2016, Número 4
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Rev Cubana Pediatr 2016; 88 (4)
Particularidades del síndrome de dificultad respiratoria aguda en edades pediátricas
Rodríguez MVS, Díaz CE, López GLR, Acevedo CBL, López-Herce CJ, Ruza TF
Idioma: Español
Referencias bibliográficas: 50
Paginas: 519-535
Archivo PDF: 233.71 Kb.
RESUMEN
Desde las primeras descripciones del síndrome de dificultad respiratoria aguda los
pediatras intensivistas reconocieron que posee particularidades que la hacen diferente
en la población pediátrica. El objetivo de este trabajo es divulgar la definición
específica en el modelo infantil, aunque existen similitudes en la fisiopatología del
síndrome de dificultad respiratoria en adultos y niños. Se revisaron los conceptos
vigentes sobre el síndrome de dificultad respiratoria aguda desde su descripción, a
través de los diferentes consensos (desde el de 1994 hasta el de 2015) y se señalaron
las recomendaciones en el tratamiento y seguimiento de esta entidad. Los tópicos que
se trataron fueron: concepto; prevalencia y epidemiología; fisiopatología, severidad y
enfermedades asociadas; soporte ventilatorio; tratamientos secundarios específicos
sobre el pulmón; tratamientos concomitantes; monitoreo general y pulmonar; soporte
ventilatorio no invasivo; terapia extracorpórea y el seguimiento a largo plazo. Las
recomendaciones propuestas en la última conferencia de consenso para el tratamiento
del síndrome de dificultad respiratoria en edades pediátricas permiten optimizar el
tratamiento e identificar necesidades futuras de investigación del tema.
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