Pozos CKP, Deloya TE, Pérez NOR, Miranda CA, González RLJ, Díaz CMA, García VMÁ, Zamarrón LEI, Guerrero GMA, Soriano OR

Idioma: Español
Referencias bibliográficas: 27
Paginas: 209-214
Archivo PDF: 282.93 Kb.

RESUMEN

La mujer durante el embarazo, parto y puerperio presenta cambios anatómicos, fisiológicos y en la dinámica ventilatoria, por lo que una de las complicaciones que puede presentar es el síndrome de dificultad respiratoria aguda, el cual representa un reto para el clínico, pudiendo aparecer complicaciones en el embarazo como corioamnionitis, aborto, embolismo de líquido amniótico. El abordaje y tratamiento del síndrome de dificultad respiratoria aguda es primordial, se han presentado avances en la estrategia ventilatoria como: disminución del volumen tidal y posición prono durante la ventilación mecánica, que han mejorado el pronóstico de manera favorable en esta población.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Catanzarite V, Willms D, Wong D, Landers C, Cousins L, Schrimmer D. Acute respiratory distress syndrome in pregnancy and the puerperium: causes, courses, and outcomes. Obstet Gynecol. 2001;97(5 Pt 1):760-764.

2. Mabie WC, Barton JR, Sibai BM. Adult respiratory distress syndrome in pregnancy. Am J Obstet Gynecol. 1992;167(4 Pt 1):950-957.

3. Elkus R, Popovich J. Respiratory physiology in pregnancy. Clin Chest Med. 1992;13:555-565.

4. Chesnutt AN. Physiology of normal pregnancy. Crit Care Clin. 2004;20(4):609-615.

5. Marx GF, Murthy PK, Orkin LR. Static compliance before and after vaginal delivery. Br J Anaesth. 1970;42:1100-1104.

6. Lewis CA, Martin GS. Understanding and managing fluid balance in patients with acute lung injury. Curr Opin Crit Care. 2004;10(1):13-17.

7. Berkowitz DM, Danai PA, Eaton S, Moss M, Martin GS. Accurate characterization of extravascular lung water in acute respiratory distress syndrome. Crit Care Med. 2008;36(6):1803-1809.

8. Tonetti T, Vasques F, Rapetti F, Maiolo G, Collino F, Romitti F, et al. Driving pressure and mechanical power: new targets for VILI prevention. Ann Transl Med. 2017;5(14):286.

9. Sakka SG, Rühl CC, Pfeiffer UJ, Beale R, McLuckie A, Reinhart K, et al. Assessment of cardiac preload and extravascular lung water by single transpulmonary thermodilution. Intensive Care Med. 2000;26(2):180-187.

10. Duarte AG. ARDS in pregnancy. Clin Obstet Gynecol. 2014;57(4):862-870.

11. Kuzkov VV, Kirov MY, Sovershaev MA, Kuklin VN, Suborov EV, Waerhaug K, et al. Extravascular lung water determined with single transpulmonary thermodilution correlates with the severity of sepsis-induced acute lung injury. Crit Care Med. 2006;34(6):1647-1653.

12. Phillips CR, Chesnutt MS, Smith SM. Extravascular lung water in sepsis-associated acute respiratory distress syndrome: indexing with predicted body weight improves correlation with severity of illness and survival. Crit Care Med. 2008;36(1):69-73.

13. Martin GS, Eaton S, Mealer M, Moss M. Extravascular lung water in patients with severe sepsis: a prospective cohort study. Crit Care. 2005;9(2):R74-R82.

14. Mitchell JP, Schuller D, Calandrino FS, Schuster DP. Improved outcome based on fluid management in critically ill patients requiring pulmonary artery catheterization. Am Rev Respir Dis. 1992;145(5):990-998.

15. Cordemans C, De Laet I, Van Regenmortel N, Schoonheydt K, Dits H, Martin G, et al. Aiming for a negative fluid balance in patients with acute lung injury and increased intra-abdominal pressure: a pilot study looking at the effects of PAL-treatment. Ann Intensive Care. 2012;2 Suppl 1:S15.

16. Ray BR, Trikha A. Prone position ventilation in pregnancy: concerns and evidence. J Obstet Anaesth Crit Care. 2018;8(1):7-9.

17. Acute Respiratory Distress Syndrome Network, Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1301-1308.

18. Petrucci N, De Feo C. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev. 2013;(2):CD003844.

19. Fuller BM, Ferguson IT, Mohr NM, Drewry AM, Palmer C, Wessman BT, et al. Lung-protective ventilation initiated in the emergency department (LOV-ED): a quasi-experimental, before-after trial. Ann Emerg Med. 2017;70(3):406-418.e4.

20. Gattinoni L, Tognoni G, Pesenti A, Taccone P, Mascheroni D, Labarta V, et al. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med. 2001;345(8):568-573.

21. Pelosi P, Brazzi L, Gattinoni L. Prone position in acute respiratory distress syndrome. Eur Respir J. 2002;20(4):1017-1028.

22. Nakai Y, Mine M, Nishio J, Maeda T, Imanaka M, Ogita S. Effects of maternal prone position on the umbilical arterial flow. Acta Obstet Gynecol Scand. 1998;77(10):967-969.

23. Cornejo RA, Díaz JC, Tobar EA, Bruhn AR, Ramos CA, González RA, et al. Effects of prone positioning on lung protection in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med. 2013;188(4):440-448.

24. Samanta S, Samanta S, Wig J, Baronia AK. How safe is the prone position in acute respiratory distress syndrome at late pregnancy? Am J Emerg Med. 2014;32(6):687.e1-3.

25. Pérez-Nieto OR, Zamarrón-López EI, Soriano-Orozco R, Guerrero-Gutiérrez MA, Morgado-Villaseñor LA, Sánchez-Díaz JS, et al. Síndrome de distrés respiratorio agudo: abordaje basado en evidencia. Intensive Qare. 2019. doi: 10.13140/RG.2.2.26627.96800.

26. Rush B, Martinka P, Kilb B, McDermid RC, Boyd JH, Celi LA. Acute respiratory distress syndrome in pregnant women. Obstet Gynecol. 2017;129(3):530-535.

27. Guérin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013;368(23):2159-2168.