{"id":2553,"date":"2009-03-02T02:17:00","date_gmt":"2009-03-02T02:17:00","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/infmsof\/"},"modified":"2025-05-14T19:11:27","modified_gmt":"2025-05-14T19:11:27","slug":"infmsof","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/infmsof\/","title":{"rendered":"Criterios Knaus para Insuficiencia M\u00faltiples de \u00d3rganos y Sistemas (MSOF)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p style=\"font-weight: 400;\">El fallo m\u00faltiple de \u00f3rganos y sistemas est\u00e1 presente cuando m\u00e1s de una disfunci\u00f3n sist\u00e9mica es detectada por valores que exceden los umbrales.<!--more--><\/p>\n<p style=\"font-weight: 400;\">\u00a0<strong>Disfunci\u00f3n aguda de \u00f3rganos y sistemas<\/strong><\/p>\n<p style=\"font-weight: 400;\">Fallo respiratorio (presencia de uno o m\u00e1s):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Frecuencia respiratoria &lt;5, &gt;49 (&gt;2 a\u00f1os de edad)<\/li>\n<li>Diferencia alveolo-arterial de O2 &gt;350 mmHg o PaO2\/ Fi02 &lt;200 (sin lesi\u00f3n cardiaca cong\u00e9nita)<\/li>\n<li>Requerimiento de soporte ventilatorio mec\u00e1nico &gt;24 h<\/li>\n<li>PaCO2,<em>\u00a0<\/em>&gt;50 mmHg y pHa &lt;7,25<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Fallo circulatorio (presencia de uno o m\u00e1s):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Frecuencia cardiaca &lt;50\/mm o episodio de taquicardia\/fibrilaci\u00f3n ventricular<\/li>\n<li>Presi\u00f3n arterial sist\u00e9mica media &lt;50 mmHg y (o) presi\u00f3n arterial sist\u00e9mica sist\u00f3lica &lt;60 mmHg<\/li>\n<li>\u00cdndice cardiaco &lt;2 L\/min por metro cuadrado de superficie corporal (comienzo agudo) y (o) pHa &lt;7,25, PaCO2, &lt;35 sin fallo respiratorio<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Fallo renal (presencia de uno o m\u00e1s):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Volumen urinario 9,3 mL\/kg de peso corporal por hora por 8 h<\/li>\n<li>Creatinina s\u00e9rica\u00a0&gt;266 umol\/L<\/li>\n<li>Urea\u00a0nitrogenada\u00a0&gt;1,00 g\/L o urea &gt;0,60 g\/L<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Fallo hep\u00e1tico (presencia de ambos):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Bilirrubina &gt;60 mg\/L o un incremento al doble de la fosfatasa alcalina s\u00e9rica\u00a0<em>y<\/em><\/li>\n<li>Tiempo de protrombina &gt;4 veces sobre el l\u00edmite superior normal o un incremento al doble de la aspartato aminotransferasa s\u00e9rica<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Fallo hematol\u00f3gico (presencia de uno o m\u00e1s):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Leucocitos\u00a0&lt;1500\/mL o &gt;40000\/mL<\/li>\n<li>Plaquetas &lt;20000\/mL o evidencia de coagulaci\u00f3n intravascular diseminada<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Fallo neurol\u00f3gico<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Escala de coma de Glasgow &lt;6 (sin sedaci\u00f3n)<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Sepsis no controlada (presencia de uno o m\u00e1s):<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Hemocultivos positivos a pesar de tratamiento antibi\u00f3tico<\/li>\n<li>Fiebre &gt;39,5 \u00b0C (temperatura rectal) por &gt;24 h o en picos en 3 d\u00edas sucesivos<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Knaus WA, Draper EA, Wagner DP, Zimmerman JE. Prognosis in acute organ-system failure. Ann Surg. 1985 Dec;202(6):685-93. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/4073980\/\">[Medline]<\/a><\/li>\n<li>Marsh HM. Metabolic integrity of specific organ systems. Clin Chem. 1990 Aug;36(8 Pt 2):1547-51. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2387065\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Ene 30, 2007<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El fallo m\u00faltiple de \u00f3rganos y sistemas est\u00e1 presente cuando m\u00e1s de una disfunci\u00f3n sist\u00e9mica es detectada por valores que exceden los umbrales.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[16,15,674,901,1344,1691,1690,1689,469,1374,507,1375],"class_list":["post-2553","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-criteria","tag-criterios","tag-failure","tag-fallo","tag-infectious","tag-knaus","tag-msof","tag-multiorganico","tag-multiple","tag-organ","tag-system","tag-uti"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2553"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2553\/revisions"}],"predecessor-version":[{"id":9446,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2553\/revisions\/9446"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}