Ventilación mecánica en pacientes con síndrome de distrés respiratorio agudo. Lo que ya sabíamos
DOI:
https://doi.org/10.30445/rear.v10i3.686Palabras clave:
sindrome distress respiratorio, ventilación mecánica, guíasResumen
Se trata de una guía de práctica clínica con recomendaciones en el uso de estrategias ventilatorias y algunas cointervenciones en pacientes adultos con SDRA, avaladas por relevantes sociedades internacionales de Cuidados Críticos: American Thoracic Society (ATS), Society of Critical Care Medicine (SCCM), y European Society of Intensive Care Medicine (ESICM). Un panel de expertos analizó la mejor evidencia disponible abordando 6 cuestiones relacionadas con la VM: ventilación protectora (bajo volumen tidal, baja presión inspiratoria), ventilación en prono, ventilación oscilatoria de alta frecuencia, uso de presión positiva al final de la espiración (PEEP) alta o baja, uso de maniobras de reclutamiento (MR) y oxigenación por membrana extracorpórea. Las recomendaciones fueron desarrolladas aplicando el sistema GRADE (Grading of Recommendations, Assessment, Development, and Evaluation).
Citas
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https://www.ncbi.nlm.nih.gov/pubmed/25524779
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ePDF: http://onlinelibrary.wiley.com/doi/10.1111/aas.12449/epdf
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PDF: http://www.scielo.br/pdf/rbti/v26n2/en_0103-507X-rbti-26-02-0089.pdf
ePDF: http://www.scielo.br/readcube/epdf.php?doi=10.5935/0103-507X.20140017&pid=S0103-507X2014000200089&pdf_path=rbti/v26n2/en_0103-507X-rbti-26-02-0089.pdf&lang=en
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ePDF: http://www.scielo.br/readcube/epdf.php?doi=10.5935/0103-507X.20140034&pid=S0103-507X2014000300215&pdf_path=rbti/v26n3/en_0103-507X-rbti-26-03-0215.pdf&lang=en
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https://www.ncbi.nlm.nih.gov/pubmed/22245450
HTML: http://www.medintensiva.org/es/recomendaciones-del-grupo-trabajo-enfermedades/articulo/S0210569111003457/
6. Kacmarek RM, Villar J, Sulemanji D, Montiel R, Ferrando C, Blanco J et al. Open Lung Approach for the Acute Respiratory Distress Syndrome: A Pilot, Randomized Controlled Trial. Crit Care Med 2016;44(1):32-42.
https://www.ncbi.nlm.nih.gov/labs/articles/26672923/
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https://www.ncbi.nlm.nih.gov/pubmed/25693014
HTML: http://www.nejm.org/doi/full/10.1056/NEJMsa1410639
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMsa1410639
8. 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):2159-68.
https://www.ncbi.nlm.nih.gov/pubmed/23688302
HTML: http://www.nejm.org/doi/full/10.1056/NEJMoa1214103
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1214103
9. Young D, Lamb SE, Shah S, MacKenzie I, Tunnicliffe W, Lall R et al. High-frequency oscillation for acute respiratory distress syndrome. N Engl J Med 2013;368(9):806–13.
https://www.ncbi.nlm.nih.gov/pubmed/23339638
HTML: http://www.nejm.org/doi/full/10.1056/NEJMoa1215716
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1215716
10. Ferguson ND, Cook DJ, Guyatt GH, Mehta S, Hand L, Austin P et al. High-frequency oscillation in early acute respiratory distress syndrome. N Engl J Med 2013;368(9):795–805.
https://www.ncbi.nlm.nih.gov/pubmed/23339639
HTML: http://www.nejm.org/doi/full/10.1056/NEJMoa1215554
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1215554
11. Richard C, Argaud L, Blet A, Boulain T, Contentin L, Dechartres A et al. Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference. Ann Intensive Care 2014;4:15.
https://www.ncbi.nlm.nih.gov/pubmed/24936342
ePub: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4046033/
PDF: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4046033/pdf/2110-5820-4-15.pdf
https://www.ncbi.nlm.nih.gov/pubmed/28101605
HTML+PDF: https://link.springer.com/article/10.1007%2Fs00134-017-4683-6
2. Claesson J, Freundlich M, Gunnarsson I, Laake JH, Vandvik PO, Varpula T et al. Scandinavian clinical practice guideline on mechanical ventilation in adults with the acute respiratory distress syndrome. Acta Anaesthesiol Scand 2015;59(3):286-97.
https://www.ncbi.nlm.nih.gov/pubmed/25524779
HTML: http://onlinelibrary.wiley.com/doi/10.1111/aas.12449/full
ePDF: http://onlinelibrary.wiley.com/doi/10.1111/aas.12449/epdf
3. Barbas CS, Isola AM, Farias AM, Cavalcanti AB, Gama AM, Duarte AC et al. Brazilian recommendations of mechanical ventilation 2013. Part I. Rev Bras Ter Intensiva 2014;26(2):89-121.
https://www.ncbi.nlm.nih.gov/pubmed/25028944
HTML: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2014000200089&lng=en&nrm=iso&tlng=en
PDF: http://www.scielo.br/pdf/rbti/v26n2/en_0103-507X-rbti-26-02-0089.pdf
ePDF: http://www.scielo.br/readcube/epdf.php?doi=10.5935/0103-507X.20140017&pid=S0103-507X2014000200089&pdf_path=rbti/v26n2/en_0103-507X-rbti-26-02-0089.pdf&lang=en
4. Barbas CS, Ísola AM, Farias AM, Cavalcanti AB, Gama AM, Duarte AC et al. Brazilian recommendations of mechanical ventilation 2013. Part 2. Rev Bras Ter Intensiva 2014;26(3):215-39.
https://www.ncbi.nlm.nih.gov/pubmed/25295817
HTML: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2014000300215&lng=en&nrm=iso&tlng=en
PDF: http://www.scielo.br/pdf/rbti/v26n3/en_0103-507X-rbti-26-03-0215.pdf
ePDF: http://www.scielo.br/readcube/epdf.php?doi=10.5935/0103-507X.20140034&pid=S0103-507X2014000300215&pdf_path=rbti/v26n3/en_0103-507X-rbti-26-03-0215.pdf&lang=en
5. Rodríguez A, Alvarez-Rocha L, Sirvent JM, Zaragoza R, Nieto M, Arenzana A, et al. Recommendations of the Infectious Diseases Work Group (GTEI) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) and the Infections in Critically Ill Patients Study Group (GEIPC) of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC) for the diagnosis and treatment of influenza A/H1N1 in seriously ill adults admitted to the Intensive Care Unit. Med Intensiva 2012;36(2):103-37.
https://www.ncbi.nlm.nih.gov/pubmed/22245450
HTML: http://www.medintensiva.org/es/recomendaciones-del-grupo-trabajo-enfermedades/articulo/S0210569111003457/
6. Kacmarek RM, Villar J, Sulemanji D, Montiel R, Ferrando C, Blanco J et al. Open Lung Approach for the Acute Respiratory Distress Syndrome: A Pilot, Randomized Controlled Trial. Crit Care Med 2016;44(1):32-42.
https://www.ncbi.nlm.nih.gov/labs/articles/26672923/
7. Amato MB, Meade MO, Slutsky AS, Brochard L, Costa EL, Schoenfeld DA et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 2015;372(8):747-55.
https://www.ncbi.nlm.nih.gov/pubmed/25693014
HTML: http://www.nejm.org/doi/full/10.1056/NEJMsa1410639
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMsa1410639
8. 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):2159-68.
https://www.ncbi.nlm.nih.gov/pubmed/23688302
HTML: http://www.nejm.org/doi/full/10.1056/NEJMoa1214103
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1214103
9. Young D, Lamb SE, Shah S, MacKenzie I, Tunnicliffe W, Lall R et al. High-frequency oscillation for acute respiratory distress syndrome. N Engl J Med 2013;368(9):806–13.
https://www.ncbi.nlm.nih.gov/pubmed/23339638
HTML: http://www.nejm.org/doi/full/10.1056/NEJMoa1215716
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1215716
10. Ferguson ND, Cook DJ, Guyatt GH, Mehta S, Hand L, Austin P et al. High-frequency oscillation in early acute respiratory distress syndrome. N Engl J Med 2013;368(9):795–805.
https://www.ncbi.nlm.nih.gov/pubmed/23339639
HTML: http://www.nejm.org/doi/full/10.1056/NEJMoa1215554
PDF: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1215554
11. Richard C, Argaud L, Blet A, Boulain T, Contentin L, Dechartres A et al. Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference. Ann Intensive Care 2014;4:15.
https://www.ncbi.nlm.nih.gov/pubmed/24936342
ePub: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4046033/
PDF: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4046033/pdf/2110-5820-4-15.pdf
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2020-09-10
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Monsalve Naharro, J. Ángel. (2020). Ventilación mecánica en pacientes con síndrome de distrés respiratorio agudo. Lo que ya sabíamos. Revista Electrónica AnestesiaR, 10(3), 2. https://doi.org/10.30445/rear.v10i3.686
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