{"id":55,"date":"2009-02-26T18:23:19","date_gmt":"2009-02-26T18:23:19","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pulards\/"},"modified":"2025-05-14T21:01:02","modified_gmt":"2025-05-14T21:01:02","slug":"pulards","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pulards\/","title":{"rendered":"Criterios Diagn\u00f3stico Para S\u00edndrome de Distr\u00e9s Respiratorio del Adulto (SDRA)"},"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 S\u00edndrome de Distr\u00e9s Respiratorio del Adulto (SDRA) es un s\u00edndrome de inflamaci\u00f3n e incremento de la permeabilidad asociado con una constelaci\u00f3n de anormalidades cl\u00ednicas, radiol\u00f3gicas, y fisiol\u00f3gicas inexplicadas por elevaciones en presi\u00f3n auricular izquierda o capilar pulmonar.<!--more--><\/p>\n<p style=\"font-weight: 400;\">Todas las definiciones de este s\u00edndrome incluyen pacientes en quienes se encuentran los siguientes criterios:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Condici\u00f3n asociada identificable<\/li>\n<li>Comienzo agudo<\/li>\n<li>Presi\u00f3n en cu\u00f1a (wedge) de la arteria pulmonar &lt;\/=18 mm Hg o ausencia de evidencia cl\u00ednica de hipertensi\u00f3n auricular izquierda<\/li>\n<li>Infiltrados bilaterales en la radiograf\u00eda de t\u00f3rax<\/li>\n<li>Injuria pulmonar aguda est\u00e1 presente si la relaci\u00f3n Pao<sub>2<\/sub>\/Fio<sub>2<\/sub>\u00a0es &lt;\/= 300<\/li>\n<li>S\u00edndrome de Distr\u00e9s Respiratorio Agudo est\u00e1 presente si la relaci\u00f3n Pao<sub>2<\/sub>\/Fio<sub>2<\/sub>\u00a0es &lt;\/= 200<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">SDRA = s\u00edndrome de distr\u00e9s respiratorio agudo; Pao<sub>2<\/sub>\u00a0= presi\u00f3n parcial arterial de ox\u00edgeno; Fio<sub>2<\/sub>\u00a0= fracci\u00f3n inspirada de ox\u00edgeno.<\/p>\n<p style=\"font-weight: 400;\"><strong>Condiciones Cl\u00ednicas Asociadas con Desarrollo de SDRA<\/strong><\/p>\n<p style=\"font-weight: 400;\">Injuria pulmonar directa<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Neumon\u00eda<\/li>\n<li>Aspiraci\u00f3n de contenido g\u00e1strico<\/li>\n<li>Injuria por inhalaci\u00f3n<\/li>\n<li>Ahogamiento<\/li>\n<li>Contusi\u00f3n pulmonar<\/li>\n<li>Embolia grasa<\/li>\n<li>Edema de reperfusi\u00f3n pulmonar post trasplante pulmonar o embolectom\u00eda pulmonar<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Injuria pulmonar indirecta<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Sepsis<\/li>\n<li>Trauma severo<\/li>\n<li>Pancreatitis aguda<\/li>\n<li>Bypass\u00a0cardiopulmonar<\/li>\n<li>Transfusiones masivas<\/li>\n<li>Sobredosis de drogas<\/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>Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, Legall JR, Morris A, Spragg R. The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994 Mar;149(3 Pt 1):818-24.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7509706\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1334-49.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10793167\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Mortelliti MP, Manning HL. Acute respiratory distress syndrome. Am Fam Physician. 2002 May 1;65(9):1823-30.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12018805\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Abr 24, 2005<\/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 S\u00edndrome de Distr\u00e9s Respiratorio del Adulto (SDRA) es un s\u00edndrome de inflamaci\u00f3n e incremento de la permeabilidad asociado con una constelaci\u00f3n de anormalidades cl\u00ednicas, radiol\u00f3gicas, y fisiol\u00f3gicas inexplicadas por elevaciones en presi\u00f3n auricular izquierda o capilar pulmonar.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","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":[233],"tags":[1835,1834,592,16,15,14,13,589,29,586,585,5,4],"class_list":["post-55","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-adult","tag-adulto","tag-ards","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-distress","tag-pulmonary","tag-respiratorio","tag-respiratory","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/55","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=55"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/55\/revisions"}],"predecessor-version":[{"id":9070,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/55\/revisions\/9070"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=55"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=55"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=55"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}