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11814976
SDRA
Description
Pneumo
No tags specified
suseme
Mind Map by
Rita Luiz
, updated more than 1 year ago
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Created by
Rita Luiz
over 6 years ago
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Resource summary
SDRA
Edema pulmonar inflamatório de início rápido
Fisiopatologia
Fase Exsudativa 7 dias
DAD c/ edema e atelectasia
Shunt intrapulmonar
Aumento do trabalho resp.
Dispneia
PaO2 < 60
Etiologia
C hoque/CID
A spiração de conteúdo gástrico
S epse/Sangue
P ancreatite/neumonia
A fogamento
Drogas
Colchicina
Heroína
Aspirina
Diagnóstico
AECC
P/F < 200
S/ componente cardiogênico para edema pulmonar: POAP <18
Definição de Berlim
Manejo
Correção causa base
Estratégia Ventilatória Protetora
Baixo volume corrente: 6 ml/kg(ideal)
+ eficaz na redução de mortalidade !!!
Aumentar FR
Ps de Platô Insp. </= 30
Evita Barotrauma !!!
PEEP elevada
Evita colapso e melhora hipoxemia !!!
Aumento escalonado 》recrutamento alveolar
FIO2 < 60% (preferencia)
OBJ: evitar Distensão e colapso CONSEQ: hipercapnia permissiva
Terapias Adjuvantes
Pronação: P/F <150
Corticóide: Pneumonia Eosinofilica Aguda
ECMO: P/F < 80
!!! Não hiperhidratar !!!
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