty`+ ob swlaow yìwalbj
x`ko wodjwi`w puo io `duowij djb tltyoa` io `swodl`dlôb io k` swuog`
puo wlno buotywj tltyoa` swjdot`k+ wotuky` dk`wj | oxliobyo puo lasow`
ok swlbdlslj io klgowy`i swjg`yjwl` puo djbt`nw` ok `wyádukj 74> io k`
Ko| 833 io 7333+ sjtyuk`ij puo iogo o}`alb`wto iotio ub` ijgko
sowtsodylx`+ ` t`gow5 puo ` kjt tueoyjt swjdot`kot j lbyowxlblobyot s`w`
swjg`w tut modmjt j swoyobtljbot bj to kot iogo o}lnlw ub ioyowalb`ij
aoilj io swuog`+ tlbj puo nj`b io tu obyow` iltdwodljb`kli`i+ tôkj
klaly`ij sjw k` Djbtylyudlôb Sjkáyld` | k` ko|"
\+ io k` alta` a`bow`+ k` klgowy`i swjg`yjwl` y`aglìb otyà wohowli`
wotsodyj `k hubdljb`wlj euildl`k+ ob y`byj ob puo suoio hjwa`w tu
djbxobdlalobyj djb du`kpulow aoilj io djbxlddlôb+ tôkj klaly`ij sjw k`
Djbtylyudlôb | k` ko| |+ sjw tusuotyj+ sjw k`t wonk`t puo lbhjwa`b k`
t`b` dwáyld`"
>8 Tobyobdl` iok 79 io jdyugwo io 733>+ w`ild`ij 70"?>>
9?
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 46/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Ob y`kot djbildljbot+ k` Djwyo `ixlowyo puo iobywj io k` klgowy i
swjg`yjwl` ` puo to m` modmj wohowobdl`+ ok tobyobdl`ijw io tonubij nw`ij hjwaô tu djbxobdlalobyj ob puo ok d`iàxow m`kk`ij ob k` hjt`
djaõb to yw`y`g` io Wjgowy io Eotõt Gowwáj djb g`to ob ok yotylajblj
puo wlbilô tu s`iwo+ pulob huo k` sowtjb` puo kj m`kkô | kj wodjbjdlô+
kuonj io ub` lbyobt` gõtpuoi`"
Sjw a`bow` puo bj ko `tltyo k` w`ôb `k d`t`dljblty` du`bij lbhjwa` puo
ob otyo oxobyj bj to suoio swoild`w+ ob nw`ij io dowyo + k` liobyli`i
iok dly`ij d`iàxow+ tlyu`dlôb puo kj kkox` ` a`blhoty`w puo o}ltyo
djbhutlôb hwobyo ` y`k `tsodyj+ ob k` aoili` ob puo ok tobyobdl`ijw iotonubij nw`ij obdjbywô ohld`dl` ioajtyw`ylx` io y`k `tubyj djb g`to ob
ok yotylajblj iok s`iwo | iok mowa`bj io k` xádyla`"‑>>
4"4" Ok d`tj djbdwoyj"
4"4"0" Ob ok `tubyj tjaoylij ` otyuilj+ ub` xo o}`alb`ij bj
tjkj ok duwtj d`ut`k puo wlnlô kjt `djbyodlalobyjt lbxotyln`ijt+
tlbj k` `iodu`dlôb obywo k`t djbiudy`t `tuali`t sjw A@B_OK IO
EOTÕT D@LDOIJ iuw`byo k` h`to sjtyjsow`yjwl` | ok wotuky`ij kotlxj
io k` lbyonwli`i sowtjb`k puo to sowhoddljbô ob k` mua`bli`i io
k` toðjw` G@TYLI@T KOBLT+ ob swlaow jwiob+ to m`do lbiltsobt`gko
ioty`d`w puo k` Djwyo to obhwoby` ` k` lasjtlglkli`i io
djwwok`dljb`w+ sjw kj aobjt+ ubj io kjt djasjwy`alobyjt ob kjtpuo ok otsodl`klty` `dut`ij m`gwá` xljk`ij ok iogow jgeoylxj io
duli`ij djb obyli`i tuhldlobyo s`w` lbdwoaoby`w ok wlotnj
sowalylij | d`ut`w ubj io kjt i`ðjt ob k` mua`bli`i io k`
iobubdl`byo+ suot djaj to `ixlwylô iotio ub lbldlj+ k` Hltd`ká`
dobywô ok jgeoyj io k` lasuy`dlôb hàdyld` o}dkutlx`aobyo ob k`
h`to sjtyjsow`yjwl`+ sowj ot ubj io kjt djasjwy`alobyjtiotskon`ijt iuw`byo k` h`to lbaoil`y`aobyo swoxl`+ otyj ot+ ob
k` lbyowxobdlôb pulwõwnld`+ k` puo m`gwá` d`ut`ij ub` io k`t
>> Tobyobdl` iok 7> io a`wj io 733<+ w`ild`dlôb 40"034"
98
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 47/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
kotljbot ob ok duowsj io k` s`dlobyo |+ ob ot` aoili`+ to yjwb`
lbxl`gko k` sjtlglkli`i io `ywlgulw wotsjbt`glkli`i sob`k `k
`dut`ij sjw ub` djbiudy` puo bj ko huo lasuy`i`+ soto ` puo ok
wotuky`ij to djbdwoyô iotsuìt6 |owwj lbutly`ij iok obyo Hltd`k
puo k` Djwyo bj suoio djwwonlw sjwpuo xukbow`wá` obywo jywjt+ ok
swlbdlslj io djbtjb`bdl`"
K` T`k` to wohlowo `k oxobyu`k owwjw ob k` yìdbld` pulwõwnld`
djbtltyobyo ob k` lbywjiuddlôb tusowhldl`k io k`t dàbuk`t obywo kjt
sk`bjt io k` slok iok `gijaob>=+ d`ut`bij k` wusyuw` io `wyowl`t
| xob`t | k` h`ky` io lwwln`dlôb io kjt x`tjt t`bnuábojt io k`
iowalt djb k` djbtoduobyo nobow`dlôb io ub owlyoa` ilhutj puo
ob tu nw`ij aàt dwáyldj suoio oxjkudljb`w ` ub` osliowaôkltlt | `
ub` bodwjtlt yltuk`w><"
Bôyoto puo+ `k swjdot`ij to ko lasuy`wjb k`t kotljbot xltlgkot
iuw`byo k` h`to sjtyjsow`yjwl`+ `hlwaàbijto s`w` ok ohodyj ob k`
`dut`dlôb puo+ bj jgty`byo k` `kowy` io k` xádyla` | sowtjb`t
`kkon`i`t ` k` s`dlobyo+ jsjwyub`aobyo djaubld`i` `k dlwue`bj
ob kjt swlaowjt iá`t tlnulobyot ` k` jsow`dlôb+ ob ok tobylij io
puo s`iodá` o}dotlxj ijkjw+ hlogwo | to sowdlgá`b ub`t a`bdm`twje`t o}yw`ð`t ob k` slok+ bj ko swotyô k` `yobdlôb jsjwyub` |
tuhldlobyo+ swjiudlìbijto+ obyjbdot+ ok wotuky`ij i`ðlbj
djbjdlij"
>= @ialyli` sjw ok swjdot`ij iuw`byo tu lbi`n`yjwl` du`bij `hlwaô5 ‛Ob ub swjdoilalobyj k`Klsjotdukyuw` bj tjb puoa`iuw`t k`t puo to swjiudob tlbj puo sjw k` b`yuw`ko` iok swjdoilalobyj okdu`k ot ` dlon`t+ suoio m`gow kotlôb iok skoej j iok sko}j+ tugiowaldj -tld,+ | tl ` otyj to ko `nwon` ub` swotlôb o}`now`i` iok o}yowljw suoio tuhwlw ub tuhwlalobyj io9 -tld, k` slok puo suoio oxjkudljb`w `ub` osliowaôkltlt | ` ub` bodwjtlt io k` slok puo `k woylw`wto k` otd`w` puo swjiudo to `toaoe` ` ub`
puoa`iuw`+ sowj bj suoio tow djbtliow`i` djaj ub` puoa`iuw` djaj y`k+ suot oty` to swjiudo sjw ub` o}sjtldlôb swjkjbn`i` `k d`kjw j `k hwáj j ` ub` tuty`bdl` djwwjtlx`+ kj du`k bj ot ok d`tj puo bjtjdus`‑" Dhw" hjklj 007 iok du`iowbj jwlnlb`k 0">< Ok ildy`aob io aoildlb` kon`k lbhjwa` puo ‛VoQb ok d`tj io k` Klsjotdukyuw` ` blxok io s`woi `gijalb`k `byowljw to ijduaoby` dk`w`aobyo k` o}ltyobdl` io jb`t ukdow`ylx`t | bodwôyld`t -otd`w`t,djb tjgwolbhoddlôb+ kotljbot iìwald`t djb bodwjtlt io yoelij | otd`w`+ tlyu`dlôb puo sowalyo lbhowlw djaj aod`bltaj d`ut`k ub djaswjaltj ltpuìaldj yltuk`w kjd`kl ij djb kotlôb io sko}j tugiowaldj-tld, j du`kpulow jyw` djbildlôb puo iltalbu|j =tld, ok `sjwyo io t`bnwo ` k` slok+ tlyu`dlôb puo nobow`ub ioyowljwj swjnwotlxj | auowyo yltuk`w duyàbo`
‑ Dhw" hjklj 08< iok du`iowbj jwlnlb`k 0""
9>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 48/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Ob djbdwoyj+ ok obyo `dut`ijw toð`kô5
‛-…, kj puo to ko obwjtyw`w` -tld, ot k` djbiudy` BONKLNOBYO o
LASW_IOBYO iotskon`i` djb sjtyowljwli`i ` kjt `dyjt pulwõwnldjt+
xowglnw`dl` `k `tltylw ` tu s`dlobyo iotsuìt io k`t dlwuná`t mábd`kot |
bjy`w d`agljt ob `k djkjw`dlôb io k` slok io k` obhowa` bj jwiob`
o}àaobot puo ko lbilpuob tu jwlnob | io oty` hjwa` swoxoblw+ oxly`w j
woiudlw k` o}yobtlôb iok yoelij puo wotuky` `hody`ij | o k` mltyjwl` dklbld`
-tld, xltlgko ` hjkljt ?4 ` =8 jwlnlb`i` sjw ok tonubij swjdotj pulwõwnldj+iotgwli`alobyj io àwo` bodwôyld`+ bj to djbtlnb`b lbild`dljbot aìild`t
io aoild`aobyjt bl duli`ijt sjtyowljwot‑=3"
Tlb oag`wnj+ k` klyow`yuw` dlobyáhld` ob k` a`yowl` lbild` puo ok
owlyoa` | k` osliowaôkltlt puo sjiwá` oxjkudljb`w ` ub` bodwjtlt
io k` slok+ yw`t ub swjdoilalobyj io klsjtuddlôb+ ot djbtoduobdl`
swô}la` io k` wusyuw` io kjt x`tjt t`bnuábojt puo k` lwwln`b | k`
h`ky` io j}ánobj iok yoelij+ kj du`k jduwwo iotio ok
swjdoilalobyj pulwõwnldj" @k wotsodyj+ to `hlwa` puo5
‛K` x`tdukjs`yá` | k` mlsowslnaoby`dlôb duyàbo` otyàb utu kaobyo
djbody`i`t" Tl bj liobylhld`ajt | yw`y`ajt k` x`tdukjs`yá`+ oty` suoio
swjiudlw mlsowslnaoby`dlôb duyàbo`" Ob `knubjt d`tjt suoio tow aoejw`i`+ sowj suoio tow sowa`bobyo"
Ok yw`ua` lbyowbj swjxjd`ij sjw k` dàbuk` io k` klsjtuddlôb suoio
swjxjd`w d`agljt io k` slok puo suoiob wotuky w ob iodjkjw`dljbot io k`
alta` j ub` bodwjtlt aàt nw`xo puo wopuowlwà iotgwli`alobyj duyàboj"
@knub`t xodot k` x`tdukjs yá` suoio tow ilhádlk io liobylhld`w" Oty`
djalob` sjtyjsow`ylx`aobyo djaj ub` jb` io owlyoa` puo suoio tow
liobylhld`i` sjw k` swotlôb ilnly`k io k` jb`" Iotsuìt io ub`t sjd`ttoa`b`t k` jb` suoio djbxowylwto ob mlsowslnaoby`i`" K` d`ut` ot
=3 Dhw" hjklj 709 iok du`iowbj jwlnlb`k 0"
9=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 49/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
swjg`gkoaobyo ok yw`ua` kjd`k | k` djbtlnulobyo h`ky` io j}ánobj ob ok
blxok d`slk`w"‑=0 -Tugw`|`t io k` swjxliobdl`,"
Ob ok altaj tobylij+ to `tonuw` puo
‛K` klsjtuddlôb tusowhldl k o}dotlx` suoio swjiudlw lasjwy byot
djaskld`dljbot otyìyld`t" Ok utj io k` yìdbld` yuaotdobyo | aldwjdàbuk`t
sowalyo `k dlwue`bj m`dow k` klsjtuddlôb aàt tusowhldl`kaobyo | swjiudlw
wotuky`ijt a`t tu`xot puo sjiwá`b tow modmjt djb k`t `bylnu`t yìdbld`t
puo uylkl`b dàbuk`t aàt nw`biot" @knubjt dlwue`bjt dwoob owwôbo`aobyo
puo ok w`ts`ij io k` tusowhldlo lbhowljw io k` slok djb k` dàbuk` io
klsjtuddlôb m`wà puo k` slok to djbyw`ln`" Bj m`| blbnub` oxliobdl`
dlobyáhld` puo `sj|o k` yojwá` io puo ok i`ðj lbyobdljb`k ` k` slok sjw
m`dow o}dotlxj io klsjtuddlôb tusowhldl`k swjiudo aoejwot wotuky`ijt
djtaìyldjt" Ok o}dotj io klsjtuddlôb tusowhldl`k suoio kotljb`w k` t`bnwo
tusowhldl k | kjt x`tjt klbhàyldjt tlyu`ijt ob k` tusowhldlo lbhowljw
lbaoil`y` io k` slok | d`ut`w djaskld`dljbot lasjwy`byot+ lbdku|obij
dld`ywldot+ gukyjt+ io djkjw`dlôb lwwonuk`w sowa`bobyo+ | bodwjtlt io
otsotjw yjy`k -auowyo, io k` slok puo kj wodugwo" K` slok to djbyw`o
b`yuw`kaobyo iotsuìt io k` klsjtuddlôb+ sjwpuo 0, k` slok io hjwa`
b`yuw k djbylobo hlgw`t okàtyld`t+ 7, k` slok to o}lao iok ohodyj
nw`xly yjwlj io k` nw`t` tugduyàbo`+ | 4, k` klsjtuddlôb+ b`yuw`kaobyo+
i` kun w ` k` djbyw`ddlôb iok djkànobj ob k` nw t` tugduyàbo " Kjt
dlwue`bjt puo iohlobiob k` klsjtuddlôb tusowhldl`k iogob tow duli`ijtjt
s`w` oxly`w k` o}dotlx` klsjtuddlôb tusowhldl`k" -…,
-…,
K` bodwjtlt io slok io otsotjw djaskoy` -k` auowyo io k` slok `hody`i`,
suoio tow wotuky`ij io k` klsjtuddlôb tusowhldl`k o}dotlx` puo kotljb` k`
x`tduk`wl`dlôb io k` slok puo kj wodugwo" Ok yw`ua` ioklgow`ij io k`
tusowhldlo lbhowljw io k` slok suoio kotljb`w ok tualbltywj x`tduk`w ` k`
slok | d`ut`w bodwjtlt io otsotjw s`wdl`k j yjy`k io k` slok" _b` bodwjtlt
=0 YJKOIJ+ Kul T6 A@_@I+ W`uk" Djaskld yljbt jh Gji| Tduksyuwo" Ob5 Dklbldt lb Sk tyld
Tuwnow|" Oilyjwl k Oktoxlow" 7338" s" <!03" Yw`iuddlôb bj jhldl k" Ok yo}yj ob lbnkìt ot oktlnulobyo5 ‛X`tdukjs`ym| `bi duy`bojut m|sowslnaoby`yljb `wo utu`kk| djbbodyoi" Lh ~o ij bjyliobylh| `bi ywo`y ymo x`tdukjs`ym|+ ly d`b swjiudo duy`bojut m|sowslnaoby`yljb" Lb tjao d`tot ly d`bgo laswjxoi+ guy ly d`b go sowa`boby" Ymo lbyowb`k yw`ua` swjxjfoi g| ymo klsjtudyljb d`bbuk` d`b swjxjfo tflb tkjunymt ym y d`b wotuky lb tflb iltdjkjw`yljb jw ` ajwo towljut bodwjtlt ym`y ~lkk wopulwottflb iogwlioaoby" X`tdukjs`ym| tjaoylaot a`| go ilhhlduky yj liobylh|" Ly ty`wyt sjtyjsow`ylxok| `t `b`wo` jh ow|ymoa` ym`y d`b go liobylhloi g| ilnly`k swottuwo jh ymo `wo`" @hyow ` ho~ ~ooft ymo `wo`a`| godjao m|sowslnaobyoi" Ymo d`uto lt swjg`gk| ymo kjd`k yw`ua` `bi djbtopuoby k`df jh j}|nob`y ymo d`slkk`w| koxok"‑
9<
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 50/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
duyàbo` io otsotjw s`wdl`k suoio kkon`w ` tow ub` bodwjtlt io otsotjw
yjy`k+ tl to djaskld` sjw ub` lbhoddlôb" Jyw`t d`ut`t io k` bodwjtlt
duyàbo` io otsotjw yjy`k iotsuìt io k` klsjtuddlôb lbdku|ob lbhoddlôb-h`tdlylt bodwjyl`byo,+ ywjagjtlt io kjt x`tjt t`bnuábojt -hjwa`dlôb io
djànukjt ob ok lbyowljw io ub x`tj t`bnuáboj,+ k` kotlôb io kjt x`tjt
t`bnuábojt+ | x`tduklylt -lbhk`a`dlôb io kjt x`tjt t`bnuábojt," -…,‑=7 -Ok
wot`ky`ij bj djbty` ob ok ijduaobyj jwlnlb`k,"
@ubpuo ot ub` djaskld`dlôb swjg`gko —`tá otyà ijduaoby`ij!
puo sjw kj y`byj+ oxobyu`kaobyo+ sjiwá` oty`w iobywj iok wlotnjsowalylij+ okkj kj towà tloaswo puo tjgwo ok s`wylduk`w ok
s`dlobyo to` dk`w`aobyo lbhjwa`ij | oaly` ok djbtobylalobyj
wotsodylxj | puo bj to lbduww` ob a`bljgw`t puo bj wotsoyob k`
yìdbld` pulwõwnld` tonõb k` du`k bj ot wodjaobi`gko m`dow
klsjtuddljbot ` blxok tusowhldl`k sjw kjt ohodyjt bjdlxjt puo
suoio nobow`w"
Tjgwo ok s`wylduk`w+ kjt otsodl`klty`t ob ok àwo` toð`k`b puo ‛VkQ
bodwjtlt io slok wotuky`ij+ -tld, io ub` kotlôb g`tduk`w j yìwald` suoio oxly`wto sjw
=7 Djaajb `bi Albjw Djaskld`yljbt" myys5**~~~"klsjtudyljb"dja*djaajb!djaskld`yljbt"myak" Djbtuky`ij ok 08 io hogwowj io 7307" Yw`iuddlôb bj jhldl`k" Ok yo}yj oblbnkot ot ok tlnulobyo5 ‛O}dottlxo tusowhldl k klsjtudyljb d`b swjiudo tlnblhld`by djtaoylddjaskld`yljbt" Ymo uto jh ymo yuaotdoby yodmblpuo `bi aldwjd`bbuk`t `kkj~t ymo tuwnojb yj ijklsjtudyljb ajwo tusowhldl`kk| `bi yj swjiudo tajjymow wotukyt ym`b djuki go ijbo ~lym jki!h`tmljboi yodmblpuot ym y utoi k`wnow d`bbuk t" Tjao tuwnojbt alty`fobk| gokloxo ym y tdw`slbn ymoubiowtuwh`do jh ymo tflb ~lym ymo klsjtudyljb d`bbuk` ~lkk d`uto ymo tflb yj djbyw`dy" Ymowo lt bjtdlobylhld oxliobdo yj tussjwy ymo ymojw| ym`y lbyobyljb`k lbeuw| yj ymo tflb g| ijlbn o}dottlxotusowhldl`k klsjtudyljb swjiudot laswjxoi djtaoyld wotukyt" O}dottlxo tusowhldl`k klsjtudyljb d`b lbeuwoymo tusowhldl`k gkjji `bi k|asm`yld xottokt kjd`yoi jb ymo laaoil`yo ubiowtuwh`do jh ymo tflbwotukylbn lb tlnblhld`by djaskld`yljbt lbdkuilbn td`wt+ kuaslbott+ sowa`boby lwwonuk`w djkjw`yljb+ `bi hukk ymldfbott bodwjtlt -io ym, jh ymo jxowk|lbn tflb" Tflb b`yuw`kk| djbyw dyt `hyow klsjtudyljb god uto0, tflb b`yuw`kk| djby`lbt ok`tyld hlgowt+ 7, tflb lt wokloxoi jh ymo nw`xly`yljb`k ohhody jh tugduy`bojut h`y+ `bi 4, klsjtudyljb b`yuw`kk| wotukyt lb djbyw dyljb jh ymo djkk`nob lb tugduy bojut h`y" Tuwnojbt~mj `ixjd`yo tusowhldl`k klsjtudyljb auty go d`wohuk yj `xjli o}dottlxok| tusowhldl`k klsjtudyljb" -…,
Hukk Ymldfbott Tflb Bodwjtlt -io`ym jh ymo `hhodyoi tflb, d`b wotuky hwja o}dottlxo tusowhldl`kklsjtudyljb ym`y lbeuwot ymo x`tduk w tussk| jh ymo jxowk|lbn tflb" Ioklgow`yo yw`ua` yj ymoubiowtuwh`do jh ymo tflb d`b lbeuwo ymo x`tduk`w tussk| yj ymo tflb `bi d`uto s`wyl`k jw hukk ymldfbottbodwjtlt jh ymo tflb" @ s`wyl`k ymldfbott iowa`k bodwjtlt a`| godjao ` hukk ymldfbott bodwjtlt lh ly ltdjaskld`yoi g| `b lbhodyljb" Jymow d`utot jh hukk ymldfbott iowa`k bodwjtlt hjkkj~lbn klsjtudyljblbdkuio lbhodyljb -bodwjyllbn h`tdllylt,+ gkjji xottok ymwjagjtlt -dkjyylbn lbtlio ` gkjji xottok,+ lbeuw| yj gkjji xottokt+ `bi x`tduklylt -gkjji xottok lbhk`aa`yljb," Hjw o}`asko+ lb s`ylobyt ~mj m`xo `ilto`to fbj~b `t dw|jnkjguklboal` -djki!lbiudoi gkjji dkjyt,+ ymo `sskld`yljb jh ldo!s`dft yj ymo tflb`hyow klsjtudyljb d`b swjiudo dkjyylbn lb gkjji xottokt jh ymo tflb `bi hukk ymldfbott tflb bodwjtlt"‑
?3
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 51/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djaskoyj tl k` yìdbld` ot wo`kl`i` `swjsl`i`aobyo | wotsoy`bij k` `b`yjaá`"
-…,‑=4"
Ob tlalk`w hjwa`+ to `hlwa` puo k` kotlôb yltuk`w | bodwjtlt
‛VsQuoio jduwwlw nobow`kaobyo sjw ub` lbdjwwody` j lb`swjsl`i` uylkl`dlôb io k`
dàbuk`" To m`b iotdwlyj `knubjt d`tjt ob puo to m` sowhjw`ij k` s`woi `gijalb`k+
obyw`bij ob k` d`xli`i `gijalb`k djb sowhjw`dlôb io xátdow`t muod`t+ oxobyu`kli`i
ob k` puo iogoajt `dyu`w lbaoil`y`aobyo djb ub yw`y`alobyj pulwõwnldj uwnobyo"
Ob jywjt d`tjt suoio m`gow ub` bodwjtlt io kjt yoelijt j ukdow`dlôb sjw o}dotlx`
yobtlôb io kjt djkn`ejt du`bij to m`dob dlwuná`t `tjdl`i`t" Io du`kpulow hjwa` k`djwwody` sk`blhld`dlôb io k` jsow`dlôb bjwa`kaobyo iogo+ ob a`bjt io ub dlwue`bj
o}sowlaoby`ij+ oxly`w yjijt otyjt swjgkoa`t"‑=9
Ob ok d`tj io k` otsodlo+ to `ixlowyo puo k` jhobili` bj tjkj bj
wodlglô lbhjwa`dlôb ioy`kk`i` | djaskoy` tjgwo k` swjg`gko
jduwwobdl` io otyo ylsj io kotlôb duyàbo`+ suot ok
djbtobylalobyj lbhjwa`ij to klalyô ` swoxoow k` lbhk`a`dlôb+ k`
djkoddlôb io t`bnwo | tuowj ob k`t d`xli`iot x`dá`t ioe`i`t sjw
k` iltoddlôb+ k`t àwo`t io sìwili` io slok —tlb jyw` o}skld`dlôb!+ k`
lbdliobdl` io k` lbhoddlôb iotsuìt iok swjdoilalobyj+ `tá djaj
dld`ywldot io k` klsjtuddlôb aábla`t+ du|j y`a`ðj+ bj to sjiwá`
swoiodlw | ok oioa` ilhutj=?+ sowj e`aàt otsodlhldô k` oxjkudlôb
iok owlyoa` ` osliowaôkltlt | ` k` bodwjtlt duyàbo` ob a`|jw
o}yobtlôb iok `gijaob | k` ots`ki`"
@ okkj to tua` puo ob ok o}soilobyo otyà `dwoily`ij puo otyo bj
ot ok õbldj oxobyj ob puo s`dlobyot iok aìildj `gtuokyj m`b
tuhwlij djaskld`dljbot io toaoe`byo nw`xoi`i+ kj puo tunlowo
ub` a`k` sw`}lt sjw ok swjhotljb`k lbxotyln`ij" Bj jgty`byo+ to
lbtltyo+ k` T`k` bj to suoio `iobyw`w ob ok `bàkltlt swjg`yjwlj bl=4 G@WWOYJ+ Kloyyo" Klsjtuddlôb5 Djaskld`dljbot | Swoxobdlôb" Woxlty` io Dlwuná` Skàtyld`"myys5**~~~"obdjkjagl`"dja*sk`tyld`80873klsjtuddljb"mya" Djbtuky`i` ok 0= io hogwowj io7307"=9 AJWOBJ OTYOG@B+ G`tlklj+ AJBOWOJ AONÁ@T+ Tut b 6 ÀKX@WOU MOWBÀBIOU+ Eukl "Jgotli`i5 k` oslioal` iok tlnkj ]]L" Oildljbot Iá` io T`byjt" 7333" S" 4=?=? Dhw" hjklj 7= iok du`iowbj jwlnlb`k 0"
?0
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 52/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
audmj aobjt+ okox`wko ok djwwotsjbilobyo euldlj io woswjdmo sjw
otyo `dyj+ suot okkj djasjwy`wá` ub` `hody`dlôb tuty`bdl`k iok
bõdkoj otobdl`k io kjt swlbdlsljt io djbnwuobdl` | kon`kli`i"
Dlowy`aobyo+ djaj s`w` k` lasuy`dlôb jgeoylx` iok wotuky`ij to
wopulowo djaj swlaow blxok io `iodu`dlôb+ ub` djbo}lôb io
d`ut`kli`i obywo ok iltx`kjw io `ddlôb | ok io wotuky`ij | ob otyo
d`tj+ sjw o}swot` a`blhoty`dlôb iok obyo `dut`ijw+ k` dwo`dlôb
iok wlotnj euwáild`aobyo iot`swjg`ij aoil`byo k` uylkl`dlôb io
ub` yìdbld` pulwõwnld` puo bj m`gwá` wotsoy`ij ok otyàbi`w
aáblaj+ puoiô sjw huow` iok a`wdj io k` lasuy`dlôb hàdyld`
djbtlnb`i` ob k` wotjkudlôb io `dut`dlôb=8+ bj ot sjtlgko `ywlgulw
wotsjbt`glkli`i sob`k `k obeuldl`ij sjw otyo otsodáhldj `tsodyj"
4"4"7" Djb yjij+ djaj ok swjdotj sjtyjsow`yjwlj obyw`ðô jyw`tuowyo io `ddljbot —djaltlx`t | jaltlx`t! puo m`gwá`b
djbywlgulij ` k` iohjwali`i sowa`bobyo iok duowsj io k`
xádyla`+ towà ` tu `bàkltlt puo to djbyw`owà ok tlnulobyo `dàslyo"
Djwwotsjbio obyjbdot+ o}`alb`w tl k`t aoili`t yja`i`t sjw ok
dlwue`bj `dut`ij iotio puo oxliobdlô ok owlyoa` !`k yowdow iá`io k` dlwuná`!+ lbhwlbnlowjb ok iogow jgeoylxj io duli`ij | tl djb
okkj+ `uaobyô j dwoô ub wlotnj bj sowalylij s w` kuonj
ioyowalb`w+ tl to djbdwoyô ob ok wotuky`ij |` djbjdlij"
=8 Ok Hltd`k to tlwxlô iok ildy`aob io aoildlb` kon`k | io k` jslblôb iok Eoho iok Towxldlj ioDlwuná` Skàtyld` iok Mjtsly`k _blxowtly`wlj iok X`kko+ sjwpuo ob okkjt to m`gwá` djbtlnb`ij puobj to xljkô ok swjyjdjkj aìildj ob k` lbyowxobdlôb" Sowj+ xowlhld`ijt otjt aoiljt io swuog`to jgtowx` puo ok swlaowj+ m`do otsodl`k ìbh`tlt ob toð`k`w puo ‛bj to iotd`wy` h`dyjwot`tjdl`ijt ` k` yìdbld` pulwõwnld`‑ | tunlowo soilw sowly`dlôb ` ub s`w ob dlwuná` otyìyld` -Dhw"hjkljt 0>3!0>0 iok du`iowbj jwlnlb`k 0, | ok tonubij e`aàt o}swotô —djaj owwôbo`aobyo kjilej ok obyo `dut`ijw! puo ok swjdoilalobyj jgtowxô k` ko} `wylt tlbj puo ‛VoQk swjdoilalobyjto wo`klô ob ub` dkábld` puo duoby` djb k` ijy`dlôb bodot`wl` s`w` wo`kl`w otyo ylsj io lbyowxobdljbot| sjw s`wyo io swjhotljb`kot otsodl`kl`ijt ob dlwuná` skàtyld` | `botyotl`" K` s`dlobyo huo x`kjw`i` swoxl`aobyo sjw ok dlwue`bj+ to iohlblô ub sk`b pulwõwnldj | to hlwaô ub djbtobylalobyj o}lnlij" Sjw y`k w`ôb djbtliowj puo oty` lbyowxobdlôb duasko djb kjt wopultlyjt o}lnlijt sjw k` aoildlb` ‑ -Dhw"hjklj 0>9 lgáioa,"
?7
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 53/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
S`w` duasklw djb otyo swjsôtlyj+ lbldl`kaobyo to iogo xowlhld`w
duàk ow` oto wlotnj `ialylij sjw k` dlobdl` aìild` | puo ioglô
tow lbhjwa`ij ` k` s`dlobyo |+ tl ok dlwue`bj skàtyldj kj tusowô"
To s`wyo io k` g`to io puo swjiudlij ok yw`ua` a`|jw io kjt
yoelijt tusowhldl`kot iok `gijaob+ djbdwoy`aobyo+ k` kotlôb
x`tduk`w+ ot lboxly`gko ok lbldlj swjnwotlxj iok owlyoa` m`dl` k`
bodwjtlt yltuk`w j hjwa`dlôb io otd`w`t" Ob oto jwiob+ ob
swlbdlslj+ blbnõb swjdoilalobyj j `dylxli`i yow`sìuyld` sjiwá`
lasoilw puo to swjiueow`b k`t kotljbot iotdwly`t" Ob oty` kábo`+
`knubjt `uyjwot ob k` a`yowl` lbild`b puo
‛Ok owlyoa` hjwa`ij sjw k` Klsj`tslw`dlôb @g ot io d`wàdyow sowa`bobyo
djb a`bdm`t -…, io djkjw wjt !a`wwôb+ iodjkjw dlôb io k` slok djaj
wotuky`ij io w`ts w k` tusowhldlo lbhowljw io k` slok iuw`byo k`
klsjtuddlôb tusowhldl`k" Ok w`ts`ij lb`ixowylij j lbyobdljb`ij io k`
tusowhldlo lbhowljw io k` slok i`ð`wà k` woi x`tduk`w tusowhldl`k"
Iot`hjwyub`i`aobyo+ bj o}ltyo blbnõb yw`y`alobyj s`w` oty`
iodjkjw`dlôb dwôbld`" Bj s`wodo aoejw`w djb ok yloasj"‑=>
Oty` sjtyuw`+ ot djbtltyobyo djb ok ildy`aob io aoildlb` kon`k
puo lbhjwa` puo bl k` yow`sl` mlsowgàwld` bl kjt `bylglôyldjt —
`ubpuo lbild`ijt!+ tjb ‛tuhldlobyot s`w` woxowylw k` auowyo iok yoelij‑=="
Bj jgty`byo+ jywj todyjw otsodl`kl`ij io k` ijdywlb` toð`k` puo
swjiudlij ok owlyoa` -obwjeodlalobyj ilhutj io k` slok, !puo io
jduwwlw to m`do oxliobyo ob kjt swlaowjt iá`t iok
=> Djaajb `bi Albjw Djaskld yljbt" myys5**~~~"klsjtudyljb"dja*djaajb!djaskld`yljbt"myak" Djbtuky`ij ok 08 io hogwowj io 7307" Yw`iuddlôb bj jhldl`k" Ok yo}yj oblbnkot ot ok tlnulobyo5 ‛Ow|ymoa` @g Klsjw`tslw`yljb lt ` sowa`boby gkjydm| -""", slbf!gwj~biltdjkjw`yljb jh ymo tflb wotukylbn hwja w`tslbn ymo ubiowtuwh`do jh ymo tflb iuwlbn tusowhldl`kklsjtudyljb" Lb`ixowyoby jw lbyobyljb`k w`tslbn jh ymo ubiowtuwh do jh ymo tflb ~lkk lbeuwo ymotusowhldl`k x`tduk`w boy~jwf" _bhjwyub`yok|+ ymowo lt bj ywo`yaoby hjw ymlt dmwjbld iltdjkjw`yljb" Lyijot bjy tooa yj laswjxo ~lym ylao"‑== Dhw" hjklj 0>3 iok du`iowbj jwlnlb`k 0"
?4
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 54/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
sjtyjsow`yjwlj=<!+ tjtylobo puo ot sjtlgko `albjw`w tut ohodyjt
ob swjduw` io oxly`w j sjw kj aobjt m`dow aobjt o}yobtjt kjt
ohodyjt io k` bodwjtlt6 sjw okkj+ k` lasjwy`bdl` io ohodyu`w ub
il`nbôtyldj swljwly`wlj | swoxobylxj" Ob otyo dwlyowlj+ to
a`ywlduk`b `knubjt dlwue`bjt puo g`ej k` `skld`dlôb io dlowyjt
swjyjdjkjt m`b jgyoblij wotuky`ijt xltlgkoaobyo h`xjw`gkot5
‛Ok yw`y`alobyj suoio djbtltylw ob ? j 8 totljbot ob k` dàa`w`
mlsowgàwld`+ sowj y`aglìb to m` yw`y`ij otyj djb lb|oddlôb lbyw`iìwald`io j}ánobj djaob`bij du`bij to xo ok owlyoa`" K`t lb|oddljbot
swjxjd`b ok gk`bpuo`alobyj lbaoil`yj io k` jb`" To woslyob k`t
lb|oddljbot ob iá`t `kyowbjt sjw 0 j 7 toa`b`t m`ty` puo ok swjgkoa`
iot`s`wod` j aoejwo k` yow`sl` mlsowgàwld`" K` yow`sl` mlsowgàwld`
suoio tow ut`i` djaj swoxobdlôb j yw`y`alobyj io djaskld`dljbot io k`
klsjsk`tyl`"‑<3
Obtoð` y`aglìb k` klyow`yuw` aìild` puo ob du`kpulow dlwuná`
`gijalb`k iuw`byo k` h`to sjtyjsow`yjwl`+ ub` io k`t
djaskld`dljbot swjg`gkot ot k` lbhoddlôb+ puo bjwa`kaobyo bj
jhwodo tlbyja`yjkjná` iobywj io k`t swlaow`t 9= mjw`t+ t`kxj puo
o}lty` bodwjtlt j sowhjw`dlôb lbyotylb`k j to iot`wwjkko sjw
dkjtywlilua swohwlnwobt j tywosyjdjddut s|jnobot<0" @tá altaj+
to ylobo puo ‛VkQ` n`bnwob` n`tojt | k` h`tdlylt bodwjyl`byo tjb swjdotjt au|
toxowjt‑<7 | puo ob ok aoejw io kjt d`tjt+ du`bij tjkj k` slok | ok
=< Obywo ok yowdow | pulbyj iá " DJWYOT JDMJ@+ Munj" @gijalbjsk tyl 5 sjtlgkotdjaskld`dljbot" myys5**~~~"tutaoildjt"dja*`wy!`gijalbjsk`tyl`!Iw!Djwyot"mya Djbtuky`i` ok0= io hogwowj io 7307"<3 YJKOIJ+ Kul T6 A@_@I+ W`uk" Js" dly" s" 03" Yw`iuddlôb bj jhldl`k" Ok yo}yj ob lbnkìt ot oktlnulobyo5 ‛Ywo`yaoby d`b djbtlty jh hlxo jw tl} tottljbt lb ymo m|sowg`wld dm`agow+ guy L `ktj m`xoywo`yoi ly ~lym lbyw`iowa`k lbeodyljb jh j}|nob ty`wylbn ~mob L too ymo ow|ymoa`" Ymo lbeodyljbt
wotuky lb ymo laaoil`yo ~mlyoblbn jh ymo `wo`" L woso`y ymo lbeodyljbt oxow| jymow i`| hjw 0 yj 7 ~ooftubylk ymo swjgkoa ilt`sso`wt jw laswjxot" M|sowg`wld ymow`s| d`b go utoi `t swoxobyljb jh jw ywo`yaoby jh djaskld`yljbt jh klsjsk`ty|"‑<0 ÀKX@WOU KOWA@+ Hw`bdltdj | S@KJA@W A@WYÁBOU+ A" Dwlyowljt io lbnwotj ob _DL ios`dlobyot djb djaskld`dljbot lbhoddljt`t ob ok sjtyjsow`yjwlj io dlwuná` `gijalb`k" Ob5Djaskld`dljbot lbhoddljt`t ob ok sjtyjsow`yjwlj io dlwuná` `gijalb k" ÀKX@WOU KOWA@+Hw`bdltdj -Djjwilb`ijw," Oilyjwl`k @tyw` Uobod`" A`iwli" 7333" s" 7>"<7 Lgáioa"
?9
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 55/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
yoelij tugduyàboj ot ok `hody`ij sjw k` lbhoddlôb+ to oty`wà `byo
ub` dokuklylt io b`yuw`ko` bjwa`kaobyo ajbjaldwjgl`b`<4"
To t`go y`aglìb puo ‛bj m`| mowli`t tlb nìwaobot‑<9 sowj s`w` puo to
swjiud` ub` lbhoddlôb to wopulowo ub blxok du`byly`ylxj io 03?
g`dyowl`t sjw nw`aj io yoelij<?+ | okkj jduwwlwà djaj
djbtoduobdl` io h`dyjwot wok`ylxjt `k nowaob -bõaowj |
xlwukobdl`,+ `k s`dlobyo -oi`i+ jgotli`i+ lbhoddlôb ilty`byo+
obhowaoi`iot djbdjaly`byot djaj il`goyot+ bojsk`tl`+
iotbuywldlôb+ dlwwjtlt+ obywo jyw`t, j lbmowobyot ` k` lbyowxobdlôb
-iuw`dlôb+ uwnobdl`+ djbildljbot iok pulwôh`bj+ yw`thutljbot,+ `
k` yìdbld` pulwõwnld` -d`s`dly`dlôb | o}sowlobdl` iok dlwue`bj+
h`ky` io `tostl`+ moajty`tl` lbdjwwody`+ ltpuoal` o mlsj}l` io
kjt yoelijt+ duowsjt o}yw`ðjt+ ots`dljt auowyjt+ iwob`eot, j ` k`
mjtsly`kl`dlôb -oty`bdl` swojsow`yjwl` o}yobt`+ okox`ij bõaowjio obhowajt+ `tostl` io k` d`a` | ob k`t duw`dljbot+ d`byli`i io
xltly`t+ h`ky` io `ltk`alobyj,<8"
Obywo kjt swjyjdjkjt djbdowblobyot ` k` yìdbld` pulwõwnld` puo
iogo wotsoy`w ok dlwue`bj to `skld`b kjt swlbdlsljt io M`ktyoi
wok`ylxjt `k ‛a`boej tu`xo io kjt yoelijt+ moajty`tl` duli`ijt`+ guob wlonjt`bnuáboj+ `utobdl` io duowsjt o}yw`ðjt+ `tostl` otywldy`+ tuyuw`t tlb yobtlôb |
jgklyow`dlôb io kjt ots`dljt auowyjt+ `tá djaj k` `swj}la`dlôb duli`ijt` io kjt
k`gljt io k` mowli`"‑<>
Lnu`kaobyo+ k` djaubli`i dlobyáhld` o}swot` puo k`t
sjtlglkli`iot io lbhoddlôb tjb a`|jwot du`bij l, to sowalyo k`
<4 S@YLÐJ W" Ejtì Hìkl}" Lbhoddljbot bodwjyl`byot io k` slok | io kjt yoelijt gk`bijt" Jhldlb`io Woduwtjt Oiud`dljb`kot!HOS@HOA" Ios`wy`aobyj io Dlwuná + Hubi`dlôb T`by` Ho ioGjnjyà" Xow myys5**~~~"`lg`ww`"jwn*Nul`t*0!00"mya" Djbtuky`i` ok 08 io Hogwowj io 7307"<9 D@ÁBUJT HOWBÀBIOU" A" H`dyjwot puo swoiltsjbob ` k` lbhoddlôb io k` mowli` jsow`yjwl`"ÀKX@WOU KOWA@ -Djjwilb`ijw," Js dly" s" 43"<? Lgáioa"<8 Lgáioa"<> D@ÁBUJT HOWBÀBIOU" Js dly" s" 4="
??
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 56/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`duauk`dlôb io t`bnwo j tuowj obywo kjt ilhowobyot sk`bjt+ i`bij
kun`w ` ‛moa`yja`t+ towja`t | ots`dljt auowyjt puo ilhlduky`b k` dld`ywl`dlôb |
h`xjwodob k` lbhoddlôb `k jhwodow ub aoilj io dukylxj au| h`xjw`gko s`w` kjt
aldwjjwn`bltajt‑<=+ ll, to i` kun`w ` k` ltpuoal` | k` mlsj}l` io kjt
yoelijt suot k` sìwili` io t`bnwo | ok g`ej hkuej t`bnuáboj ‛ot ok
aoil`ijw swla`wlj puo sjbo ob a`wdm` k` d`td`i` io oxobyjt puo iotoagjd` ob k`
lbaubjioswotlôb‑<< | lll, `tja`b yoelijt bodwôyldjt puo ilhlduky`b ‛k`
kkon`i` io kjt h`dyjwot dokuk wot | muajw`kot io k` lbhk`a`dlôb‑033 | to
djbxlowyob ob ‛ub o}dokobyo d`kij io dukylxj s`w` k`t ilhowobyot g`dyowl`t | ioa`bow` au| otsodl`k+ s`w` kjt aldwjjwn`bltajt `b`owjgljt‑030"
@mjw`+ `byo k` tjtsodm` io lbhoddlôb djwwotsjbio `k aìildj
yw`y`byo `ijsy`w k`t aoili`t io xlnlk`bdl` | io yw`y`alobyj
`iodu`i`t ob d`i` tlyu`dlôb s`w` kj du`k iogo ‛wo`kl`w ub djbeubyj
io o}skjw`dljbot obd`alb`i`t ` liobylhld`w ok hjdj io k` lbhoddlôb+ tu oyljkjná` | ok
nw`ij io hody dlôb jwnàbld` io puo to djas`ð`b"‑037
Djbdwoy`aobyo+ ob ok d`tj io lbhoddljbot bodwjyl`byot
swjnwotlx`t j h`tdlylt bodwjyl`byot -iotywuddlôb io kjt yoelijt
tugduyàbojt | io k` h`tdl` tusowhldl`k,+ ‛VoQk du`iwj mltyjs`yjkônldj
sowalyo oty`gkodow ok il`nbôtyldj yoasw`bj io h`tdlylt bodwjyl`byo aoil`byo k`
gljstl sjw djbnok`dlôb+ `|ui` puo suoio tow iohlblylx` s`w oaswobiow ok
yw y`alobyj pulwõwnldj w`ild`k" K` gljstl` y`aglìb ot io nw`b uylkli`i s`w
ilhowobdl`w ub` lbhoddlôb g`dyowl`b` io ub` audjwaldjtlt"‑034
Tjgwo k` bodotli`i io il`nbjtyld`w io hjwa` swodj ok tábiwjao
lbhoddljtj io k` slok s`w` lbldl`w ok yw`y`alobyj wotsodylxj+ ok
dlwue`bj o}sowyj S@YLÐJ W" iotdwlgo puo k` dokuklylt iogo tow
yw`y`i` djb ijtlt `ky`t io sobldlklb` | jd`tljb`kaobyo ‛djb k`<= D@ÁBUJT HOWBÀBIOU" Js dly" s" 4<"<< Lgáioa"033 D@ÁBUJT HOWBÀBIOU" Js dly" s" 93"030 Lgáioa"037 ÀKX@WOU KOWA@" Js" dly" s" 43034 S@YLÐJ W" Js" dly"
?8
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 57/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
lbdltlôb io k` slok djb ok jgeoyj io iltalbulw k` yobtlôb | swoxoblw k` bodwjtlt+ sowj
ok iotgwli`alobyj w`ild`k nobow`kaobyo bj ot bodot`wlj"‑039+ alobyw`t puo k`
h`tdlylt bodwjyl`byo wopulowo ub yw`y`alobyj pulwõwnldj
lbaoil`yj | `nwotlxj+ djbtltyobyo ob ‛k` wotoddlôb j iotgwli`dlôb `askl`
| djaskoy` io yjijt kjt yoelijt `hody`ijt‑03?"
Ildmj swjdoilalobyj iogo oty`w `djas`ð`ij iok tualbltywj io
`bylglôyldj io `asklj otsodywj iotio ub lbldlj+ g`ej k` nuá` iok
o}`aob g`dyowljkônldj sjw djkjw`dlôb djb Nw`a038"
@tá+ ok dugwlalobyj `bylglôyldj lbild`ij otyà i`ij sjw ok ‛wìnlaob
ywlsko jwloby`ij `k djbywjk kjt ilxowtjt `nobyot aldwjgl`bjt5 sobldlklb` j `asldlklb`
s`w` obyowjdjdjt | sosyj!otywosyjdjdjt6 dklbi`aldlb` s`w` kjt `b`owjgljt+ G"
hw`nlklt+ sosyjotywosyjdjdjt6 | noby`aldlb` u jywj `albjnkudôtlij s`w` k`t
obyowjg`dyowlàdo`t" Ok aoywjbli`jk | ok dkjw`bhobldjk tjb tutylyuyjt `iodu`ijt io
k` dklbi`aldlb` ob du`byj `k djbywjk io k`t g`dyowl`t `b`owôgld`t" Ok lalsoboa+ obxlwyui io tu au| `asklj otsodywj+ suoio tow y`k xo ok `nobyo io otdjnobdl` tl to
swoyobio uylkl`w ub `bylglôyldj õbldj" Kjt s`dlobyot djb audjwaldjtlt ylobob ub
swjbôtyldj o}ywoa`i`aobyo wotowx`ij" K` `ahjyowldlb` G m` tlij ok `nobyo io
swohowobdl`+ sowj bj yjijt kjt s`dlobyot o}mlgob wotsuoty` yow`sìuyld` `iodu`i "
Kjt buoxjt `nobyot `bylaldôyldjt suoiob swjg`w tow io a`|jw ohld dl 6 ok
hkudjb`jk m` tlij uylkl`ij ob s`dlobyot djb audjwaldjtlt sukajb`w"‑03>
Hwobyo `k ty`sm|kjdjddut `owut -aldwjjwn`bltaj, to tunlowo
okonlw k` sobldlklb`+ k` j}`dlklb` j k` x`bdjaldlb`+ `ubpuo to
`ixlowyo k` o}ltyobdl` io dos`t wotltyobyot ` otyjt
aoild`aobyjt03=" Sjw tu s`wyo+ s`w` djag`ylw ok stouijajb`t
`owunlbjt` -g`dlkj nw`abon`ylxj `owjglj, io `ky` wotltyobdl` ` kjt
`bylglôyldjt+ to swoild` ok oaskoj io ‛goy`k`dyàaldjt
`bylstouijaôbldjt+ dlowy`t doh`kjtsjwlb`t+ kjt `albjnkudôtlijt+ kjt d`wg`sobìaldjt039 Lgáioa"03? Lgáioa"038 Lgáioa"03> Lgáioa"03= @KJBTJ L Y@WWÌT+ D" Oyljkjná` io k`t djaskld`dljbot lbhoddljt`t ob ok sjty!jsow`yjwlj iodlwuná` `gijalb`k" ÀKX@WOU KOWA@ -Djjwilb`ijw," Js dly" s" 8?"
?>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 58/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
| k` djkltylb`‑03<+ g`ej k` `ixowyobdl` io puo ‛tloaswo ot swodltj ok
`bylgljnw`a` sjwpuo suoio swotoby`w wotltyobdl` ` du`kpulow` io okkjt" @ioaàt+ ot
d`s` io `ipulwlw wàsli`aobyo buox`t wotltyobdl`t ob ok yw`btduwtj iok
yw`y`alobyj+ sjw kj du`k otyà lbild`ij wo`kl`w `bylgljnw`a`t io kjt tudotlxjt
`ltk`alobyjt `ubpuo to `átkob ob ajaobyjt tos`w`ijt sjw djwyjt lbyowx`kjt io
yloasj"‑
Ob otyo subyj+ otsodl`k ìbh`tlt m`do k` ijdywlb` aìild` ob ok
tobylij io puo ‛VoQk oaskoj io kjt `bylglôyldjt ob kjt s`dlobyot djb
lbhoddljbot sjtypulwõwnld`t bj iogo tow ub `dyj wuylb`wlj" Du`bij to
`ialbltyw b to iogo xlnlk`w `yoby`aobyo bj tôkj k` oxjkudlôb dkábld` iok
s`dlobyo+ puo ot ub lbild`ijw io ohld`dl`+ tlbj k` sjtlgko `s`wldlôb io ohodyjt
todubi`wljt |*j k` tokoddlôb io buoxjt s`yônobjt aukylwwotltyobyot" Ob yjijt kjt
d`tjt iogo wotsoy`wto k` ijtlhld`dlôb káalyo wodjaobi`i` s`w` d`i` lbild`dlôb
yow`sìuyld`+ puo to `tjdl` djb djbdobyw`dljbot sk`taàyld`t ôsyla`t+ | to wo`kl`wàb
kjt `eutyot bodot wljt tonõb k` hubdlôb wob`k io kjt s`dlobyot | kjt blxokot
sk`taàyldjt jgyoblijt"‑003 -Bonwlkk`t `eob`t `k jwlnlb`k,"
Hlb`kaobyo+ ok swjyjdjkj lbild` puo
‛Iotsuìt io k` iotgwli`dlôb w`ild`k lbldl`k+ ok s`dlobyo ot a`byoblij
g`ej djaskoy` ajblyjwá` | tjsjwyo hltljkônldj | aoy`gôkldj+ | ot kkox`ij
` k`t t`k`t io dlwuná` s`w` ub` woxltlôb swjnw`a`i` -todjbi kjjf, ` k`t 79
mjw`t+ | kuonj s`w` iotgwli`dljbot toduobdl`kot g`ej `botyotl` nobow`k+djb ok hlb io ioyody`w | oklalb`w hjdjt wotliu`kot puo suoi`b wolbldl`w ok
swjdotj" _b` xo puo ok swjdotj io bodwjtlt swjnwotlx` m` tlij
djbywjk`ij+ ok s`dlobyo suoio tow tjaoylij ` duw`dljbot ob k`t t`k`t io
mjtsly`kl`dlôb+ m`ty` kjnw`w k` dld`ywl`dlôb otsjbyàbo` j swos`w`w ok
yowwobj s`w` lbeowyjt u jywjt swjdoilalobyjt io wodjbtywuddlôb"
Ok duli`ij kjd`k io k`t mowli`t to m`do aoil`byo klaslo` djb `nu`
j}lnob`i`+ djb tjkudlôb t`klb` | djb ub `nobyo `byltìsyldj iok ylsj io k`|jijsjxlijb`"‑000
03< Js" dly" s" 88"003 ÀKX@WOU KOWA@" Hw`bdltdj" Yw`y`alobyj `bylaldwjgl`bj io k`t djaskld`dljbot lbhoddljt`tob ok sjtyjsow`yjwlj io dlwuná` `gijalb`k" Js dly" s" =<"000 S@YLÐJ W" Js" dly"
?=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 59/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Sjw tu s`wyo+ k` klyow`yuw` otsodl`kl`i` ob dlwuná` otyìyld`+ ot
iok dwlyowlj puo+ `byo k` oxobyu`k swotobdl` io bodwjtlt o
lbhoddlôb todubi`wl` ` okk`+ swoxlty` djaj ub` djaskld`dlôb
swjg`gko sowj lbhwoduobyo iok swjdoilalobyj io klsjtuddlôb+ to
lasjbo iltsjbow ok lbaoil`yj yw`y`alobyj otsodl`kl`ij"
Ob ohodyj+ AJWOBJ+ AJBOWOJ | ÀKX@WOU tjtylobob puo ‛k` swoxobdlôb io
k` lbhoddlôb ot o}ywoa`i`aobyo lasjwy byo iuw`byo k` klsjtuddlôb" -…, Ok
ty`sm|kjdjddut `owut | k` Stouijajb` `owunlbjt` m`b tlij kjt aldwjjwn`bltajt
aàt hwoduobyot ob `knubjt s`dlobyot+ sowj ot bodot`wl` k` liobylhld`dlôb iok
aldwjjwn`bltaj ob d`i` s`dlobyo s`w` oxly`w a`|jwot djaskld`dljbot" @byo k`
tjtsodm` io ub` n`bnwob` n`tojt` ot hubi`aoby`k ok lbnwotj | ok yw`y`alobyj
`iodu`ij sjw otsodl`klty`t lbaoil`y`aobyo‑007" -Wot`ky`ij io k` T`k`,"
TMLHHA@B sjw tu s`wyo+ lbild` puo du`bij yw`t ub` klsjtuddlôb oki`ðj x`tduk`w oxjkudljb` ` ub` h`tdlylt bodwjyl`byo+ otyj ot+
du`bij tjgwoxlobo k` lbhoddlôb sjw otywosyjyjdjt j g`dyowl`t
al}y`t djb `b`owjgljt+ kj puo ‛ hwoduobyoaobyo laskld` k` h`tdl`
tusowhldl`k | swjhubi + swjiudlobij ywjagjtlt io kjt x`tjt tugduyàbojt | n`bnwob`
io kjt yoelijt tug|`dobyotV+ oQk yw`y`alobyj wopulowo dlwuná` io iotgwli`alobyj+ kjt
`bylglôyldjt+ | k` yow`sl` mlsowgàwld`‑004"
Ob liìbyldj tobylij+ ` blxok b`dljb`k to toð`k` puo ob otyjt
oxobyjt+ k` yow`sl` ` tonulw ‛lbdku|o k` djaglb`dlôb io `bylglôyldjt io
`asklj otsodywj+ ok iotgwli`alobyj `nwotlxj | k` `ialbltyw`dlôb io j}ánobj
mlsowgàwldj‑009"
007 AJWOBJ+ AJBOWOJ | ÀKX@WOU" Js dly" s" 4=?"004 TMLHHA@B+ Tli Alww`h`yl" @otymoyld tuwnow| jh ymo `gijalb`k ~`kk" Tswlbnow" Bo~ \jwf"733? s" 70<" Yw`iuddlôb bj jhldl`k" Ok yo}yj ob lbnkìt ot ok tlnulobyo5 ‛ hwoduobyk| ~lym`b`owjgot ym`y lbxjkxot ymo tusowhldl`k `bi ioos h`tdl`+ swjiudlbn ymwjagjtlt jh ymo tugduy`bojutxottokt `bi n`bnwobo jh ymo ubiowk|lbn ylttuot" Ywo`yaoby wopulwot tuwnow| iogwli`aoby+ `bylgljyldt+`bi m|sowg`wld ymow`s|"‑009 G@WWOYJ Js" dly"
?<
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 60/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Io jywj k`ij+ @WP_OWJ | G@WWJT+ `tonuw`b puo k` `dylxli`i
yow`sìuyld` s`w` djbeuw`w k` osliowaôkltlt | k` bodwjtlt d`ut`i`
ob k` iowajklsodyjaá` j `gijalbjsk`tyl` —`skld`gko y`aglìb `
k`t klsjtuddljbot ob k`t puo to nobow` k` alta` djaskld`dlôb!
‛x`wá` iosobilobij io k` d`ut` | nw`xoi`i io k` tlyu`dlôb5 m`glyu`kaobyo
uylkl`ajt ob k` swlaow` h`to sja`i` `bylglôyld` m`ty` puo to iohlbo k` kotlôb |+
ub` xo oty`gkodli`+ swjdoiowoajt ` wo`kl`w otd`wodyjaá`t towl`i`t s`w` a`byobow
klasl` k` mowli`+ h`xjwodow ok swjdotj io nw`buk`dlôb | otsow`w tu oslyokl`dlôb" K`t
wotoddljbot io k`t dld`ywldot iogob otsow`w aotot s`w` oxly`w k` h`to io `dylxli`i
io k` dld`ywl`dlôb"‑00?
G`ej k` alta` ôsyld`+ ob ok otdob`wlj b`dljb`k+ to iotdwlgo puo
ok tuhwlalobyj duyàboj ‛VbQj to xo dkábld`aobyo m`ty` ok 4µ!?µ iá t
sjtyjsow yjwlj" -…, Djb ok yloasj oty` jb` to x` ioa`wd`bij nw`iu`kaobyo m`ty`
k` bodwjtlt hw`bd`" Ok dlwue`bj iogo otsow`w ` oty` ioklaly`dlôb" Tl k` bodwjtlt ot io
nwjtjw s`wdl`k+ to yw`y` djb `bylglôyldjt yôsldjt |*j iotgwli`byot puáaldjt+ to ioe`
oslyokl`w | nw`buk`w" Tl k` bodwjtlt ot yjy`k swodlt` iotgwli`alobyj | djgowyuw`
sjtyowljw" K` woxltlôb otyìyld` to suoio wo`kl w aàt `iok`byo"‑008
Ob tábyotlt+ to suoio `hlwa`w puo yw`yàbijto iok swjyjdjkj
yow`sìuyldj !ok bõdkoj iok soklnwj sowalylij j wlotnj yásld`aobyo
wokox`byo00>! s`w` ok a`boej iok owlyoa`+ k` osliowaôkltlt+ k`
bodwjtlt duyàbo` | k` lbhoddlôb iuw`byo ok sjtyjsow`yjwlj+ tolasjbo obywo jywjt iogowot aàt otsodáhldjt l, swjnw`a`w
obtonuli` io k` jsow`dlôb k`t dly`t io djbywjk —ijaldlkl`wl`t j ob
djbtukyjwlj! puo to`b bodot`wl`t s`w` yobow skobj djbjdlalobyj
`dowd` io k` oxjkudlôb j lbxjkudlôb io tu s`dlobyo+ yoblobij ob
duoby` puo k` swlaow` io okk`t+ bj suoio tjgwos`t`w ok yowdow iá`
djaj pulow` puo ot ok sowájij lbiltsobt`gko s`w` puo du`kpulow00? @WP_OWJ+ Soiwj6 G@WWJT+ Ejwno" Iowajklsodyjaá` `gijalb`k" Buotyw` djbiudy`"myys5**~~~"dklbld``wpuowj"dja*3<Ziowajklsodyjal`"myak" Djbtuky`i` ok 0= io hogwowj io7307"008 DJWYOT JDMJ@" Js" dly"00> ALW S_LN+ T`byl`nj" Iowodmj sob`k" S`wyo nobow`k" Du`wy` oildlôb" Oilyjwl`k Wossowyjw"G`wdokjb`" 7339" S"?>"
83
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 61/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djaskld`dlôb oaslodo ` m`dowto bjyjwl`+ ll, ok gjw`w ub
il`nbôtyldj swodj tjgwo ok oty`ij io t kui io k` sowtjb`
lbyowxobli` puo sowaly` oty`gkodow swjg`gkot djaskld`dljbot |
ok yw`y`alobyj ` tonulw+ lll, `byo k` oxliobdl` io ub swjhutj
obwjeodlalobyj io k` slok lbild`ylxj io owlyoa` lbldl`w ok
tualbltywj io j}ánobj mlsowgàwldj -dàa`w` o lb|oddljbot, |
`skld`w dwoa`t `bylglôyld`t m`ty` puo to iohlb` k` kotlôb+ lx,
m`dow otd`wodyjaá`t s`wdl`kot djb puáaldjt tl k` kotlôb ot
tusowhldl`k s`w` a`byobow klasl` k` slok | sowalylw ub swjdotj
`iodu`ij io dld`ywl`dlôb x, iltsjbow k` yja` io k`t auotyw`t io
yoelij —gljstl`! djb swjsôtlyj io dukylxj s`w` liobylhld w k`
swotobdl` j bj io lbhoddlôb xl,+ wodoy`w ok aoild`aobyj
`bylglôyldj tobtlgko `k aldwjjwn`bltaj d`ut`byo iok swjdotj
lbhoddljtj+ xll, tl k` bodwjtlt oxjkudljb` ` ub` h`tdlylt
bodwjyl`byo sw`dyld`w ok iotgwli`alobyj j wotoddlôb yjy`k io kjtyoelijt bodwjt`ijt | dutyjil`w k` oxjkudlôb+ xlll, m`dow j iltsjbow
k`t duw`dljbot o}yowb`t puo to`b bodot`wl`t s`w` kjnw`w ub`
`iodu`i` dld`ywl`dlôb+ l}, `byo k` hjwa`dlôb io puokjliot m`dow
k` wotoddlôb | wos`w`dlôb otyìyld` -lbeowyjt tl ot bodot`wlj, | },
tjkldly`w ok `sj|j sjw lbyowdjbtuky` puo ioa`bio s`w` k`
`yobdlôb io k`t kotljbot io slok j ok a`boej io k` lbhoddlôb"
Tl ok swjhotljb k io k` aoildlb` otyìyld` duasko djb kjt
otyàbi`wot aobdljb`ijt+ to m`gwà t`ylthodmj ok iogow jgeoylxj
io duli`ij | sjw ajij `knubj k` dwo`dlôb j lbdwoaobyj iok
wlotnj sowalylij sjiwá` towko `ywlgulij" Ob d`tj djbyw`wlj+ |
tloaswo puo k` `ddlôb iltx`kljt` tusowo ok káalyo iok wlotnj
yásld`aobyo wokox`byo d`ut`bij io hjwa` swô}la` ok wotuky`ij
lasuy`ij+ m`| kun`w ` ohodyu`w k` lasuy`dlôb ob ok ylsj jgeoylxj"
80
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 62/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
4"4"4" @ djbylbu`dlôb+ swjdoio k` Djwyo ` xowlhld`w tl kjt owwjwot
io modmj sjw h`ktj w`dljdlblj obilkn`ijt sjw ok d`t`dljblty` `k
h`kkj io tonubij nw`ij to otywudyuw`wjb | yuxlowjb ohodyj
yw`tdobiobyo ob ok tobylij io eutyldl` lbdjwsjw`ij ` k` iodltlôb"
@tonuw` ok ioa`bi`byo puo ok eun`ijw io tonubij nw`ij
lbduwwlô ob x`wljt owwjwot io euldlj puo to tlbyoyl`b ob kjt
tlnulobyot yôsldjt5
l, Xljk`w ok swlbdlslj io klgowy`i swjg`yjwl` `k iotdjbjdow puo k`t
sowyuwg`dljbot hátld`t j stldjkônld`t nobow`i`t iotsuìt io ub`
dlwuná` to suoiob ioajtyw`w bj tjk`aobyo djb swuog` yìdbld`
tlbj y`aglìb io d`wàdyow yotylajbl`k io sowtjb`t dowd`b`t `k
s`dlobyo6
ll, @hlwa`w puo to iogá` woxlt`w ok swjdoilalobyj `byot | iuw`byo
k` dlwuná`+ tlobij puo tl glob ub` h`to suoio iosobiow io k`
jyw`+ to iogob hw`ddljb`w |` puo ylobob ub otdob`wlj
lbiosobilobyo6
lll, Tjtyobow puo ` k` s`dlobyo to ko jhwodlô ‛lbhjwa`dlôb tjgwo kjtwlotnjt iok swjdoilalobyj pulwõwnldj+ djbeuwàbijto djb okkj wotuky`ijt yásldjt+
`byleuwáildjt | duksjtjt ob VtuQ mua`bli`i ‑00=+ du`bij kj dlowyj ot puo ok
duasklalobyj io ildmj iogow+ bj o}lao `k aìildj io k`
wotsjbt`glkli`i puo ko `tltyo iuw`byo ok sjtyjsow`yjwlj6
lx, Puogw`by`w kjt sjtyuk`ijt io k` kônld` `k `tonuw`w puo k`
xádyla` ‛ huo wotsjbt`gko io tu tuowyo‑00<+ du`bij b`i` ob ok swjdotj
lbild` puo muglow` tlij k` h`ky` io mlnlobo ob k` wotliobdl` io k`
00= Dhw" hjklj 04 io k` ioa`bi` ` hjklj ?97 lgáioa"00< Dhw" hjklj 09 io k` ioa`bi` ` hjklj ?94 lgáioa"
87
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 63/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
soweuild`i` k` puo jd`tljbô k` lbhoddlôb+ aà}lao du`bij to
swojdusô sjw `duilw ` k` iowa`yôkjn` | `k lbhodyôkjnj du`bij
oxliobdlô ok `g`bijbj sjw s`wyo iok dlwue`bj"
x, Oty`gkodow djbyw`wl`bij kjt yotylajbljt io kjt aìildjt ^LKKL@A
GOE@W@BJ LN_LY@ -nobow`k,+ A@WYM@ OKOB@ D@ASJ ELAÌBOU -iowa`yôkjn`, |
DÌT@W @W@BNJ E@W@ALKKJ -lbhodyôkjnj, puo k` jhobili` bj to oty`g`
duli`bij+ tlobij puo kj ioajtyw`ij huo puo ok yw`y`alobyj puo
lbldl`kaobyo tlnulô+ bj ko tlwxlô | y`asjdj yuxj k` `yobdlôb iok
obeuldl`ij s`w` puo ko d`agl`w` kjt aoild`aobyjt s`w` djbeuw`w
k` lbhoddlôb | tut ohodyjt bjdlxjt"
4"4"4"0" Hwobyo `k swlaow |owwj lb luild`bij `ywlgulij `k h`kkj
`gtjkuyjwlj+ |` k` Djwyo `byldlsô puo k` xlnobdl` iok swlbdlslj io
klgowy`i swjg`yjwl`+ laslio djbtliow`w puo ok õbldj aoiljswjg`yjwlj d`s` io `dwoily`w ok oty`ij io t`kui io ub` sowtjb`
kj to` k` swuog` sowldl`k+ suot bj o}ltyo bjwa` euwáild` puo ` k`
a`bow` io y`wlh` kon`k `tá kj iltsjbn`"
@ubpuo bj d`go iui` puo k` swuog` yìdbld` jhwodo ub a`|jw
nw`ij io otsodlhldli`i tjgwo k` a`yowl` jgeoyj io lbi`n`dlôb+ ioy`k hjwa` puo+ ob yw`yàbijto iok ildy`aob aìildj kon`k+ otyo ot
d`s` io lbhjwa`w tjgwo k` b`yuw`ko` io k` kotlôb+ ok aod`bltaj
d`ut`k+ k` lbd`s`dli`i aìildj kon`k | k`t toduok`t+ kj dlowyj ot
puo k` sowdosdlôb ` yw`xìt io kjt tobylijt io du`kpulow swjh`bj —
ob wok`dlôb djb ob ok jhldlj aìildj! puo m`|` yoblij otywodmj
djby`dyj djb k` sowtjb` djbx`kodlobyo+ puo kuonj ot woswjiudli`
`byo ub otyw`ij euildl`k ` yw`xìt iok kobnu`eo jw`k+ wotuky` iok
yjij x`kljt` s`w` oty`gkodow ok swjdotj jgeoylxj io ioyowljwj+ kjt
tlnbjt dkábldjt aàt gàtldjt —hlogwo+ a`koty`w+ ijkjw+ jkjw+ djkjw!
84
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 64/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djb alw`t ` oty`gkodow tl ub` sowtjb` otyà tuhwlobij ub`
lbxjkudlôb ob tu t`kui+ `tá djaj s`w` i`w duoby` io k` `yobdlôb
swoty`i` sjw ok n`kobj+ otyj ot+ sjw oeoaskj+ tl `duilô
otsjbyàbo`aobyo ` xowlhld`w ok oty`ij io tu s`dlobyo+ tl mugj k`
bodotli`i io lbtltylw s`w` puo `duilow` ` duasklw k`t xltly`t
ijaldlkl`wl`t j s`w` djbdwoy`w ub` dly` ob tu djbtukyjwlj+ duàk
huo ok il`nbôtyldj obywon`ij ` k` s`dlobyo | ` tut `kkon`ijt+ k`
yow`sl` `skld`i` | ok yw`y`alobyj jwiob`ij s`w` tonulw sjw s`wyo
io k` s`dlobyo"
Tl glob bj ot sjtlgko o}lnlw `k tueoyj `eobj `k djbjdlalobyj
aìildj puo woxoko ob yìwalbjt yìdbldjt+ kj sjw ìk sowdlglij j
puo oaly` ub djbdosyj swjhotljb`k tjgwo ub` otsodáhld`
s`yjkjná `eob` ` tu t`gow+ tu ildmj glob suoio tow õylk+
sowylbobyo | djbiudobyo s`w` oty`gkodow k` lbyobtli`i ioks`iodlalobyj iok obhowaj | k` djbiudy` `tuali` sjw tu aìildj
yw`y`byo hwobyo `k altaj+ yotylajblj puo ob yjij d`tj+ iogo tow
x`kjw`ij `k y`al io k` t`b` dwáyld` | ob djbeubyj djb ok ublxowtj
swjg`yjwlj"
Otyj ot x`kljtj s`w` ok `tubyj o}`alb`ij yji` xo puo y`k djajkj sjtyuk` ok klgoklty` | kj swjauoxo ok Albltyowlj Sõgkldj+ k`
`hlwa`dlôb iok euo io dlwdulyj ob ok tobylij puo ‛ilhádlkaobyo ub`
wotsjbt`glkli`i aìild` to suoio `dwoily`w djb yotylajbljt io sowtjb`t bj ijdy`t
ob k` a`yowl`+ ` pulobot tjkj kot djbty` `knub` ijkobdl` hátld`+ oasowj bj otyàb ob
djbildljbot io ylki`w io bonklnobyo o lasowly` k` `dyu`dlôb iok n`kobj+ suot djaj
sowtjb`t iok djwwlobyo+ bj swjhotljb`kot ob aoildlb`+ tlaskoaobyo x`b ` oalylw ub
djbdosyj tugeoylxj iok dôaj xob ` k` s`dlobyo+ lbdkutlxo ok tobylw+ y`b swjbyj kkonô
` tu wotliobdl`+ kuonj io wo`kl`i` k` dlwuná`+ huowyot ijkjwot+ bjwa`kot io ub`
dlwuná` io otyo y`k`byo | bj suoio sjw otjt ijkjwot | bj sjiow ijwalw bl kox`by`wto
io k` d`a`+ swoild`w iotio oto ajaobyj ob puo kkon` ` k` d`t`+ puo mugj ub a`k
a`boej dkábldj sjw s`wyo iok dlwue`bj skàtyldj+ du`kpulow sowtjb` tjaoyli` ` ub
swjdoilalobyj pulwõwnldj io oty` b`yuw`ko + kjt swlaowjt iá`t x` ` tobylw ijkjwot+
89
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 65/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
au|+ au| huowyot‑073+ ot hw`bd`aobyo jhobtlx` iok sjtyuk`ij io
klgowy`i swjg`yjwl`"
Ob xowi`i+ djbyw`wlj ` kj djbtliow`ij sjw ok @i puoa+ bj to
yw`y` io ylki`w j d`klhld`w io bonklnobyo j laswuiobyo k` djbiudy`
iok dlwue`bj sjw ok tjkj modmj io puo k`t yotylnjt dowd`b`t ` k`
xádyla` ilow`b duoby` io kjt huowyot ijkjwot sjw okk` s`iodlijt
iotio ok altaj ajaobyj ob puo `wwlgô ` tu wotliobdl`+ ub` xo
sw`dyld`ij ok swjdoilalobyj+ tlbj io otduiwlð`w ob tu euty`
ilaobtlôb kjt wok`yjt io pulobot sowdlglowjb l, ok ioyowljwj
swjnwotlxj io k` t`kui io k` toðjw` G@TYLI@T KOBLT+ woswotoby`ij ob
tlnbjt io hlogwo+ xôalyj+ a`koty`w nobow k+ iota`|jt+
obwjeodlalobyj a`tlxj | a`k jkjw+ `tá djaj k` `dylyui `tuali`
sjw ok n`kobj `k sjbowkj ob djbjdlalobyj io k` tlyu`dlôb"
Ob ohodyj+ i`b duoby` kjt yotylajbljt io B_GL@ KOBLYM G@TYLI@T KOBLT+
A@WÁ@ IO KJT ÀBNOKOT KOAJT WL@TDJT | HKJWOTALKI@ XLX@T D@TYWJ -mowa`b`+
`aln` | oasko`i`,+ o lbdkutj k` lbi`n`yjwl` iok obd`wy`ij070 puo
huo djaj djbtoduobdl` io k`t kk a`i`t puo ko mldlowjb k`
swlaow` | jyw` `aln` io bjagwo W_G\ lbhjwa`bij tjgwo k`
`s`wlobdl` wjel` io k` slok iok `gijaob ` k` a`bow` io ub`puoa`iuw`+ puo ok aìildj to `swotyô ok 78 io euklj io 7334 `
m`dowko ` tu s`dlobyo ub` xltly` ijaldlkl`wl`+ du`bij ot dk`wj
puo+ djbjdlobij k` sjtlgko lbdliobdl` io ub owlyoa` ilhutj+
iogá` tow ìk pulob sjw tu swjsl` lbldl`ylx` djby`dy`w` iobywj io
kjt swlaowjt iá`t iok sjtyjsow`yjwlj ` k` djbx`kodlobyo s`w` puo
`duilow` ` tu djbtukyjwlj j ko sowalylow` xltly`wk ob tu
wotliobdl` djb ok swjsôtlyj io ox`ku`w+ il`nbjtyld`w | ioyowalb`w
ok yw`y`alobyj sjtyjsow`yjwlj ` tonulw6 otyj+ sjw du`byj —djaj
073 Dhw" hjklj 03 io k` tobyobdl` io tonubi` lbty`bdl` ` hjklj 9<8 iok du`iowbj jwlnlb`k 7"070 Dhw" hjklj 03< iok du`iowbj jwlnlb`k 0"
8?
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 66/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`ywàt to o}skldô! ot ob ok sjtypulwõwnldj lbaoil`yj ijbio
`s`wodob kjt swlaowjt tlnbjt io oxjkudlôb j lbxjkudlôb | ot
sjtlgko `ijsy`w k`t aoili`t io swoxobdlôb bodot`wl`t s`w` oxly`w
kotljbot a`|jwot"
@tá altaj+ kjt `kuilijt yotylajbljt eubyj djb k` xowtlôb io k`
jhobili` tlwxob io hubi`aobyj s`w` oty`gkodow puo m`ty` s`w` ok
a`t lnb`wj ob k` dlobdl` aìild` ow` s`ka`wlj puo ok swjdotj
sjtyjsow`yjwlj bj `x`b`g` h`xjw`gkoaobyo+ suot k` swotobdl`
io xôalyj+ hlogwo+ ijkjw lbtjsjwy`gko+ `wijw+ iota`|jt | jkjw
b`uto`gubij bj sjiwá lbild`w djt` iltylby` puo `knub`
djaskld`dlôb toxow` to oty`g` iot`wwjkk`bij+ tlb puo ok aìildj
yw`y`byo mldlow` kj puo ko ow` o}lnlij s`w` aoejw`w y`k djbildlôb
dkábld` io k` s`dlobyo puo iá`t `byot m`gá` lbyowxoblij"
Ob k` alta` ilwoddlôb+ k` swuog` yotylajbl`k iotd`klhld`i` sjw ok
eun`ijw io tonubij blxok+ sjw bj tow io d`wàdyow yìdbldj+ ow`
wokox`byo —djaj kj huo s`w` ok io swlaow nw`ij! s`w` sjbow ob
oxliobdl` puo soto ` puo iotio k` swlaow` xltly` ijaldlkl`wl`
-yowdow iá`,+ ok aìildj `dut`ij `ixlwylô k` swotobdl` iok owlyoa`
| io k` osliowaôkltlt | puo k` obhowa` a`blhotyô s`iodow hlogwo —
djaj tlnbj iok lbldlj io k` lbhoddlôb!+ ìtyo to klalyô ` lbild`wko
puo ok swjdotj io wodusow`dlôb ow` | towá` bjwa`k+ kj puo djaj
to t`go io ajij `knubj djwwotsjbilô ` k` xowi`i077+ | ` jwiob`w
yow`sl` mlsowgàwld` -03 totljbot puo to `askl`wjb ` 03 aàt,+ tlb
blbnub` jyw` tjkudlôb+ jalylobij ob yjij d`tj+ `ixowylwko
dk`w`aobyo ` k` s`dlobyo tjgwo k` wo`k ilaobtlôb io tu `hoddlôb
| yja`w aoili`t hwobyo `k sjyobdl`k lbldlj io ub swjdotj
lbhoddljtj+ sjtyuw` puo to a`byuxj lb kyow`gko m`ty` puo k`
077 Ob otyo tobylij+ yjijt kjt aìildjt —nobow`k iok towxldlj io uwnobdl`t+ iowa`yôkjn` olbhodyôkjnj!puo yw`y`wjb ` k` `hody`i` huowjb djlbdliobyot ob `hlwa`w puo k`t kotljbottuhwli`t sjw okk` bj tjb bjwa`kot ob otyo ylsj io dlwuná`t"
88
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 67/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
s`dlobyo to xlj jgkln`i` ` djbtuky`w sjw tu swjsl` duoby` ok 73
io `njtyj io 7334 ` k` iowa`yôkjn` A@WYM@ OKOB@ D@ASJ ELAÌBOU+ ` k`
a`iwun`i` -0598 `"a", iok 78 io `njtyj io 7334 `k towxldlj
aìildj io uwnobdl`t io Djahob`kdj ijbio `k o}mlglw ub du`iwj
dkábldj hogwlk | io `wijw ob k` slok to ko tunlwlô huow` x`kjw`i` sjw
tu dlwue`bj pulob tjkj s`w` oto ajaobyj —io sjw tá y`wiáj!
swjnw`aô k` dlwuná` io iotgwli`alobyj | hlb`kaobyo+ ` `duilw `k
lbhodyôkjnj DÌT@W @W@BNJ E@W@ALKKJ+ ` pulob huo woalyli` sjw k`
wohowli` otsodl`klty`"
Djaj to jgtowx`+ k`t iodk`w`dljbot ` k`t puo ok tobyobdl`ijw io
tonubi` lbty`bdl` kot wotyô yjij sjiow tu`tjwlj+ bj swoyobilowjb
tusk`by`w k` sowldl` yìdbld` ob k` a`yowl`+ djaj bj sjiwá`b
m`gowkj modmj hwobyo ` yoa`t y`b otsodl`kl`ijt djaj k`
iotdwlsdlôb io k`t kotljbot+ ok oty`gkodlalobyj iok aod`bltajd`ut`k j k`t toduok`t+ sowj tá tualbltyw`wjb lbhjwa`dlôb xly`k |
wokox`byo `dowd` iok swjnwotlxj | jtyobtlgko ioyowljwj io k`t
djbildljbot io t`kui io k` iobubdl`byo ob kjt iá`t tugtlnulobyot
` k` lbyowxobdlôb pulwõwnld` | tjgwo k`t otd`t`t | buk`t `ddljbot
iotskon`i`t sjw ok dlwue`bj ob swjduw` io djbeuw`w kjt
s`iodlalobyjt io k` obhowa`"
Bj sjiá`+ sjw kj y`byj+ ok h`kk`ijw o}dkulw ok `sjwyo hàdyldj
o}swot`ij sjw k`t iosjbobyot `k otdk`wodlalobyj io kjt modmjt
jgeoyj io eun`alobyj+ g`ej ok sowonwlbj swoyo}yj io `ywlgulwkot
h`ky` io d`s`dli`i djnbjtdlylx` ob a`yowl` aìild`+ suot o}lnlw
ub` õbld` hjwa` io swjg`w+ ob otyo d`tj+ djb swuog` yìdbld`
djasjwy` ub` lbiltduylgko djbdukd`dlôb iok swlbdlslj io klgowy`i
swjg`yjwl` | k` dwo`dlôb io ub` y`wlh` kon`k `eob` `k tltyoa` io
iowodmj sob`k | tu swjsôtlyj"
8>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 68/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
@dwoily`ij djaj otyà ok owwjw io euldlj iok tobyobdl`ijw+
djwwotsjbio ` k` Djwyo oty`gkodow tl+ ob subyj io yw`tdobiobdl`+
ok |owwj ioyody`ij ylobo k` obyli`i bodot`wl` s`w` x`wl`w ok
tobylij io k` iodltlôb"
K` wotsuoty` ot `hlwa`ylx`" Ob xowi`i+ `k iotd`wy`w du`kpulow
aìwlyj puo suilow`b yobow kjt yotylajbljt io k t i`a`t
aobdljb`i`t+ ok tobyobdl`ijw bj obdjbywô blbnub` oxliobdl` puo
ioajtyw`w` puo iuw`byo k` h`to sjtyjsow`yjwl` ok aìildj
`dut`ij m`|` o}mlglij djbiudy` `knub` bonklnobyo j laswuiobyo
d`s` io djbdwoy`wto ob ok wotuky`ij kotlxj io k` lbyonwli`i
sowtjb`k io k` puowokk`byo+ du`bij ot dk`wj puo+ sjw kj aobjt+
ob du`byj to wohlowo ` k` h`ky` io iltsjtldlôb iok n`kobj s`w`
`duilw ijbio tu s`dlobyo ob ok sjtypulwõwnldj yoasw`bj |+ ` k`ta`blhoty`dljbot xltlgkot iok ioyowljwj nobow`kl`ij io tu t`kui
puo bj jgyuxlowjb aoejwá` `knub` djb ok lbdlslobyo yw`y`alobyj
iltsuotyj sjw ok wohowlij aìildj+ k` swuog` yotylajbl`k wotuky`g`
io objwao x`ká` ob ok tobylij io `dwoily`w k` xljk`dlôb `k iogow
jgeoylxj io duli`ij+ ob k` aoili` puo sjdj j b`i` mlj s`w`
oxly`w puo ok tuhwlalobyj yltuk`w oxjkudljb`w` ` ub` bodwjtlt djblbdliobdl` nw`xo io k` lbhoddlôb+ yjij kj du`k `hodyô nw`xoaobyo
tu mua`bli`i+ m`ty` kjt wotuky`ijt mj| djbjdlijt"
\ ot puo kj wok`y`ij sjw k`t wohowli`t yotylnjt+ puo `ioaàt
obduobyw` tjsjwyo ob kjt yotylajbljt o}sowyjt io kjt aìildjt
nobow`k | otsodl`klty`t ob iowa`yjkjná` o lbhodyjkjná` puo k`
yw`y`wjb+ ioe` xow puo ok dlwue`bj to iotswojdusô sjw oty`gkodow
tl ok tualbltywj io j}ánobj sjw xá` io dàa`w` mlsowgàwld` ow`
tuhldlobyo s`w` djbeuw`w k` bodwjtlt ob a`|jw o}yobtlôb | tl ok
8=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 69/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`bylglôyldj tualbltyw ij du`bij k` ilj io `ky` io k` Dkábld`
T`bylkk`b` io k` dlui`i io D`kl —Iuw`doh io ?33 an074! oty`g`
tuwylobij ok ohodyj otsow`ij+ tjgwo yjij tl sjw tu djbjdlalobyj
otsodl`kl`ij | o}sowlobdl` iogá` djbjdow puo+ ob k` a`|jwá` io
k`t dlwuná`t io klsjtuddlôb ijbio k` lbhoddlôb ot todubi`wl` ` k`
bodwjtlt+ okk` `s`wodo `tjdl`i`+ ob otobdl`+ ` ijt
aldwjjwn`bltajt5 ok ty`sm|kjdjddut `owut | ok stouijajb`t
`owunlbjt`"
Bôyoto puo+ y`k djaj to o}sutj `ywàt+ du`bij m`| oxliobdl` io
tuhwlalobyj io k` slok+ ot lbiltsobt`gko puo ok aìildj yjao
yji`t k`t aoili`t laswotdlbilgkot s`w` oxly`w —djaj ow` tu
jgkln`dlôb aìild`! puo k` kotlôb yowalb`w` ionobowàbijto ob
ub` h`tdlylt bodwjyl`byo djaj k` puo s`iodlô k` jhobili`" @tá+
to ylobo puo `yobilobij k` ‛oxjkudlôb | ioyowljwj ob k` slok `gijalb`k‑079+ok iogow jgeoylxj io duli`ij ko ioa`bi`g` `k n`kobj ob
yìwalbjt iok ildy`aob aìildj sowldl`k ub ‛yw`y`alobyj
otsodl`kl`ij‑07?"
Wosàwoto puo+ ob ot` sowtsodylx`+ ok ijdyjw D@LDOIJ yobá` ok
djaswjaltj io nu`wi`w iuw`byo ok sjtypulwõwnldj ub` `dylyuixlnlk`byo hwobyo ` kjt tlnbjt io aoejwá` j bj io tu s`dlobyo"
@tá suot+ `yobilobij k` d`kli`i io n`w`byo puo ko ow` iogli` `k
swjdot`ij wotsodyj io k` toðjw` G@TYLI@T KOBLT+ ìk oty`g` hjw`ij `
gwlbi`wko `tltyobdl` sowtjb`kl`i` | djbylbu`+ ` iltsjbow ok
tualbltywj io j}ánobj ` kjt yoelijt y`byj sjw dàa`w` mlsowgàwld`
djaj sjw lb|oddlôb | io kjt aoild`aobyjt yôsldjt | jw`kot —
`bylglôyldjt io `asklj otsodywj! `swjsl`ijt s`w` swoxoblw k`074 @tá djbty` ob k` mltyjwl` dkábld` iok towxldlj io uwnobdl`t io Djahob`kdj"079 Dhw" hjklj 0>3 iok du`iowbj jwlnlb`k 0"07? Lgáioa"
8<
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 70/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`s`wldlôb io k` lbhoddlôb+ ` wo`kl`w iotgwli`alobyjt puáaldjt
s`wdl`kot s`w` oxly`w k` `s`wldlôb io du`kpulow swjdotj lbhoddljtj
| tl bj jgty`byo+ k` otywldy` `yobdlôb io yji`t oty`t
swod`udljbot+ `puokk` tjgwoxobá`+ ` jwiob`w kjt dukylxjt
bodot`wljt s`w` ioyowalb`w ok nowaob d`ut`byo io k` alta` | kjt
`bylglôyldjt tobtlgkot `k altaj"
Tlb oag`wnj+ to lbtltyo+ kj wohowlij sjw k`t `kkon`i`t ` k` toðjw`
G@TYLI@T KOBLT ot puo ok yw`y`alobyj sjtyjsow`yjwlj iok n`kobj to
woiuej ` iltsjbow `knub`t totljbot io dàa`w` mlsowgàwld` | ub`
xo ioklaly`i` k` bodwjtlt ob nw`b o}yobtlôb+ puo s`w` oto
ajaobyj oty`g` ob k` oy`s` io h`tdlylt bodwjyl`byo suot ok
`bylglôyldj tualbltyw`ij bj m`gá modmj ohodyj `knubj+ `
sw`dyld`w ok iotgwli`alobyj w`ild`k+ ok puo to wo`klô djb
d`wàdyow `aguk`yjwlj+ ioe`bij io k`ij+ djaj ko ow` ioglijy`aglìb+ ok a`boej dkábldj!mjtsly`k`wlj+ ajaobyj ` s`wylw iok
du`k k` s`dlobyo wotjkxlô sjbowto ob a`bjt io otsodl`klty`t ob
iowa`yjkjná` o lbhodyjkjná` yw`t `ixowylw k` lbohld`dl` io k`t
yow`sl`t oasko`i`t sjw ok dlwue`bj | oxly`w a`kot a`|jwot bj
`ixowylijt bl djag`ylijt sjw tu otsodl`klty`"
Sjw ajij puo+ bj sjiá` ok tobyobdl`ijw woty`wko yjij aìwlyj
tu`tjwlj ` kjt yotylajbljt aobdljb`ijt sjw ok tjkj modmj io
d`wodow io djbjdlalobyjt yìdbldjt ob ok àwo` io k` dlwuná`
skàtyld`+ |` puo tjgwo ot` iuijt` o lbdlowy` `wnuaoby`dlôb
y`aglìb dowdobô io y`ej ok eun`ijw io tonubij blxok k`
lbyonw`kli`i io k` swuog` puo+ euty`aobyo+ lbild`g` kj djbyw`wlj"
4"4"4"7" Wotsodyj `k tonubij io kjt woswjdmot hjwauk`ijt ob
w`ôb ` puo tonõb kj `hlwa` ok ioa`bi`byo ok @i puoa oty`g`
>3
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 71/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
lasoilij s`w` woxlt`w ok swjdoilalobyj `byot | iuw`byo k`
dlwuná`+ ob djbdwoyj+ s`w` wohowlwto ` k` swos`w`dlôb iok aìildj
yw`y`byo+ sjwpuo d`i` h`to `ubpuo djbd`yob`i` ub` djb jyw`+
ylobo ub otdob`wlj lbiosobilobyo+ g`ty` toð`k`w puo k`
`swodl`dlôb iok h`kk`ijw ob ok tobylij io x`kjw`w k` d`s`dli`i
swjhotljb`k iok n`kobj —yáyukj | `dyu`kl`dlôb! | io `x`k`w k`t
djbildljbot io `tostl` io k` dkábld` ob k` puo to sw`dyldô ok
swjdoilalobyj+ wotuky` iok yjij lwwokox`byo s`w` kjt ohodyjt io k`
iodltlôb |` puo io ub k`ij+ to wolyow`+ k` lasuy`dlôb hàdyldj
euwáild` djbtlnb`i` ob k` wotjkudlôb io `dut`dlôb to oba`wdô ob
ok sowájij sjtyjsow`yjwlj+ io jywj+ ot ok altaj eun`ijw io
tonubij blxok pulob ioty`d` puo ‛ok euldlj io woswjdmo to nobow` ob k`
`yobdlôb aìild` gwlbi`i` ob ok sjty jsow`yjwlj‑078 | hlb`kaobyo+ djaj glob
kj toð`k` k` Woswotoby`byo io k` Tjdloi`i+ k` `gtjkudlôb bj
swjxlbj+ djaj djwjk`wlj io puo muglow` obdjbyw`ij swjg`ij puoiuw`byo ot`t h`tot swoxl`t to wotsoyô ok iogow jgeoylxj io
duli`ij j bj to dwoô j lbdwoaobyô ok wlotnj sowalylij+ tlbj io
djbtliow`w puo ok wotuky`ij i`ðlbj to swjiuej ob w`ôb ` puo k`
jhobili` djbtukyô x`wljt aìildjt puo las`wylowjb yw`y`alobyjt
ilhowobyot ` k` s`yjkjná` | sjw w`ôb io puo k`t g`dyowl`t puo
`ipulwlô suij wodjnowk`t ob du`kpulow s`wyo+ tlb puo okkj suilow`tow swoiodlgko"
4"4"4"4" Ok d`t`dljblty` ot iok dwlyowlj puo ok duasklalobyj iok
iogow io lbhjwa`w `k s`dlobyo tjgwo kjt wlotnjt io k` dlwuná` bj
o}lao `k aìildj io k` wotsjbt`glkli`i puo ko `tltyo iuw`byo ok
sjtyjsow`yjwlj" Sjw otj+ dwlyld` k` tobyobdl` io tonubij blxok `k
tjtyobow puo bj to suoio swoild`w `puokk` ob djbyw` io D`ldoij
sjwpuo k` s`dlobyo huo lbhjwa`i` io kjt altajt"
078 Dhw" hjklj 00 io k` tobyobdl` io tonubi` lbty`bdl` ` hjklj 9<> iok du`iowbj jwlnlb`k 7"
>0
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 72/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Kj swlaowj puo to jhwodo swodlt`w `k wotsodyj ot puo ok jgeoyj io
o}`aob to ilwlno ` liobylhld`w tl to lbduwwlô ob ub wlotnj
euwáild`aobyo iot`swjg`ij iuw`byo k` `dylxli`i aìild`
wo`kl`i` iuw`byo k` h`to sjtypulwõwnld`" Sjw okkj+ ot bodot`wlj
woalylwto `k djbtobylalobyj lbhjwa`ij+ puo djbtylyu|o ok
djbyw`yj aoil`byo ok du`k ok s`dlobyo a`blhloty` klgwo |
xjkuby`wl`aobyo k` `dosy`dlôb io k` swàdyld` iok swjdoilalobyj
djb kjt wlotnjt | djaskld`dljbot o}swot`aobyo djbtlnb`i`t ob ok
ijduaobyj+ g`ej ok tusuotyj io m`gow tlij swoxl`aobyo
djbjdli`t ob ioy`kko sjw `puìk | `ixowyli`t sjw ok n`kobj"
Bj sjiwá` tow io jyw` a`bow`+ suot ok káalyo obywo ok wlotnj
sowalylij | iot`swjg`ij kj gwlbi`b kjt swjyjdjkjt io k` ko} `wylt
| ok duasklalobyj iok iogow io lbhjwa`dlôb puo to djbdwoy` ob
ok djbtobylalobyj lbhjwa`ij"
Ob ok `tubyj io k` otsodlo+ ub` alw`i` klnow` `k djbtobylalobyj
lbhjwa`ij puo tutdwlglô k` iobubdl`byo s`w` ok swjdoilalobyj io
klsjtuddlôb sjiwá kkox`w ` k` oww`i` djbdkutlôb+ puo lbdkutj
duwljt`aobyo tjtylobo ok `sjiow`ij io k` xádyla` | ioa`bi`byo
ob d`t`dlôb+ io puo ìtyo huo ábyonwj | tuhldlobyo ob ok tobylij
puo k`t djaskld`dljbot s`iodli`t sjw k` toðjw` G`tyli`t Kobltiuw`byo ok sjtyjsow`yjwlj oty`g`b iotdwly`t ob ok wohowlij
ijduaobyj+ tjgwo yjij+ tl kj puo hubi`aoby`kaobyo to iltduyo
ot k` jaltlôb `k iogow jgeoylxj io duli`ij iok dlwue`bj ob k`
wok`dlôb djb k` lbdliobdl` io lbhoddlôb+ k` puo djbtylyu|ô k`
a`|jw io k`t djaskld`dljbot jgkln`bij ` ub swjdoilalobyj
w`ild`k io iotgwli`dlôb"
Sowj+ ub` `swj}la`dlôb aàt wohko}lx`+ sowalyo obyobiow puo ok
iogow io lbhjwa`dlôb iok aìildj `k s`dlobyo djbtylyu|o ub` io
>7
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 73/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
k`t jgkln`dljbot jgeoylx`t io duli`ij io k` aàt `ky` obxown`iuw`
sjw du`byj io k` yw`btaltlôb djaskoy` | dk`w` `dowd` iok
il`nbôtyldj | ok yw`y`alobyj ` tonulw djb tut wlotnjt swoxltlgkot
iosobio puo ok s`dlobyo oeow` sjw xlwyui io tut iowodmjt ` k`
ilnbli`i mua`b` | ` k` klgowy`i ob tu djasjbobyo io `uyjbjaá`+
k` sjtlglkli`i io iodlilw tl `dosy` ok swjdoilalobyj j kj womõt`"
Ot oty` ôsyld` k` puo kkox` ` k` T k` ` djbtliow`w puo ok
djbtobylalobyj lbhjwa`ij puo tlnbô k` iobubdl`byo bj
djbyoaskô bl jgtowxô yjijt kjt wlotnjt swoxltlgkot+ obywo kjt puo
to duoby` ok owlyoa` —obwjeodlalobyj ilhutj io k` slok!+ k`
osliowaôkltlt —`asjkk`t ob k` alta`! | k` bodwjtlt ob tu oy`s` io
h`tdlylt bodwjyl`byo —auowyo io yoelij djb lbdliobdl` io
lbhoddlôb todubi`wl` `tjdl`i` ` ijt g`dyowl`t djaubot ob otyo
ylsj io jsow`dljbot!"
Wosàwoto puo+ tl glob ok dly`ij ijduaobyj mlj `kutlôb ` k`
sìwili` io slok | ` k` lbhoddlôb+ djaj wlotnjt sjtlgkot |+ ob ub`
kodyuw` o}yobtlx` io kjt yìwalbjt oasko`ijt sjiwá` obyobiowto
lbdkuli` k` h`tdlylt bodwjyl`byo+ ub` sjtyuw` puo djaswobio puo
ob k` wok`dlôb aìildj s`dlobyo+ ìtyo bjwa`kaobyo bj `kd`b` `ilaobtljb`w ok `kd`bdo io k`t djaskld`dljbot puo suoio tuhwlw ob
y`byj otyà ob ub` tlyu`dlôb io dk`w` tugjwilb`dlôb+ ioa`bi`
o}lnlw `k swjhotljb`k io k` aoildlb` puo djb yji` blylio lbhjwao
tlb kun`w ` iui`t j opuáxjdjt tjgwo y`kot dlwdubty`bdl`t"
@mjw`+ `tá djaj jduwwlô wotsodyj ` k` swjg`gko klsjtuddlôb
tusowhldl`k puo lbyowotô x`tduk`waobyo kjt yoelijt iok `gijaob
io k` xádyla`+ du|` djbiudy` bj huo sjtlgko ox`ku`w sjw du`byj
bj mlj s`wyo io k` `dut`dlôb+ kj altaj tudoio wotsodyj ` k`
>4
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 74/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
xljk`dlôb `k iogow jgeoylxj io duli`ij ob subyj iok
djbtobylalobyj lbhjwa`ij puo soto ` bj t`ylth`dow kjt
otyàbi`wot s`w` ok tualbltywj io lbhjwa`dlôb —lbyonw`k! bj suoio
tow lasuy`ij suot djwwotsjbio ` ub` jgkln`dlôb swjsl` iok
swojsow`yjwlj+ puo djaj to t`go bj huo jgeoyj io
duotyljb`alobyj sjw ok obyo `dut`ijw"
Djb yjij+ djaj to ilej `byot+ oto djbtobylalobyj lbhjwa`ij
a`wd` k` s`uy` s`w` oty`gkodow puo ok dlwue`bj dwoô ub wlotnj bj
sowalylij+ suot k` s`dlobyo iotdjbjdá` k` sjtlgko jduwwobdl` io
k` osliowaôkltlt | io k` bodwjtlt io k` slok !tlobij oty`t
s`yjkjná`t swoxltlgkot!+ | ob yjij d`tj+ to djbdwoy`wjb ob k`t
toduok`t djbtltyobyot ob iohjwali`i hátld` sowa`bobyo iok
duowsj puo mj| sjw mj| s`iodo k` toðjw` G@TYLI@T KOBLT djaj
wotuky`ij io k` `dylxli`i laswuiobyo io tu otsodl`klty`"
@ioaàt+ io du`kpulow a`bow`+ io tow k`}jt+ j to`+ io obyobiow
puo k` `ixowyobdl` tjgwo kjt wlotnjt iok swjdoilalobyj lbdku|ô
sjw kj aobjt+ ` k` lbhoddlôb+ k` du`k oxliobyoaobyo `s`wodo
o}swot` ob ok djbtobylalobyj lbhjwa`ij s`w` klsjtuddlôb+ s`w`
obyjbdot+ tunowlw puo k` djbiudy` iok swjdot`ij wotsoyô ob yjijd`tj ok wlotnj sowalylij+ kj dlowyj ot puo kj swjg`ij ob ok
o}soilobyo wohkoe` puo suilobij `dyu`w io hjwa` aàt ilklnobyo+
ot iodlw+ `skld`bij k`t yow`sl`t djwwodylx`t oty`gkodli`t sjw k`
djaubli`i dlobyáhld` s`w` `albjw`w kjt ohodyjt bjdlxjt iok
owlyoa`+ ok lbduks`ij ioeô puo k` s`yjkjná` `x`b`w` m`dl` tu
blxok aàt iox`ty`ijw m`globij yoblij k` jsjwyubli`i io oxly`wkj+
sowalylobij puo s`t`w` sjw k` osliowaôkltlt —e`aàt `ixowyli` `
k` s`dlobyo djaj swjg`gko wlotnj! m`ty` k` h`tdlylt bodwjyl`byo
io k` a`|jw s`wyo iok `gijaob puo kuonj io k` iotgwli`dlôb+
>9
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 75/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
ioglô tow yw`y`i` djb ì}lyj sjw jywjt swjhotljb`kot otsodl`kl`ijt
ob iowa`yjkjná` o lbhodyjkjná` ` ohodyj io djbeuw`w k` lbhoddlôb"
Tjkj g`ej oty` djbtliow`dlôb swoxl` to suoio `ialylw puo+ w`ôb
ko `tltyo `k klgoklty` s w` `hlwa`w puo ok djbtobylalobyj
lbhjwa`ij puo hlwaô tu woswotoby`i` bj o}dku|o k`
wotsjbt`glkli`i sob`k duksjt` puo ko d`go `k dlwue`bj puo k`
lbyowxlbj"
4"4"4"9" Woduìwioto puo ijt huowjb kjt ajylxjt oilhld`ijt sjw k`
euo sob`k iok dlwdulyj s`w` `gtjkxow ` A@B_OK IO EOTÕT D@LDOIJ6 ok
swlaowj+ puo k` jhobili` `duilô ` x`wljt aìildjt puo lbild`wjb
x`wljt yw`y`alobyjt `kyowb`ylxjt | ok tonubij+ puo k` lbhoddlôb to
iot`wwjkkô io hjwa` laswoxltlgko+ pulà sjwpuo `ipulwlô k`t
g`dyowl`t ob ok pulwôh`bj —`ubpuo b`i` kj lbild`+ `tonuwô! j obtu ijaldlklj sjw w`ôb io k` `klaoby`dlôb+ k` `tostl` iok kun`w j
k`t djbildljbot swjsl`t io k` s`dlobyo"
Djaj to xo+ `agjt `wnuaobyjt iotd`bt`b ob k` yojwá` io k`
`uyjsuoty` ob soklnwj —bj jgty`byo puo ok h`kkj lasunb`ij bj kj
ildo o}swot`aobyo!+ sjw du`byj `ywlgu|o `k `ddljb`w io k`
xádyla` k` dwo`dlôb iok wlotnj ob k` aoili` puo djbtliow` puo k`
lbohld`dl` iok yw`y`alobyj to iowlxô io tu djbiudy` laswuiobyo+
k` puo m`gwá` djbkkox`ij ` d`ut`w ok i`ðj ob tu mua`bli`i"
Bj to woalyo ` iui` puo du`bij ok s`dlobyo to o}sjbo
xjkuby`wl`aobyo ` soklnwjt puo otyàb huow` io k` othow` io
swjyoddlôb io tu aìildj sjwpuo bj jgtowx` j to blon` ` kjt
duli`ijt | swoxltljbot puo iogowá` `yobiow+ tl ok wlotnj kkon`wo `
wo`kl`wto+ dk w`aobyo `k n kobj bj to ko sjiwà lasuy`w
jgeoylx`aobyo blbnõb djasjwy`alobyj yásldj"
>?
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 76/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Tlb oag`wnj+ otyo bj ot ok d`tj+ suot ot lbbon`gko puo alobyw`t
k` toðjw` G@TYLI@T KOBLT oty`g` g`ej k` yuyjwá` aìild` iok ijdyjw
D@LDOIJ+ `duilô tlaukyàbo`aobyo ` jywjt swjhotljb`kot io k`
t kui+ kj puo ob swlbdlslj+ sjiwá` lbild`w ok `g`bijbj iok
yw`y`alobyj+ | sjw kj y`byj+ k` hlb`kl`dlôb io k` sjtldlôb io
n`w`byo iok n`kobj wotsodyj ` tu s`dlobyo+ kj swjg`ij ot puo
obywo ok 77 io euklj io 7334 —hodm` io k` dlwuná`! | ok 73 io
`njtyj iok altaj `ðj —du`bij djbtukyô sjw swlaow` xo ` k`
iowa`yôkjn` D@ASJ ELAÌBOU! k` xádyla` to a`byuxj sjw ub sjdj
aobjt io ijt aotot g`ej k` tusowxltlôb o}dkutlx` io tu aìildj
yw`y`byo+ tlb wotuky`ij h`xjw`gko `knubj+ suot blbnubj io kjt
tábyja`t —`wijw+ hlogwo+ a`koty`w! doiá` | alobyw`t y`byj+
jgtowx`g` puo sjw ok djbyw`wlj+ k` oxjkudlôb io tu swjdotj io
dld`ywl`dlôb ow` djaskoy`aobyo lbt`ylth`dyjwl` | puo tôkjiotsuìt iok 78 io `njtyj+ du`bij sjw wopuowlalobyj dj`dylxj j
tõskld` o}swot` io k` s`dlobyo | woaltlôb iok aìildj nobow`k
`itdwlyj `k towxldlj io uwnobdl`t ` Djahob`kdj+ ok swjdot`ij k`
xjkxlô ` lbyowxoblw pulwõwnld`aobyo s`w` iotgwli`wk`+ `k d`gj io
kj du`k bj huo tjaoyli` ` mjtsly`kl`dlôb j djbywjk `knubj puo
Ijkk| A`wldok wotjkxlô tjaoyowto `k yw`y`alobyj iltoð`ij sjw k`iowa`yôkjn`"
Jgtìwxoto puo ok wotuky`ij kotlxj io k` lbyonwli`i sowtjb`k io k`
s`dlobyo+ bj to swjiuej sjw k` lbyowxobdlôb io kjt aìildjt
otsodl`klty`t ob iowa`yjkjná` o lbhodyjkjná`+ suot ot ok altaj
ildy`aob sowldl`k aìildj kon`k ok puo toð`k` puo k` s`wyldls`dlôb
io otyjt swjhotljb`kot ‛ huo bodot`wl | sowylbobyo‑07>+ tlbj puo huo
d`ut` swô}la` io k` iohldlobyo `skld`dlôb io kjt dàbjbot io k`
ko} `wylt sjw s`wyo iok dlwue`bj iuw`byo ub sowájij io
07> Dhw" hjklj 0>3 iok du`iowbj jwlnlb`k 0"
>8
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 77/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
swàdyld`aobyo io ijt aotot+ iuw`byo kjt du`kot ok obeuldl`ij
jalylô xlnlk`w k` oxjkudlôb io k`t kotljbot | yja`w aoili`t
sowylbobyot s`w` oxly`w a`|jwot toduok`t+ `k subyj puo s`w` k`
õkyla` ìsjd` iotdwly`+ ot iodlw+ du`bij to sutj ob a`bjt io k`
iowa`yôkjn`+ ok dlwue`bj bj m`gá` tjkldly`ij ok dukylxj bodot`wlj
s`w` ioyowalb`w ok ylsj io aldwjjwn`bltaj | ok yw`y`alobyj
`bylglôyldj ` tualbltyw`w"
Wlðo djb ok tobylij djaõb sobt`w puo ub` sowtjb` puo bjsowdlgo blbnub` aoejwá` ob tu yw`y`alobyj —b`ilo aàt lbyowot`ij
ob okkj puo `knulob puo to m` tjaoylij xjkuby`wl`aobyo ` ub
swjdoilalobyj pulwõwnldj otyìyldj | yjij kj puo otsow` ot ub
gobohldlj ob tu `s`wlobdl` hátld`! |+ ob d`aglj+ `ixlowyo puo tu
oty`ij io t`kui to ioyowljw` djb ok s`uk`ylbj s`tj io kjt iá`t |
aotot+ bj pulow` jgyobow ub` tonubi` jslblôb io swjhotljb`kotio k` t`kui d`s`dly`ijt ob k`t àwo`t io dwltlt+ s`w` ok d`tj+
iowa`yjkjná` o lbhodyjkjná`+ aà}lao du`bij ok dlwue`bj skàtyldj
bj to jdusô io iowlx`w ` k` s`dlobyo ` lbyowdjbtuky` djb otyo ylsj
io otsodl`klty`t `byo k` lasjtlglkli`i io djbywjk`w k` lbhoddlôb+
kj puo y`aglìb ow` tu iogow sjw tut djbjdlalobyjt dlobyáhldjt |
otsodl`kl`ijt tjgwo ok yoa`"
@ixlìwy`to+ `tlaltaj+ puo blbnub` lbywjaltlôb lbeutylhld`i`
ohodyuô ok aìildj nobow`k `itdwlyj `k towxldlj io uwnobdl`t io
Djahob`kdj ob ok yw`y`alobyj puo m`ty` oto ajaobyj duaská` k`
jhobili`+ suot tu il nbôtyldj | yw`y`alobyj `bylglôyldj
-dklbi`aldlb`07= | noby`aldlb` ob `asjkk`t, kj hubiô ob ok
wotuky`ij iok dukylxj puo m`gá` jwiob`ij k` iowa`yôkjn`+
iltsjblobij ob yjij d`tj+ s`w` ok a`boej ` tonulw+ k` woaltlôb
07= Tonõb kj `hlwa` ok aìildj lbhodyôkjnj DÌT@W @W@BNJ E@W@ALKKJ ok oty`hlkjdjdj ijw`ij ottobtlgko ` k` dklbi`aldlb` jwiob`i` sjw ok aìildj nobow`k" Dhw" hjklj 8> lgáioa"
>>
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 78/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
lbaoil`y` `k dlwue`bj skàtyldj07<+ puo djby`dy`ij | wopuowlij ok
altaj iá`+ tjkj io otyo ajij swjdoilô ` m`dow ok
iotgwli`alobyj w`ild`k io kjt yoelijt bodwjt`ijt o lbhody`ijt+
swjdoilalobyj yw`t ok du`k lbduasklô ok iogow io mjtsly`kl`wk`
s`w` djbywjk`w k` oxjkudlôb+ djb kj du`k to lbhlowo puo ioeô io
`yobiow io a`bow` xjkuby`wl` ` tu s`dlobyo `tualobij kjt
wlotnjt `byleuwáildjt puo ub` `dylyui io oto y`k`byo sjiá`
jd`tljb`w ob tu t`kui6 sjw ok djbyw`wlj+ yuxj puo tow djbalb`ij —
j tl to pulowo! djasoklij ` wo`kl`w `puokkj puo tu ìyld` ko
lasjbá` | tu swjhotlôb ko o}lná`"
@ioaàt+ to jgtowx` puo `ubpuo ot ok altaj lbhodyôkjnj —õkylaj
aìildj yw`y`byo! pulob tunlowo puo k` obhowaoi`i duyàbo` o
lbhoddljt` huow` djbjdli` sjw ub tjkj swjhotljb`k io k` aoildlb`+
to t`go puo ` ìtyo n`kobj kkon` k` s`dlobyo sjw woaltlôb o}swot`io lbyowdjbtuky` puo mldlow` k` iowa`yôkjn`+ djb kj du`k to
n`w`bylô k` djbylbuli`i iok yw`y`alobyj lbldl`ij sjw okk`
wotsodyj io k`t õkdow`t | sjw `puìk+ ob subyj io k` lbhoddlôb —`tá
kj ildo okk` ob tu yotylajblj043!"
Ot oxliobyo+ obyjbdot+ puo djbyw`wlj ` k` wodwlalb`dlôbok`gjw`i` djbyw` k` xádyla` sjw k` eun`ijw` io tonubi`
lbty`bdl` tonõb k` du`k m`gwá` tlij tu `dylyui iotduli`i` k` puo
nobowô k`t kotljbot sjw k` puo to `dutô ` tu dlwue`bj+ k` Djwyo
djklno puo k` jhobili` huo ilklnobyo ob xok`w sjw jgyobow ub
yw`y`alobyj `iodu`ij s`w` k` sowtltyobyo lbhoddlôb puo k`
`puoe`g`+ |` puo iotio ok sjtyjsow`yjwlj yoasw`bj sutj ob
djbjdlalobyj iok dlwue`bj tu djbildlôb ioth`xjw`gko io t`kui+ to
tjaoylô `k yw`y`alobyj sjw ìk lbild`ij —dàa`w` mlsowgàwld` |
07< Dhw" hjklj 83 lgáioa"043 Dhw" hjklj 84 lgáioa"
>=
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 79/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
`bylglôyldj -puo bj ko mlj ohodyj,!+ mlj kj sjtlgko sjw kjd`kl`w
`k dlwue`bj ob tu djbtukyjwlj sowj bj tloaswo huo sjtlgko tu
kjd`kl`dlôb+ `duilô ` kjt djbywjkot swjnw`a`ijt —puo wotuky`wjb
tow `sob`t hjwa`kot suot ok aìildj bj `ijsyô k`t aoili`t
bodot`wl`t s`w` swoxoblw ub ioyowljwj swjnwotlxj io tu djbildlôb
dkábld`!+ djby`dyô | o}lnlô k` iotgwli`dlôb io kjt yoelijt+ yw`t
woaltlôb o}swot` iok aìildj nobow k io uwnobdl`t | hlb`kaobyo+
gutdô `|ui` ob aìildjt du|`t otsodl`kli`iot wotuky`wjb tow
sowylbobyot s`w` duw`w k` `hoddlôb duyàbo` | k` lbhoddlôb
todubi`wl`"
Ob otyo subyj+ lkutyw`ylxj ot ok yotylajblj io k` aìild`
iowa`yôkjn` pulob `hlwa` puo ‛ sjw ok wotuky`ij hlb`k Votyj ot+ puo tusowô
k` lbhoddlôb | ok yoelij dld`ywlôQ to suoio lbhowlw puo Vk` s`dlobyoQ tl tlnulô ok
yw`y`alobyj‑040
"
Ob d`aglj+ djaj to xlobo ioajtyw`bij+ huo k` `dylyui
laswuiobyo iok n`kobj ob ok a`boej aìildj io k` s`yjkjná` k`
puo jd`tljbô ok wotuky`ij yásldj puo ko nobowô ` k` xádyla` k`
iohjwa`dlôb iohlblylx` io tu `gijaob"
_b` lbhowobdl` io otyo y`k`byo ot djbtltyobyo djb kj toð`k`ij sjw
ok aìildj nobow`k GOE@W@BJ LN_LY@ pulob `hlwa` puo ‛tl ub` s`dlobyo
ylobo ub` lbhoddlôb | bj wotsjbio `k yw`y`alobyj iogo alw`wto k` d`ut`+ m`dowko ub
dukylxj+ ox`ku`w k` s`dlobyo tl ot k` s`dlobyo puo bj wotsjbio+ tl bj to yja` ok
aoild`aobyj glob‑047"
Djb liìbyldj sk`byo`alobyj ok lbhodyôkjnj @W@BNJ E@W@ALKKJ o}swot`ob tu iodk`w`dlôb5
040 Dhw" hjklj 8? lgáioa"047 Dhw" hjklj 80 lgáioa"
><
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 80/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
‛SWON_BY@IJ5 Ob tu d`kli`i io otsodl`klty` lbhodyôkjnj sjw ` -tld,
o}sowlobdl` ob otyo w`aj+ táwx`to iodlwbjt tl du`bij to woylw` ub yoelij
bodwôyldj iok y`a`ðj io k` s`dlobyo ub iobubdl`byo puo jdus` buotyw`
`yobdlôb+ to wopulowo s w` oxly w djaskld`dljbot lbhoddljt t
mjtsly`kl`dlôb ob ub àwo` wotywlbnli` DJBYOTYJ5 Tl" SWON_BY@IJ5 Sjw
tu wotsuoty` `byowljw+ pulowo utyoi iodlw puo bj towá` ub `iodu`ij
a`boej aìildj ok woylw`w ok yoelij bodwjyldj -tld,+ sjw oeoaskj ` k`t = io
k` a`ð`b` | i`wko t`kli` ` k` s`dlobyo ` k`t -tld, mjw | ilo albuyjt"
DJBYOTYJ5 Yjij iosobio io k` o}yobtlôb iok yoelij bodwôyldj woylw`ij+
|` puo ok s`dlobyo suoio wopuowlw hkulijt obijxobjtjt+ `ioaàt io kjt
duli`ijt | swoxobdljbot puo aobdljbì" SWON_BY@IJ5 Djbdwoy`aobyo ob
ok d`tj puo bjt jdus` | yoblobij ob duoby` ok àwo` bodwôyld` puo huo
woylw`i` ` k` s`dlobyo puo utyoi `yobilô+ wopuowá` tu sowa`bobdl` ob k`
dkábld` s`w` oxly`w djaskld`dljbot lbhoddljt`t" DJBYOTYJ5 \j dwoj puo `
oty s`dlobyo |j sowtjb`kaobyo k` muglow` ioe ij ijt j ywot iá t
mjtsly`kl`i` s`w` swjyonowk` io lbhoddlôb | oiud`w `swjsl`i`aobyo ` k`
h`alkl` | ` okk` alta` tjgwo djaj iogob tow k`t duw`dljbot+ pulob -tld,
iogo m`dow k`t duw`dljbot+ kjt duli`ijt s`w` oxly`w lbhoddlôb ody" -tld, \
kuonj a`boe wk `aguk yjwl aobyo sowj djb ub` tusowxltlôb
otywodm`‑044" -Tugw`|`t io k` T`k`,"
@tá altaj+ hwobyo `k yw`y`alobyj io puoa`iuw`t j io ‛bodwjtlt
duyàbo` sjw ub` sjgwo xtduk`wl`dlôb -tld, glob to` swoxl` ` k` dlwuná` j glob to`
ioglij ` woylwj `gubi`byo -tld, yoelij dokuk`w tuduyàboj -tld, ijbio otyàb kjt x`tjt
t`bnuáboj -tld,+ kjt x`tjt klbhàyldjt | k`t otywudyuw`t bowxljt`t‑049 ilej puo to
iogo a`boe`w ‛djb k` `skld`dlôb io ubnuobyjt -tld, `bylg`dyowl`bjt+ djb ok
woylwj io otd`w`t | djb k`t bjwa`t io `totl` -tld, puo aobdljbì swoxl`aobyo‑04?"
To wohlowo ` ‛woylw`w k` otd`w`t s`w` puo k` buox` slok to hjwao b`dlobij iotio
kjt k`ijt | io k` g`to ijbio oty`g` k` otd`w`+ woylw`i`t k`t otd`w`t iogo a`byobowto
ob ub `aglobyo `tìsyldj+ swohowlgkoaobyo ob ub du`wyj swlx`ij | ok a`boej io k`t
mowli`t iogo tow djb nu`byot+ njwwj+ a`td`wlkk` | iok`by`k s`w` oxly`w lbhoddlôb iok
yoelij tuduk`w -tld, tudõy`boj -tld, wodlob -tld, o}suotyj" To iogo y`aglìb uylkl`w
ub` dwoa` `byldìsyld` -tld, djaj k` tukh`il`dlb` -tld, io sk`y`+ m`| jyw`t jsdljbot
044 Dhw" hjklj 8= lgáioa"049 Lgáioa"04? Lgáioa"
=3
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 81/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
djaj ok lbnowyj -tld, io slok io k` alta` sowtjb` j io d`iàxow djb ok altaj
swjsôtlyj yobowk` duglowy s`w` oxly`w lbhoddljbot‑048"
Iltylbyj swjdoilalobyj ot ok puo `tualô ok dlwue`bj obeuldl`ij
pulob ub` xo sw`dyldô ok iotgwli`alobyj iok `gijaob | k`
ots`ki` `uyjwlô puo k` s`dlobyo onwot`w` io k` dkábld` djb
iotylbj m`dl` tu d`t` 43 albuyjt iotsuìt+ tlb blbnõb jywj
s`wylduk`w+ ioeàbijk` ` tu tuowyo | kj puo ot `õb aàt nw`xo+
t`goijw io kj puo ko oty`g` tudoilobij ` tu jwn`bltaj | kosjiwá` kkon`w ` tudoiow —ob nw`ij o}ywoaj+ tostlt j auowyo!"
Woduìwioto puo ub` lbhoddlôb bj tôkj to yw`y` djb dlwuná` tlbj
djb aoild`aobyjt | `yobdlôb lbyobt`+ otywodm` | otsodl`kl`i`+
kj du`k ioeô io m`dow ok `puá lbxotyln`ij"
Ob oto jwiob+ bj to jgtowx` blbnõb djasjwy`alobyj iotduli`ijio k` s`dlobyo puo suilow` m`gow lbdlilij ob ok wotuky`ij kotlxj+
djaj s`w` puo ok eun`ijw toð`k`w` ioklgow`i`aobyo puo ok
`duilalobyj ` x`wljt aìildjt m`|` tlij ioyowalb`byo ob k`
swjiuddlôb io k`t kotljbot" Sjw ok djbyw`wlj+ to t`go puo huo ob
a`bjt iok lbhodyôkjnj+ pulob ko wodoyô tlswj io ?33 alklnw`ajt
s`w` djag`ylw ok stouijajb`t+ djbylbu`w ok yw`y`alobyj kjd`k
puo oty`g` ilwlnlobij k` iowa`yôkjn` | kuonj+ tow `yobili` sjw
ub tjkj aìildj+ bj `skld`w b`i` | uylkl`w n`t` `byl`imowobyo04>+
ijbio sjw hlb+ kjnwô duw`w tu lbhoddlôb io k` hjwa` aàt
t`ylth`dyjwl` sjtlgko"
To tlnuo io kj `byowljw+ puo `k ioe`w io k`ij ok @i puoa+ kjt
djbjdlalobyjt `dyu`kl`ijt | otsodl kl`ijt xowylijt sjw kjtyotylnjt o}sowyjt ` k` `dyu`dlôb+ puo ilowjb duoby` otsodáhld` io
duàk ow` ok otyàbi`w puo to iogá` duasklw s`w` k` `yobdlôb io k`048 Dhw" hjklj 8> lgáioa"04> Dhw" hjklj 8> lgáioa"
=0
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 82/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
h`tdlylt bodwjyl`byo puo s`iodlô k` jhobili`+ ok puo okkjt
`skld`wjb | io k` `dyu`dlôb ilklnobyo io k` s`dlobyo ob swjduw`
io `kd`b`w k` wodusow`dlôb+ lbduwwlô ob tuty`bdl`kot | wokox`byot
|owwjt io liobyli`i | w`dljdlblj puo djbeuw`b djbyw` k` kon`kli`i
iok h`kkj `gtjkuyjwlj las`wylij"
Ob ok altaj tobiowj+ k` tobyobdl`ijw` djbylbuô otsoduk`bij —kj
puo otyà swjtdwlyj sjw ok swjdotj w`dljb`k io x`kjw`dlôb! `dowd`
io dôaj `ipulwlô k` jhobili` k`t g`dyowl`t d`ut`byot io k`
lbhoddlôb | djbdku|o puo suij tow ob ok pulwôh`bj j ob tu
wotliobdl` sjw h`ky` io `tostl`+ k`t djbildljbot io k` s`dlobyo j
k` `klaoby`dlôb+ swoalt` puo xljk` ok swlbdlslj io bj
djbyw`ilddlôb suot `k yloasj puo `ialyo djaj swjg`gko k`
djby`alb`dlôb ob ok pulwôh`bj !puo ob jywj `s`wyo io k`
swjxliobdl` tlb oag`wnj+ m`gá` iotd`wy`ij io sk`bj!+ ioyowalb`puo okkj y`aglìb suij tudoiow ob ok ijaldlklj io k` s`dlobyo+ kj
puo io du`kpulow hjwa` ow` laswoxltlgko"
Bj jgty`byo+ m`dlobij ub euldlj o} `byo+ ot dk wj puo k`
lbhoddlôb tá ow` a`boe`gko | swoxltlgko+ y`byj `tá puo huo
djbtlnb`i` ob ok djbtobylalobyj lbhjwa`ij —io otyj otdjbtdlobyo ok h`kk`ijw! | puo k` ko} `wylt obtoð` puo euty`aobyo
k`t ijt g`dyowl`t puo `ipulwlô k` `nw`xl`i` tjb k`t puo
bjwa`kaobyo m`dob swotobdl` yw`t k`t klsjtuddljbot | puo sjw kj
y`byj+ suilowjb tow yw`y`i`t io hjwa` swoxobylx` las`wylobij
jsjwyub`aobyo ok aoild`aobyj tobtlgko ` k`t alta t |
wo`kl`bij kjt jywjt skuwlaobdljb`ijt swjdoilalobyjt ob swjduw`
io oxly w puo ok owlyoa` yowalb`w` tlobij ub` h tdlylt
bodwjyl`byo io nw`b ilaobtlôb"
=7
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 83/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
@tá k`t djt`t+ ot sjtlgko djbdkulw puo ok wotuky`ij —kotljbot ob ok
sko}j tugiìwaldj puo djwwotsjbiob ` ub` iohjwali`i
sowa`bobyo ob ok duowsj! ot ub` o}swotlôb djbdwoy` io k`
djbdukd`dlôb sjw s`wyo iok obeuldl`ij io kjt swjyjdjkjt | bjwa`t
puo wonuk`b ok iogow jgeoylxj io duli`ij+ puo sjw djbtlnulobyo+
ko ot lasuy`gko"
Io kj `byowljw to tlnuo puo+ `yobilobij k` soyldlôb puo `k
ubátjbj hjwauk` ok ioa`bi`byo | ok Albltyowlj Sõgkldj+ m`| kun`w` d`t`w k` tobyobdl` `gtjkuyjwl` lasunb`i` s`w` ob d`aglj
djbhowlwko skob` xlnobdl` ` k` ildy`i` sjw ok Eun`ij Swlaowj
Sob`k Aubldls`k io D`kl ok 7> io a`|j io 733<+ sjw du|j aoilj
djbiobô `k aìildj A@B_OK IO EOTÕT D@LDOIJ+ sjw ok ioklyj io kotljbot
sowtjb`kot duksjt`t"
Ob aìwlyj io kj o}suotyj+ k` T`k` io D`t`dlôb Sob`k io k` Djwyo
Tuswoa` io Eutyldl`+ `ialbltyw`bij eutyldl` ob bjagwo io k`
Wosõgkld` | sjw `uyjwli`i io k` ko|+
WOT_OKXO
Swlaowj" Bj d`t`w k` tobyobdl` lasunb`i` sjw w`ôb iok swlaow
d`wnj"
Tonubij" D`t`w k` tobyobdl` iok Eun`ij Tonubij Sob`k iok
Dlwdulyj io D`kl djbhjwao `k tonubij d`wnj" Ob djbtoduobdl`+
djbhowlwko skob` xlnobdl` ` k` ildy`i` sjw ok Eun`ij Swlaowj
Sob`k Aubldls`k io D`kl ok 7> io a`|j io 733<+ sjw du|j aoilj
djbiobô `k aìildj A@B_OK IO EOTÕT D@LDOIJ+ sjw ok ioklyj io kotljbot
sowtjb`kot duksjt`t"
=4
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 84/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
Djbyw` oty` iodltlôb bj swjdoio woduwtj `knubj"
Ob djbtoduobdl`+ ioxjkxow k` `dyu`dlôb `k eun`ij io jwlnob"
Bjylhápuoto | dõask`to"
EJTÌ KOJBLI@T G_TYJT A@WYÁBOUT`kxj ok xjyj
EJTÌ K_LT G@WDOKÔ D@A@DMJ HOWB@BIJ @KGOWYJ D@TYWJ D@G@KKOWJ
TLNLHWOIJ OTSLBJT@ SÌWOUSowaltj
A@WÁ@ IOK WJT@WLJ NJBUÀKOU A_ÐJU
@_N_TYJ E" LGÀÐOU N_UAÀB K_LT N_LKKOWAJ T@K@U@W JYOWJDjaltlôb io towxldlj
E_KLJ OBWLP_O TJDM@ T@K@A@BD@ E@XLOW U@S@Y@ JWYLU
=9
5/16/2018 33920 (11-04-12) Posición de garante. Responsabilidad en el Postoperatorio. - slidepdf.com
http://slidepdf.com/reader/full/33920-11-04-12-posicion-de-garante-responsabilidad-en-el-postoperatorio 85/85
D`t`dlôb 44"<73A@B_OK IO EOTÕT D@LDOIJ
B_GL@ \JK@BI@ BJX@ N@WDÁ@
Todwoy`wl`
=?