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2015, Number 2

Residente 2015; 10 (2)

Cociente PaO2/FiO2 o índice de Kirby: determinación y uso en población pediátrica

Morales-Aguirre AM, Márquez-González H,Salazar-Rosales H, Álvarez-Valencia JL, Muñoz-Ramírez CM, Zárate-Castañón P
Full text How to cite this article

Language: Spanish
References: 11
Page: 88-92
PDF size: 225.03 Kb.


Key words:

PaO2/FiO2, respiratory distress syndrome.

ABSTRACT

Hypoxemia is a consequence of many diseases and it is imperative that the physician has the necessary tools to evaluate it. Kirby index or PaO2/FiO2 is a ratio which indirectly measures the lung injury in the pediatric stage its proven application is as a predictor of mortality. The entities that manifest with acute respiratory distress syndrome benefit from this formula. In the following the directions for use, limitations and adjustments in cities like the capital of Mexico are presented.


REFERENCES

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  2. Sabatine MS. Medicina de bolsillo. Edición española de la obra original en lengua inglesa Pocket Medicine. Insuficiencia respiratoria. 4a ed. Editorial Gea consultoría; 2011: pp. 2-18. ISBN: 97884996921900.

  3. Montes-De Oca Sandoval MA, Xóchitl-Pádua MA, Olvera-Guzmán CI, Franco-Granillo J. Ajuste de la relación PaO2/FiO2 a la presión barométrica: presión barométrica-PaO2/FiO2. Revista de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva. 2010; 24 (1): 8-12.

  4. Vázquez-García JC, Pérez-Padilla R. Valores gasométricos estimados para las principales poblaciones y sitios a mayor altitud en México. Rev Inst Nal Enf Resp Mex. 2000; 13 (1): 6-13.

  5. The ARDS task force. Acute respiratory distress syndrome the Berlin definition. JAMA. 2012; 307 (23): 2525-2533.

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  7. Barreira ER, Munoz GO, Cavalheiro PO, Suzuki AS, Degaspare NV, Shieh HH et al. Epidemiology and outcomes of acute respiratory distress syndrome in children according to the Berlin definition: a multicenter prospective study. Critical Care Med. 2015; Published ahead of print. doi: 10.1097/CCM.0000000000000866.

  8. Bernard GR, Artigas A, Brigham KL, Carlet K, Falke L, Hudson L et al. The American-European Consensus Conference on ARDS: definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994; 149 (3): 818-824.

  9. Karbing D, Kjærgaard S, Smith B, Espersen K, Allerød C, Andreassen S et al. Variation in the PaO2/FiO2 ratio with FiO2: mathematical and experimental description, and clinical relevance. Critical Care. 2007 [consulta 02 de febrero de 2014]; 11: R118. Disponible en: http://ccforum.com/content/11/6/R118

  10. Rincón J. Correlación de los índices PaO2/FiO2 y SpO2/FiO2 en el postoperatorio de cirugía cardiaca en una Unidad de Terapia Postquirúrgica Cardiovascular. Rev Asoc Mex Med Crit y Ter Int. 2013; 26 (2): 71-76.

  11. Hammer J. Acute respiratory failure in children. Pediatric Respiratory Reviews. 2013; 14: 64-69.




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Residente. 2015;10