Manejo del Síndrome de Distrés Respiratorio Agudo (SDRA). ¿Qué hay de nuevo?
DOI:
https://doi.org/10.30445/rear.v12i8.848Palabras clave:
Síndrome de distrés respiratorio agudo, SDRA, guías de práctica clínicaResumen
El síndrome de Distrés respiratorio es una enfermedad pulmonar aguda y difusa que produce hipoxemia, disminución de la compliance pulmonar y aumento del espacio muerto. Existe disparidad de opiniones sobre el manejo de esta patología, por lo que es necesario disponer de guías de práctica clínica donde se organicen las estrategias de tratamiento de acuerdo a la mejor evidencia científica. En esta guía se proponen quince recomendaciones y un algoritmo terapéutico sobre el manejo del síndrome de Distrés respiratorio agudo.
Citas
- De Luis Cabezón N, Sánchez Castro I, Bengoetxea Uriarte UX, Rodrigo Casanova MP, García Peña JM, Aguilera Celorrio L. Síndrome de Distrés respiratorio agudo: revisión a propósito de la definición de Berlin. Rev Esp Anestesiol Reanim. 2014;61(6):319-327.
- Bellani G, Laffey JG, Pham T, Fan E, Brochard L, Esteban A, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA. 2016;315(8): 788-800. (
- Fan E, Del Sorbo L, Goligher EC, Hodgson CL, Munshi L, Walkey AJ, et al. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med 2017;195(9):1253-1263.
- Chen L, Chen GQ, Shore K, Shklar O, Martins C, Devenyi B, et al. Implementing a bedside assessment of respiratory mechanics in patients with acute respiratory distress syndrome. Crit Care. 2017;21(1):84.
- The Acute Respiratory Distress Syndrome Network. 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;342:1301-8.
-Zee and Gommers. Recruitment Maneuvers and Higher PEEP, the So-called open Lung Concept, in patients with ARDS. Critical Care 2019;23:73.
- Jabaudon M, Godet T, Futier E, Bazin JE, Sapin V, Roszyk L, et al. Rationale, study design and analysis plan of the lung imaging morphology for ventilator settings in acute respiratory distress syndrome study (LIVE study): study protocol for a randomised controlled trial. Anaesth Crit Care Pain Med. 2017;36(5):301-6.
- Aoyama H, Pettenuzzo T, Aoyama K, Pinto R, Englesakis M, et al. Association of Driving Pressure With Mortality Among Ventilated Patients With Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis. Crit Care Med. 2018;46(2):300-306.
- Guerin C, Reignier J, Richard JC, Beuret P, Gascouin A, Boulain T et al. Prone Positioning in Severe Acute Respiratory Distress Syndrome. N Engl J Med 2013;368(23):2159-68.
- 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.
- Papazian L, Forel JM, Gacouin A, Penot-Ragon C, Perrin G , Loundou A, et al. Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome. N Engl J Med. 2010;363(12):1107-15.
- Monsalve-Naharro JA, Domingo-Chiva E, Garcia Castillo S, Cuesta-Montero P, Jiménez-Vizuete JM. Inhaled nitric oxide in adult patients with acute respiratory distress síndrome. Farm Hosp. 2017;41(2):292-312.
- Bellani G, Laffey JG, Pham T, Fan E, Brochard L, Esteban A, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA. 2016;315(8): 788-800. (
- Fan E, Del Sorbo L, Goligher EC, Hodgson CL, Munshi L, Walkey AJ, et al. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med 2017;195(9):1253-1263.
- Chen L, Chen GQ, Shore K, Shklar O, Martins C, Devenyi B, et al. Implementing a bedside assessment of respiratory mechanics in patients with acute respiratory distress syndrome. Crit Care. 2017;21(1):84.
- The Acute Respiratory Distress Syndrome Network. 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;342:1301-8.
-Zee and Gommers. Recruitment Maneuvers and Higher PEEP, the So-called open Lung Concept, in patients with ARDS. Critical Care 2019;23:73.
- Jabaudon M, Godet T, Futier E, Bazin JE, Sapin V, Roszyk L, et al. Rationale, study design and analysis plan of the lung imaging morphology for ventilator settings in acute respiratory distress syndrome study (LIVE study): study protocol for a randomised controlled trial. Anaesth Crit Care Pain Med. 2017;36(5):301-6.
- Aoyama H, Pettenuzzo T, Aoyama K, Pinto R, Englesakis M, et al. Association of Driving Pressure With Mortality Among Ventilated Patients With Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis. Crit Care Med. 2018;46(2):300-306.
- Guerin C, Reignier J, Richard JC, Beuret P, Gascouin A, Boulain T et al. Prone Positioning in Severe Acute Respiratory Distress Syndrome. N Engl J Med 2013;368(23):2159-68.
- 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.
- Papazian L, Forel JM, Gacouin A, Penot-Ragon C, Perrin G , Loundou A, et al. Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome. N Engl J Med. 2010;363(12):1107-15.
- Monsalve-Naharro JA, Domingo-Chiva E, Garcia Castillo S, Cuesta-Montero P, Jiménez-Vizuete JM. Inhaled nitric oxide in adult patients with acute respiratory distress síndrome. Farm Hosp. 2017;41(2):292-312.
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2020-09-10
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López Herrero, R., Sánchez Quirós, B., & Lorenzo López, M. (2020). Manejo del Síndrome de Distrés Respiratorio Agudo (SDRA). ¿Qué hay de nuevo?. Revista Electrónica AnestesiaR, 12(8), 3. https://doi.org/10.30445/rear.v12i8.848
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