Manejo de la exacerbación aguda severa de EPOC
Management of severe acute exacerbations of COPD.
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La EAEPOC (Exacerbación Aguda de Enfermedad pulmonar Obstructiva Crónica) es un motivo de consulta frecuente en los servicios de urgencias y cuando es severa usualmente requiere el manejo en una unidad de cuidados intermedios o intensivos donde se garantice un adecuado monitoreo del paciente y la provisión de asistencia ventilatoria. Se realizó una revisión de la literatura acerca de la evaluación, manejo y seguimiento de la EAEPOC severa haciendo énfasis en los fundamentos e indicaciones de la VMNI y en la evaluación del paciente una vez se ha instaurado esta terapia la cual es en la actualidad la primera opción en pacientes con EAEPOC en inminencia de o en falla ventilatoria hipercápnica y ha mostrado beneficios significativos en la recuperación y supervivencia. Es importante junto a la evaluación clínica la toma de gases arteriales en estos pacientes que permitirán un enfoque inicial y servirán posteriormente como guía en la toma oportuna de decisiones.
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