{"id":3157,"date":"2010-02-10T20:34:00","date_gmt":"2010-02-11T02:34:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/02\/10\/criterios-de-goris-del-fracaso-organico-2"},"modified":"2010-02-10T20:34:00","modified_gmt":"2010-02-11T02:34:00","slug":"criterios-de-goris-del-fracaso-organico-2","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=3157","title":{"rendered":"Criterios de Goris del fracaso org\u00e1nico."},"content":{"rendered":"\n\n\n\n\n\n\n\n\n\n\n
\n

FRACASO ORG\u00c1NICO<\/b><\/p>\n<\/td>\n

\n

PUNTUACI\u00d3N<\/b><\/p>\n<\/td>\n<\/tr>\n

\n

Fracaso respiratorio\u00a0
\u00a0 No ventilaci\u00f3n mec\u00e1nica\u00a0
\u00a0 Ventilaci\u00f3n mec\u00e1nica, PEEP <11, FiO2 <0,5\u00a0
\u00a0 Ventilaci\u00f3n mec\u00e1nica, PEEP >10, FiO2 >0,4 <\/p>\n<\/td>\n

\n

0
1
2<\/p>\n<\/td>\n<\/tr>\n

\n

Fracaso card\u00edaco\u00a0
\u00a0 TA normal, no drogas vasoactivas.\u00a0
\u00a0 TAS >100 mm Hg, carga de volumen, dopamina hasta 10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mcg\/Kg\/min o nitroglicerina hasta 20 mcg\/min\u00a0
\u00a0 TAS 10 mcg\/Kg\/min o nitroglicerina >20 mcg\/min <\/p>\n<\/td>\n

\n

0 <\/p>\n

1 <\/p>\n

2<\/p>\n<\/td>\n<\/tr>\n

\n

Fracaso renal\u00a0
\u00a0 Creatinina s\u00e9rica <2 mg\/dl\u00a0
\u00a0 Creatinina s\u00e9rica >2 mg\/dl\u00a0
\u00a0 Necesidad de depuraci\u00f3n extrarrenal <\/p>\n<\/td>\n

\n

0
1
2<\/p>\n<\/td>\n<\/tr>\n

\n

Fracaso hep\u00e1tico\u00a0
\u00a0 GOT <25 U\/l y bilirrubina <2 mg\/dl\u00a0
\u00a0 GOT 25-50 U\/l y bilirrubina\u00a0 2-6 mg\/dl\u00a0
\u00a0 GOT >50 U\/l y bilirrubina >6 mg\/dl <\/p>\n<\/td>\n

\n

0
1
2<\/p>\n<\/td>\n<\/tr>\n

\n

Fracaso hematol\u00f3gico\u00a0
\u00a0 Recuento normal de leucocitos y plaquetas\u00a0
\u00a0 Plaquetas <50×106<\/sup>\/l y leucocitos <60×106<\/sup>\/l\u00a0
\u00a0 Di\u00e1tesis hemorr\u00e1gica y leucocitos <2,5×106<\/sup>\/l o >60×106<\/sup>\/l <\/p>\n<\/td>\n

\n

0
1
2<\/p>\n<\/td>\n<\/tr>\n

\n

Fracaso gastro-intestinal\u00a0
\u00a0 Funcionamiento normal\u00a0
\u00a0 Colecistitis acalculosa o \u00falcera de estr\u00e9s\u00a0
\u00a0 HDA por \u00falcera de estr\u00e9s (transfusi\u00f3n >2 unidades hemat\u00edes) o enterocolitis necrotizante o pancreatitis o perforaci\u00f3n espont\u00e1nea de ves\u00edcula biliar <\/p>\n<\/td>\n

\n

0
1 <\/p>\n

2<\/p>\n<\/td>\n<\/tr>\n

\n

Fracaso SNC\u00a0
\u00a0 Normal\u00a0
\u00a0 Disminuci\u00f3n clara de respuesta\u00a0
\u00a0 Alteraci\u00f3n grave de la respuesta y\/o neuropat\u00eda difusa <\/p>\n<\/td>\n

\n

0
1
2<\/p>\n<\/td>\n<\/tr>\n

\n

No presente\/ligero:<\/b> 0; moderado:<\/b> 1; grave:<\/b> 2.
PEEP: <\/b>presi\u00f3n espiratoria final positiva; FiO2: <\/b>fracci\u00f3n inspirada de O2; TAS:<\/b> presi\u00f3n arterial sist\u00f3lica; GOT:<\/b> transaminasa glut\u00e1mico-oxalac\u00e9tica; HDA:<\/b> hemorragia digestiva alta; SNC: <\/b>sistema nervioso central.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Goris RJA, te Boeckhorst TPA, Nuytinck JKS, Gimbrere JS: Multiple organ failure: generalized autodestructive inflamation? Arch Surg 1985;120:1109-1115.<\/p>\n","protected":false},"excerpt":{"rendered":"

FRACASO ORG\u00c1NICO PUNTUACI\u00d3N Fracaso respiratorio\u00a0 \u00a0 No ventilaci\u00f3n mec\u00e1nica\u00a0 \u00a0 Ventilaci\u00f3n mec\u00e1nica, PEEP <11, FiO2 <0,5\u00a0 \u00a0 Ventilaci\u00f3n mec\u00e1nica, PEEP >10, FiO2 >0,4 0 1 2 Fracaso card\u00edaco\u00a0 \u00a0 TA normal, no drogas vasoactivas.\u00a0 \u00a0 TAS >100 mm Hg, carga de volumen, dopamina hasta 10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mcg\/Kg\/min o nitroglicerina hasta 20 mcg\/min\u00a0 \u00a0 TAS 10 mcg\/Kg\/min … Continue reading “Criterios de Goris del fracaso org\u00e1nico.”<\/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-3157","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\/3157","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=3157"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/3157\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}