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2012, Number 604

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Rev Med Cos Cen 2012; 69 (604)

Síndrome de dificultad respiratoria agudo: Revisión de causas, patogénesis y tratamiento

Ubertini CA
Full text How to cite this article

Language: Spanish
References: 11
Page: 571-574
PDF size: 218.94 Kb.


Key words:

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ABSTRACT

The Acute Respiratory Distress Syndrome is an acute pulmonary pathology, rapidly progressive, that leads to a swelling of the alveolar-capillary barrier with accumulation of exudative material within the alveoli so that the gaseous exchange capability between the oxygen inhaled and the wasted carbon dioxide become seriously compromised. Despite constant efforts to improve pharmacological treatment, modern medical science has yet to come up with treatments to give satisfactory results. To this day the treatment goal-standard is focused in maintaining an optimum water balance jointly with a mechanical ventilation characterized by low tidal volumes, high respiratory frequency, low plateau pressure and high level of positive end expiratory pressure. All these, in effort to reach an adequate gaseous exchange, without causing a pulmonary volutrauma neither a barotrauma.


REFERENCES

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  2. CotranRamzi S., Kumar Vinay, Collins Tucker, “Collins. Patología Estructural y Funcional”, 6° edición, Mc Graw Hill Interamericana, México 2000, capitulo 16: 727-735.

  3. Ganzert Steven, Möller Knut, Steinmann Daniel, Schumann Stefan and Guttmann Josef, “Pressure-Dependent Stress Relaxation in Acute Respiratory Distress Syndrome and Healthy Lungs: An Investigation Based on a Viscoelastic Model”, Critical Care 2009, 13:R199. BioMed Central Ltd.

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  5. Lipes Jed, Bojmehrani, and Lellouche Francois- “Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: Paradigm Shift in Mechanical Ventilation”, Hindawi Publishing Corporation, Critical Care research and practice, vol. 2012, Article ID 416862, 12 pages

  6. Matthay Michael A. and Zemans Rachel L.-“The Acute Respiratory Distress Syndrome: Pathogenesis and Treatment”,Annu Rev Pathol. 2011 February 28; 6: 147-163.

  7. Mc Mullen Sarah M., Meade Maureen, Louise Rose, Burns Karen et al, “Partial Ventilatory Support Modalities in Acute Lung Injury and Acute Respiratory Distress Syndrome-A Systemic Review”, Peter Rosenberg ed., Copyright 2012 McMullen et al., August 2012| Volume 7 | e40190.

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  9. Szpilman David, BierensJoost, Handley Anthony, Orlowski James, “Drowning”, New England Journal of Medicine 2012;366:2102-10.

  10. Valente Barbas Carmen, Janot Matos Gustavo, Passos Amato Marcelo, et al., “Goal-Oriented Respiratory Management for Critically Ill Patients with Acute Respiratory Distress Syndrome”, Hindawi Publishing Corporation, Critical Care research and practice, vol. 2012, Article ID 952168, 13 pages.

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Rev Med Cos Cen. 2012;69