Carrillo-Esper R, de los Monteros-Estrada IE, Montero-Arias MD, Rosales-Gutiérrez AO

Idioma: Español
Referencias bibliográficas: 23
Paginas: 91-97
Archivo PDF: 214.70 Kb.

RESUMEN

La anestesia general condiciona reducción de los volúmenes pulmonares y el desarrollo de atelectasias, lo que induce deterioro del intercambio gaseoso y de la mecánica respiratoria. Los volúmenes corrientes altos sobredistienden las unidades alveolares, lo que favorece el desarrollo de la inflamación. Varios estudios han mostrado que una estrategia ventilatoria protectora durante el transoperatorio a base de bajos volúmenes corrientes, presión positiva al final de la espiración y maniobras de reclutamiento alveolar mejora la función respiratoria y reducen las complicaciones en el postoperatorio.

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