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Colegio de Medicina Interna de México.

2021, Número 6

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Med Int Mex 2021; 37 (6)


Monitoreo hemodinámico no invasivo en sepsis. Vigilancia de la perfusión tisular a la cabecera del paciente

Salguero-Rosales Y, Ezeta-Monroy ME, Duarte-Mote J, Lee Eng-Castro VE

Idioma: Español
Referencias bibliográficas: 39
Paginas: 982-997
Archivo PDF: 343.62 Kb.


RESUMEN

El choque séptico es una enfermedad compleja que consume muchos recursos, causa mortalidad muy alta y debe ser manejada en una unidad de cuidados críticos. Sin embargo, en muchas ocasiones no se cuenta con espacio físico en dichas unidades y tampoco se dispone de la tecnología invasiva necesaria para el monitoreo de este tipo de pacientes en las salas generales de hospitalización. Por ello, se plantea un abordaje de monitoreo de mínima invasión a la cabecera del enfermo. Este monitoreo se basa en aspectos clínicos, aspectos hemodinámicos no invasivos y en la interpretación adecuada de gases arteriales y venosos. Asimismo, se refuerza el concepto de deuda de oxígeno y la forma práctica de su tratamiento.


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