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2019, Número 1

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Rev Clin Esc Med 2019; 9 (1)


Síndrome de Distrés RespiratorioAgudo

Salazar BJD, Hidalgo RF, Álvarez AP

Idioma: Español
Referencias bibliográficas: 32
Paginas: 56-64
Archivo PDF: 396.14 Kb.


RESUMEN

El Síndrome de Distrés Respiratorio Agudo (SDRA) es una forma de edema pulmonar de causa no cardiogénica debido a daño alveolar y se diagnostica según la definición de Berlín. Se asocia a una mortalidad del 20-40% aproximadamente. El SDRA se caracteriza por tres fases secuenciales: la exudativa, la proliferativa y la fibroproliferativa. Presenta un diagnóstico diferencial amplio. El manejo se basa en el soporte con la ventilación mecánica de parámetros protectores, la pronación del paciente y el manejo conservador de la fluidoterapia. El uso de esteroides, estatinas, óxido nítrico y la ventilación de alta frecuencia oscilatoria no tienen un beneficio claro. En la actualidad se encuentran en estudio estrategias para la prevención del SDRA.


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