Manejo de la exacerbación aguda severa de EPOC

Eder Cáceres, MD., Rubén Duenas, MD., Marcela Poveda, MD., Ricardo Buitrago, MD.

Resumen


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.


Palabras clave


enfermedad pulmonar obstructiva crónica; exacerbación aguda; ventilación mecánica no invasiva; CPAP; falla respiratoria

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Referencias


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DOI: http://dx.doi.org/10.30789/rcneumologia.v23.n2.2011.179

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