{"id":1986,"date":"2010-02-10T20:33:00","date_gmt":"2010-02-11T02:33:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/02\/10\/criterios-de-tran-y-cuesta-segun-la-insuficiencia-de-sistemas-organicos"},"modified":"2010-02-10T20:33:00","modified_gmt":"2010-02-11T02:33:00","slug":"criterios-de-tran-y-cuesta-segun-la-insuficiencia-de-sistemas-organicos","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=1986","title":{"rendered":"Criterios de TRAN y CUESTA seg\u00fan la insuficiencia de sistemas org\u00e1nicos."},"content":{"rendered":"<h5>\u00a0<\/h5>\n<table border=\"1\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td>\n<p>1. Cardiovascular:\u00a0 <br \/>\u00a0 1.1.\u00a0 Presi\u00f3n arterial media menor o igual a 50 mm Hg \u00f3\u00a0 <br \/>\u00a0 1.2.\u00a0 Necesidad de carga de volumen o de f\u00e1rmacos vasoactivos para mantener la presi\u00f3n arterial sist\u00f3lica mayor de 100 mm Hg \u00f3\u00a0 <br \/>\u00a0 1.3. Frecuencia cardiaca menor o igual a 50 latidos por minuto \u00f3\u00a0 <br \/>\u00a0 1.4. Taquicardia\/ fibrilaci\u00f3n ventricular o paro cardiaco o IAM.             <br \/>2.\u00a0 Pulmonar:\u00a0 <br \/>\u00a0 2.1.Frecuencia respiratoria menor o igual a 5 rpm o mayor o igual a 50 rpm \u00f3             <br \/>\u00a0 2.2.\u00a0 Ventilaci\u00f3n mec\u00e1nica por 3 o m\u00e1s d\u00edas \u00f3\u00a0 <br \/>\u00a0 2.3.\u00a0 FiO2 &gt;0.4 y PEEP &gt;5 mm Hg.             <br \/>3.\u00a0 Renal:\u00a0 <br \/>\u00a0 3.1.\u00a0 Creatinina s\u00e9rica mayor o igual a 3,5 mg\/dl \u00f3             <br \/>\u00a0 3.2.\u00a0 Di\u00e1lisis o ultrafiltraci\u00f3n.             <br \/>4.\u00a0 Neurol\u00f3gico:\u00a0 <br \/> 4.1.\u00a0 Escala de coma de Glasgow menor o igual a 6 (en ausencia de sedaci\u00f3n).             <br \/>5.\u00a0 Hematol\u00f3gico:\u00a0 <br \/>\u00a0 5.1.\u00a0 Hematocrito menor o igual a 20% \u00f3\u00a0 <br \/>\u00a0 5.2.\u00a0 Recuento de leucocitos menor o igual a 300\/mm3 \u00f3\u00a0 <br \/>\u00a0 5.3.\u00a0 Recuento de plaquetas menor o igual a 50.000\/mm3 \u00f3\u00a0 <br \/>\u00a0 5.4.\u00a0 Coagulaci\u00f3n intravascular diseminada.             <br \/>6.\u00a0 Hep\u00e1tico:\u00a0 <br \/>\u00a0 6.1.\u00a0 Bilirrubina total mayor o igual a 3 mg\/dl en ausencia de hem\u00f3lisis \u00f3             <br \/>\u00a0 6.2.\u00a0 GPT mayor de 100 U\/l.             <br \/>7.\u00a0 Gastrointestinal:\u00a0 <br \/>\u00a0 7.1.\u00a0 \u00dalceras por estr\u00e9s que necesitan transfusi\u00f3n de m\u00e1s de 2 unidades de sangre por 24 horas \u00f3\u00a0 <br \/>\u00a0 7.2.\u00a0 Colecistitis acalculosa \u00f3\u00a0 <br \/>\u00a0 7.3.\u00a0 Enterocolitis necrosante \u00f3\u00a0 <br \/>\u00a0 7.4.\u00a0 Perforaci\u00f3n intenstinal.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>IAM:<\/b> infarto agudo de miocardio; <b>FiO2:<\/b> fracci\u00f3n inspirada de O2; <b>PEEP: <\/b>presi\u00f3n espiratoria final positiva; <b>GPT:<\/b> transaminasa glut\u00e1mico-pir\u00favica.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Fuente: Tran DD, Cuesta MA. Evaluation of severity in patients with acute pancreatitis. Am J Gastroenterol. 1992; 87: 604- 608.<\/p>\n<div class=\"blogger-post-footer\"><img width='1' height='1' src='https:\/\/blogger.googleusercontent.com\/tracker\/3335219593278186444-5177806111221760341?l=www.medinterna.com.mx' alt='' \/><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 1. Cardiovascular:\u00a0 \u00a0 1.1.\u00a0 Presi\u00f3n arterial media menor o igual a 50 mm Hg \u00f3\u00a0 \u00a0 1.2.\u00a0 Necesidad de carga de volumen o de f\u00e1rmacos vasoactivos para mantener la presi\u00f3n arterial sist\u00f3lica mayor de 100 mm Hg \u00f3\u00a0 \u00a0 1.3. Frecuencia cardiaca menor o igual a 50 latidos por minuto \u00f3\u00a0 \u00a0 1.4. Taquicardia\/ &hellip; <a href=\"https:\/\/medicinainterna.com.mx\/?p=1986\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Criterios de TRAN y CUESTA seg\u00fan la insuficiencia de sistemas org\u00e1nicos.&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-1986","post","type-post","status-publish","format-standard","hentry","category-terapia-intensiva"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1986","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1986"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1986\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}