2017, Número 4
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Med Crit 2017; 31 (4)
Síndrome de insuficiencia respiratoria aguda, 50 años después
Carrillo ER, Sánchez ZMJ, Medveczky ONI, Elizondo AS, Ramírez APM, Sánchez PH
Idioma: Español
Referencias bibliográficas: 85
Paginas: 246-254
Archivo PDF: 242.26 Kb.
RESUMEN
La condición clínica llamada síndrome de insuficiencia respiratoria aguda es una entidad que se conoce desde antes de la Segunda Guerra Mundial; no obstante, no fue hasta el año de 1967 cuando el grupo del Dr. Ashbaugh describió una serie de 12 pacientes con las características clínicas e histológicas particulares a las que llamaron síndrome de dificultad respiratoria aguda. No sólo se describió por primera vez esta entidad clínica, sino que además el grupo del Dr. Ashbaugh hizo mención a la posibilidad del uso de esteroides y ventilación mecánica como probables pilares del tratamiento. Desde entonces y hasta la fecha los criterios diagnósticos, el tratamiento farmacológico, así como las técnicas de soporte mecánico ventilatorio han cambiado, pese a ello esta entidad clínica sigue siendo un reto terapéutico, ya que puede llegar a tener un alto índice de mortalidad, cerca de 40%. La finalidad de este texto es hacer un resumen de las aportaciones más significativas relacionadas con esta entidad en el marco de los 50 años de su descripción.
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