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2010, Número 1

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Med Sur 2010; 17 (1)


Presión intra-abdominal de la fisiología básica a la cabecera del enfermo

Carrillo ER, Sosa GJO

Idioma: Español
Referencias bibliográficas: 133
Paginas: 7-17
Archivo PDF: 167.10 Kb.


RESUMEN

La medición de la presión intraabdominal (PIA) es una nueva modalidad de monitoreo en el enfermo grave, ya que su elevación se relaciona con el desarrollo de hipertensión intraabdominal (HIA) y síndrome de compartimento abdominal (SCA), este último asociado a incremento significativo en la morbimortalidad. En los últimos años se ha avanzado en el conocimiento de la fisiopatología del SCA, lo que ha impactado en su diagnóstico temprano y oportuno y en la implementación de diferentes alternativas terapéuticas que van del abordaje no invasivo a la laparotomía descompresiva. En la Unidad de Terapia Intensiva (UTI) de la Fundación Clínica Médica Sur hemos desarrollado un dispositivo propio para la medición rutinaria de la PIA en nuestros pacientes, lo que nos coloca a la vanguardia y que ha impactado en la calidad y seguridad de atención. El objetivo de este trabajo es revisar los conceptos actuales relacionados con la HIA y SCA y dar a conocer a la comunidad médica una de las muchas innovaciones que se han implementado en nuestra UTI.


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