2015, Número 3
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Med Crit 2015; 29 (3)
Hipertensión intraabdominal y síndrome compartimental abdominal
Domínguez BRA, Fuentes FM, Díaz AFA, García RMA, Meza OMA, Fuentes FR
Idioma: Español
Referencias bibliográficas: 28
Paginas: 167-178
Archivo PDF: 259.63 Kb.
RESUMEN
La hipertensión intraabdominal (HIA) y el síndrome compartimental abdominal (SCA) están asociados con la disfunción orgánica y mayor mortalidad en pacientes críticamente enfermos. La definición del consenso y pautas de tratamiento han sido desarrolladas por la Sociedad Mundial del Síndrome Compartimental Abdominal (WSACS) para aumentar la conciencia de HIA y SCA así como estandarizar su prevención, diagnóstico y manejo. Las complicaciones de HIA y SCA pueden ser mortales para los pacientes críticamente enfermos. La HIA y SCA han sido reconocidos desde hace dos siglos. Los cambios en el manejo de los pacientes quirúrgicos y médicos han incluido un mayor uso de cirugía de control de daños y reanimación basada en catéter percutáneo y o terapias mínimamente invasivas, terapia dirigida a objetivos para la sepsis grave, y una mayor apreciación de los riesgos de exceso de reanimación.
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