Estrategias ventilatorias ante el niño con síndrome de distress respiratorio agudo e hipoxemia grave

Alejandro F. Donoso, Daniela S. Arriagada, Franco R. Díaz, Pablo R. Cruces

Resultado de la investigación: Article

2 Citas (Scopus)

Resumen

In this review, we assemble the fundamental concepts of the use of mechanical ventilation (MV) in children with acute respiratory failure (ARDS) and refractory hypoxemia. We also discusses topics of protective ventilation and recruitment potential, and specifically examine the options of ventilation and/or maneuvers designed to optimize the non-aerated lung tissue: alveolar recruitment maneuvers, positive end-expiratory pressure (PEEP) titulation, high frequency oscillatory ventilation (HFOV), airway pressure release ventilation (APRV), aimed at correcting the mismatch ventilation/perfusion (V/Q): use of prone position. The only pharmacological intervention analyzed is the use of neuromuscular blockers. In clinical practice, the protective MV concept involves using an individual adjustment of the PEEP and volume tidal (V<inf>T</inf>). Use of recruitment maneuvers and PEEP downward titration can improve lung function in patients with ARDS and severe hypoxemia. We must keep in mind HFOV instauration as early as possible in response to failure of MV. The use of early and prolonged prone can improve gas exchange in hopes of a better control of what caused the use of MV.

Idioma originalSpanish
Páginas (desde-hasta)75-84
Número de páginas10
PublicaciónGaceta Medica de Mexico
Volumen151
N.º1
EstadoPublished - 2015

Huella dactilar

Adult Respiratory Distress Syndrome
Artificial Respiration
Positive-Pressure Respiration
High-Frequency Ventilation
Ventilation
Mechanical Phenomena
Neuromuscular Blocking Agents
Prone Position
Lung
Continuous Positive Airway Pressure
Tidal Volume
Respiratory Insufficiency
Perfusion
Gases
Pharmacology
Hypoxia

ASJC Scopus subject areas

  • Medicine(all)

Citar esto

Donoso, Alejandro F. ; Arriagada, Daniela S. ; Díaz, Franco R. ; Cruces, Pablo R. / Estrategias ventilatorias ante el niño con síndrome de distress respiratorio agudo e hipoxemia grave. En: Gaceta Medica de Mexico. 2015 ; Vol. 151, N.º 1. pp. 75-84.
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Estrategias ventilatorias ante el niño con síndrome de distress respiratorio agudo e hipoxemia grave. / Donoso, Alejandro F.; Arriagada, Daniela S.; Díaz, Franco R.; Cruces, Pablo R.

En: Gaceta Medica de Mexico, Vol. 151, N.º 1, 2015, p. 75-84.

Resultado de la investigación: Article

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AU - Cruces, Pablo R.

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