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2003, Number 3

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Trauma 2003; 6 (3)

Acute respiratory distress syndrome and trauma. A practical view

Hernández BA

Language: Spanish
References: 49
Page: 95-102
PDF size: 92.96 Kb.


ABSTRACT

The onset of severe acute respiratory failure, accompanied by severe and persistent hypoxemia, in spite of the high oxygen concentration administration, associated to diffuse asymmetric alveolar infiltrates in both hemi-thoraxes should invariably make the clinician suspect an acute respiratory distress syndrome (ARDS). The American-European ARDS consensus describes two clinical entities: acute lung injury ARDS. Currently, many ARDS studies still report 40-60% mortality, in spite of the advances in diagnosis and therapy. Immune modulation, associated to alveolar recruitment management and ventilatory support, constitutes this alteration therapy. The pronate position is considered a rescue maneuver in patients where the recruitment has fails. Nevertheless, high mortality prevails. A description of ARDS physiopathology is presented, in order to make its detection and joint management in the trauma patient easier.


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