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Antes Revista del Instituto Nacional de Enfermedades Respiratorias

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2006, Número 1

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Neumol Cir Torax 2006; 65 (1)


Daño pulmonar asociado con el uso de la bomba de circulación extracorpórea durante la cirugía cardiaca

Posadas CJG, Domínguez CG

Idioma: Español
Referencias bibliográficas: 56
Paginas: 40-46
Archivo PDF: 71.28 Kb.


RESUMEN

Se ha descrito la presencia de daño pulmonar secundario al uso de la bomba de circulación extracorpórea (BCE) durante la cirugía cardiaca, con incremento significativo de la morbi-mortalidad. La fisiopatología del daño pulmonar asociado a la BCE es similar a la del síndrome de insuficiencia respiratoria aguda (SIRA) por otras causas e involucra la presencia del síndrome de respuesta inflamatoria sistémica (SRIS) originado por una serie de mediadores liberados durante el procedimiento. Las características clínicas del síndrome incluyen el daño pulmonar con aumento de las resistencias vasculares pulmonares, incremento del gradiente alvéolo-arterial de oxígeno con edema alveolar. La mayoría de los pacientes con el síndrome mejorarán en las siguientes 24 h después del BCE y no tendrán consecuencias.


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