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Compromiso neurológico y síndrome de dificultad respiratoria aguda en el adulto

Compromiso neurológico y síndrome de dificultad respiratoria aguda en el adulto




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Compromiso neurológico y síndrome de dificultad respiratoria aguda en el adulto.
rev. colomb. neumol. [Internet]. 2004 Jun. 1 [cited 2024 Dec. 22];16(2):138-44. Disponible en: https://doi.org/10.30789/rcneumologia.v16.n2.2004.1075

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Jorge Restrepo

    Jorge Restrepo,

    Neurólogo clínico. Unidad Neurología Hospital Santa Clara. Docente Universidad El Bosque - Universidad de La Sabana.


    Las complicaciones neurológicas en la Unidad de Cuidado Intensivo (UCI) han sido motivo de controversia y análisis ya que como es bien sabido, dictamina un pobre pronóstico de recuperación para el paciente; en la evaluación de la llamada disfunción multiorgánica, el término “falla cerebral” puede ser extraño pero, en la práctica el intensivista sabrá que cuando se presente será devastador para el paciente.

    En el análisis de 100 pacientes que ingresan a una UCI de tipo médico, el 23% tendrá una causa neurológica y el 67% restante su indicación será médica no cardíaca, de los cuales la tercera parte desarrollará una complicación neurológica; así mismo al comparar la mortalidad, el 59% de los pacientes con dicha complicación fallecieron, comparado con el 20% de los pacientes que no la tuvieron.


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