Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual

Bedside evaluation of pulmonary mechanics and thoracic computed axial tomography have changed the ventilatory management of patients suffering an acute respiratory failure caused by adult respiratory distress syndrome (ARDS). Mortality has been reduced limiting tidal volumes, which avoids alveolar o...

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Autores principales:	Tomicic F,Vinko, Andresen M,Max, Romero P,Carlos, Mercado F,Marcelo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Hemodynamics Positive-Pressure Respiration Respiratory insufficiency
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200013
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spelling	oai:scielo:S0034-988720020012000132003-02-05Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actualTomicic F,VinkoAndresen M,MaxRomero P,CarlosMercado F,Marcelo Hemodynamics Positive-Pressure Respiration Respiratory insufficiency Bedside evaluation of pulmonary mechanics and thoracic computed axial tomography have changed the ventilatory management of patients suffering an acute respiratory failure caused by adult respiratory distress syndrome (ARDS). Mortality has been reduced limiting tidal volumes, which avoids alveolar overdistention and by the use of positive end expiratory pressure (PEEP), that reduces the damage caused by cyclical alveolar collapse-reopening. Nowadays, it is well known that inappropriate mechanical ventilation enhances lung damage caused by the underlying disease. However, the optimal adjustment of PEEP is not yet established. Usually, it is not easy to achieve an equilibrium between an optimal lung recruitment without producing alveolar overdistention and hemodynamic adverse effects such as hypotension and reduction of cardiac output. This paper reviews the interactions between heart and lung (Rev Méd Chile 2002; 130: 1419-30)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.12 20022002-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200013es10.4067/S0034-98872002001200013
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hemodynamics Positive-Pressure Respiration Respiratory insufficiency
spellingShingle	Hemodynamics Positive-Pressure Respiration Respiratory insufficiency Tomicic F,Vinko Andresen M,Max Romero P,Carlos Mercado F,Marcelo Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual
description	Bedside evaluation of pulmonary mechanics and thoracic computed axial tomography have changed the ventilatory management of patients suffering an acute respiratory failure caused by adult respiratory distress syndrome (ARDS). Mortality has been reduced limiting tidal volumes, which avoids alveolar overdistention and by the use of positive end expiratory pressure (PEEP), that reduces the damage caused by cyclical alveolar collapse-reopening. Nowadays, it is well known that inappropriate mechanical ventilation enhances lung damage caused by the underlying disease. However, the optimal adjustment of PEEP is not yet established. Usually, it is not easy to achieve an equilibrium between an optimal lung recruitment without producing alveolar overdistention and hemodynamic adverse effects such as hypotension and reduction of cardiac output. This paper reviews the interactions between heart and lung (Rev Méd Chile 2002; 130: 1419-30)
author	Tomicic F,Vinko Andresen M,Max Romero P,Carlos Mercado F,Marcelo
author_facet	Tomicic F,Vinko Andresen M,Max Romero P,Carlos Mercado F,Marcelo
author_sort	Tomicic F,Vinko
title	Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual
title_short	Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual
title_full	Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual
title_fullStr	Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual
title_full_unstemmed	Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual
title_sort	impacto hemodinámico de la presión positiva de fin de espiración (peep) durante la falla respiratoria grave: visión actual
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200013
work_keys_str_mv	AT tomicicfvinko impactohemodinamicodelapresionpositivadefindeespiracionpeepdurantelafallarespiratoriagravevisionactual AT andresenmmax impactohemodinamicodelapresionpositivadefindeespiracionpeepdurantelafallarespiratoriagravevisionactual AT romeropcarlos impactohemodinamicodelapresionpositivadefindeespiracionpeepdurantelafallarespiratoriagravevisionactual AT mercadofmarcelo impactohemodinamicodelapresionpositivadefindeespiracionpeepdurantelafallarespiratoriagravevisionactual
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Impacto hemodinámico de la presión positiva de fin de espiración (PEEP) durante la falla respiratoria grave: visión actual

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