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2002, Número 3

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Med Crit 2002; 16 (3)


Neumonía asociada a ventilación mecánica

Carrillo ER, Cruz LC, Olais MCA, Vázquez AG, Olivares DE, Calvo CB

Idioma: Español
Referencias bibliográficas: 96
Paginas: 90-106
Archivo PDF: 116.29 Kb.


RESUMEN

La neumonía asociada al ventilador (NAV) es la complicación infecciosa más frecuente en los pacientes críticamente enfermos que se encuentran intubados y ventilados mecánicamente. Esta entidad incrementa el tiempo de estancia y la mortalidad en terapia intensiva. En los últimos años, la información científica ha mejorado nuestro entendimiento de la patogénesis, diagnóstico y tratamiento de la NAV, a pesar de lo cual aún existe confusión en los criterios diagnósticos y en el manejo de estos pacientes. En el Consenso Mexicano de Diagnóstico y Manejo de la Neumonía, realizado por 25 investigadores mexicanos, un subgrupo de 6 intensivistas elegidos por la mesa directiva de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva, realizaron una revisión de la literatura más reciente en relación a la NAV para después llevar a cabo una discusión abierta, de la cual surgió un documento que describe la definición, epidemiología, diagnóstico y tratamiento de la NAV. Se destacó en el consenso la importancia de la profilaxis y la vigilancia epidemiológica local.


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