{"id":2038,"date":"2013-01-06T21:30:00","date_gmt":"2013-01-07T03:30:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/01\/06\/indice-de-severidad-de-dano-pulmonar"},"modified":"2013-01-06T21:30:00","modified_gmt":"2013-01-07T03:30:00","slug":"indice-de-severidad-de-dano-pulmonar","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=2038","title":{"rendered":"Indice de severidad de da\u00f1o pulmonar."},"content":{"rendered":"\n\n\n\n\n\n\n\n\n\n\n\n\n
\n
\u00a0<\/span><\/div>\n<\/td>\n
<\/td>\n\n
Valor<\/span><\/b><\/div>\n<\/td>\n
\n
Puntaje<\/span><\/b><\/div>\n<\/td>\n<\/tr>\n
\n
1. Radiolog\u00eda de torax<\/span><\/b><\/div>\n<\/td>\n
<\/td>\n<\/td>\n<\/tr>\n
\n
Normal<\/span><\/div>\n
Consolidaci\u00f3n alveolar, un cuadrante.<\/span><\/div>\n
Consolidaci\u00f3n alveolar, dos cuadrantes<\/span><\/div>\n
Consolidaci\u00f3n alveolar, tress cuadrantes<\/span><\/div>\n
Consolidaci\u00f3n alveolar, total<\/span><\/div>\n<\/td>\n
<\/td>\n\n
0<\/span><\/div>\n
1<\/span><\/div>\n
2<\/span><\/div>\n
3<\/span><\/div>\n
4<\/span><\/div>\n<\/td>\n<\/tr>\n
\n
2. Relaci\u00f3n de kirby (paO2\/FIO2x100)<\/span><\/b><\/div>\n<\/td>\n
<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n\n
> 300<\/span><\/div>\n
225 \u2013 299<\/span><\/div>\n
175 \u2013 224<\/span><\/div>\n
100 \u2013 174<\/span><\/div>\n
<100<\/span><\/div>\n<\/td>\n
\n
0<\/span><\/div>\n
1<\/span><\/div>\n
2<\/span><\/div>\n
3<\/span><\/div>\n
4<\/span><\/div>\n<\/td>\n<\/tr>\n
\n
3. Distensibilidad en ventilador (compliance)<\/span><\/b><\/div>\n<\/td>\n
<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n\n
> 80 ml\/cmH2O<\/span><\/div>\n
60 \u2013 79<\/span><\/div>\n
40 \u2013 59<\/span><\/div>\n
20 \u2013 39<\/span><\/div>\n
< 19<\/span><\/div>\n<\/td>\n
\n
0<\/span><\/div>\n
1<\/span><\/div>\n
2<\/span><\/div>\n
3<\/span><\/div>\n
4<\/span><\/div>\n<\/td>\n<\/tr>\n
\n
4. Nivel de PEEP<\/span><\/b><\/div>\n<\/td>\n
<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n\n
< 5 cmH2O<\/span><\/div>\n
6 \u2013 8<\/span><\/div>\n
9 \u2013 11<\/span><\/div>\n
> 11<\/span><\/div>\n<\/td>\n
\n
0<\/span><\/div>\n
1<\/span><\/div>\n
2<\/span><\/div>\n
3<\/span><\/div>\n<\/td>\n<\/tr>\n
\n
El valor se obtiene dividiendo la suma entre el n\u00famero de componentes y se clasifica en:<\/span><\/div>\n<\/td>\n<\/tr>\n
\n
Falta de lesi\u00f3n pulmonar<\/span><\/div>\n
Lesi\u00f3n leve o moderada<\/span><\/div>\n
Lesi\u00f3n severa (SIRPA)<\/span><\/div>\n<\/td>\n
\n
0<\/span><\/div>\n
0.1\u00a0\u00a0 <\/span><\/span>– 2.5<\/span><\/div>\n
> 2.5<\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
Fuente: Wiener \u2013 Kronish J.P. Brti. J. Anaesth. <\/span>1990; 65:107.<\/span><\/div>\n

 <\/p>\n

\"\"<\/div>\n","protected":false},"excerpt":{"rendered":"

\u00a0 Valor Puntaje 1. Radiolog\u00eda de torax Normal Consolidaci\u00f3n alveolar, un cuadrante. Consolidaci\u00f3n alveolar, dos cuadrantes Consolidaci\u00f3n alveolar, tress cuadrantes Consolidaci\u00f3n alveolar, total 0 1 2 3 4 2. Relaci\u00f3n de kirby (paO2\/FIO2x100) > 300 225 \u2013 299 175 \u2013 224 100 \u2013 174 <100 0 1 2 3 4 3. Distensibilidad en ventilador (compliance) … Continue reading “Indice de severidad de da\u00f1o pulmonar.”<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-2038","post","type-post","status-publish","format-standard","hentry","category-neumologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/2038","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2038"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/2038\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2038"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2038"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2038"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}