Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Fisiopatología Del Shock Séptico
Fisiopatología Del Shock Séptico
ISSN: 0210-5691
Sociedad Española
de Medicina Intensiva, Crítica
y Unidades Coronarias
Federación Panamericana
e Ibérica de Sociedades
medicina intensiva
de Medicina Crítica Incluida en:
y Terapia Intensiva Index Medicus/MEDLINE
www.medintensiva.org
Debates en Medicina Intensiva:
Empleo de Descontaminación Imágenes en Medicina Intensiva
Digestiva Selectiva
Embolia aérea pulmonar como complicación
Pro descontaminación selectiva de punción venosa central
M. Sánchez García J. Bayón, M. Martín e I. Lozano
325 360
Actividad acreditada
en base a la encomienda de gestión concedida por los Ministerios
de Educación, Cultura y Deporte y de Sanidad y Consumo
ciales de Médicos con
2,1 créditos equivalentes a 10 horas lectivas. COMISIÓN
DE FORMACIÓN
www.elsevier.es/medintensiva www.formacion.elsevier.es/medicinaintensiva CONTINUADA DEL SNS
5(68&,7$&,Ð1'(/3$&,(17(&216(36,6<SHOCK6e37,&2
a
Servicio de Medicina Intensiva, Hospital Universitario Vall d’Hebron, Barcelona, España
Grupo de Investigación Sepsis Organ Dysfunction and Resuscitation (SODIR), Vall d’Hebron Institut de Recerca (VHIR),
b
$XWRUSDUDFRUUHVSRQGHQFLD
Correo electrónico:UIHUUHU#YKHEURQQHW5)HUUHU
https://doi.org/ 10.1016/j.medin.2022.03.017
0210-5691/ © 2022 Elsevier España, S.L.U. y SEMICYUC. Todos los derechos reservados.
Descargado para Ronald Eduardo Lozano Acosta (loacro@yahoo.com) en Cayetano Heredia Pervuvian University de ClinicalKey.es por Elsevier en julio 06,
2022. Para uso personal exclusivamente. No se permiten otros usos sin autorización. Copyright ©2022. Elsevier Inc. Todos los derechos reservados.
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Descargado para Ronald Eduardo Lozano Acosta (loacro@yahoo.com) en Cayetano Heredia Pervuvian University de ClinicalKey.es por Elsevier en julio 06,
2022. Para uso personal exclusivamente. No se permiten otros usos sin autorización. Copyright ©2022. Elsevier Inc. Todos los derechos reservados.
Medicina Intensiva 46S1 (2022):1-13 3
Tabla 1 3ULQFLSDOHVPHGLDGRUHVLQÁDPDWRULRVHQODVHSVLV
Descargado para Ronald Eduardo Lozano Acosta (loacro@yahoo.com) en Cayetano Heredia Pervuvian University de ClinicalKey.es por Elsevier en julio 06,
2022. Para uso personal exclusivamente. No se permiten otros usos sin autorización. Copyright ©2022. Elsevier Inc. Todos los derechos reservados.
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Tabla 1 3ULQFLSDOHVPHGLDGRUHVLQÁDPDWRULRVHQODVHSVLV(cont.)
IL-10 $QWLLQÁDPDWRULD /LQIRFLWRV7OLQIRFLWRV% ,QKLEHODVtQWHVLVGHFLWRFLQDVUDGLFDOHVOLEUHV\12OD
PRQRFLWRV\PDFUyIDJRV H[SUHVLyQGH0+&FODVH,,ODSUROLIHUDFLyQGHOLQIRFLWRV7
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péptida ADM.(O$'0 HIHFWRVGHO$'0VRQODHVWLPXODFLyQGHOFUHFLPLHQWRGH
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Descargado para Ronald Eduardo Lozano Acosta (loacro@yahoo.com) en Cayetano Heredia Pervuvian University de ClinicalKey.es por Elsevier en julio 06,
2022. Para uso personal exclusivamente. No se permiten otros usos sin autorización. Copyright ©2022. Elsevier Inc. Todos los derechos reservados.
Medicina Intensiva 46S1 (2022):1-13 5
Tabla 1 3ULQFLSDOHVPHGLDGRUHVLQÁDPDWRULRVHQODVHSVLV(cont.)
Ð[LGRQtWULFR 9DVRGLODWDGRU (QGRWHOLRYDVFXODU6H (O12DOLQKLELUODDGKHVLyQSODTXHWDULDDOHQGRWHOLR
FRDJXORSDWtD VLQWHWL]DDSDUWLUGHO YDVFXODUGDxDGRFRQWULEX\HDHYLWDUHOSDVRLQLFLDOTXHOOHYD
QLWUyJHQRGHODJXDQLGLQD DODDFWLYDFLyQ\FRQHOORODDJUHJDFLyQROLEHUDFLyQ
WHUPLQDOGHODPLQRiFLGR SODTXHWDULD8QDSURGXFFLyQH[FHVLYDGH12FDXVDOD
/DUJLQLQDSRUODDFFLyQ UHODMDFLyQGHODVDUWHULDV\XQDSUHVLyQVDQJXtQHD
GHXQD12VLQWHWDVD H[FHVLYDPHQWHEDMD
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de tipos de HVHQFLDOHVSRUODDFFLyQ FRUWLFDOUHQDOHOFRQVLJXLHQWHDXPHQWRGHOYROXPHQ
SURVWDJODQGLQDV GHGLIHUHQWHVHQ]LPDV LQWUDFHOXODU\GLVPLQXFLyQGHODUHVLVWHQFLDSHULIpULFD
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de Pseudomonas FDUGLDFR\GLVPLQX\HODVUHVLVWHQFLDVYDVFXODUHVVLVWpPLFDV
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\DQWtJHQRVULFNHWWVLDOHV GH12$GHPiVDFWLYDORVPDFUyIDJRVLQGXFLHQGRODVtQWHVLV
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GHODFDVFDGDGHODFRDJXODFLyQ18 (ÀJXUD'HKHFKRORV SRUFLyQGHODVFpOXODV7UHJXODGRUDVHOLQFUHPHQWRHQOD
SDFLHQWHVVpSWLFRVFRQXQDHYROXFLyQFOtQLFDGHVIDYRUDEOH H[SUHVLyQGHODSURWHtQDprogrammed cell death protein-1
SUHVHQWDQXQDXPHQWRGHODVUHGHVGHQHXWUyÀORWLVXODU19 3'KLSRJDPPDJOREXOLQHPLDKLSHUFLWRFLQHPLDGLVIXQ-
(OVLVWHPDGHOFRPSOHPHQWRWDPELpQHVWiLPSOLFDGRHQOD FLyQGHOVLVWHPDGHFRPSOHPHQWR\HOLPSRUWDQWHSDSHOGH
ÀVLRSDWRORJtDGHODVHSVLV7DQWRODIUDFFLyQD&DFRPR ODVUHGHVH[WUDFHOXODUHVGHQHXWUyÀORHQHOGHVDUUROORGHOD
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Descargado para Ronald Eduardo Lozano Acosta (loacro@yahoo.com) en Cayetano Heredia Pervuvian University de ClinicalKey.es por Elsevier en julio 06,
2022. Para uso personal exclusivamente. No se permiten otros usos sin autorización. Copyright ©2022. Elsevier Inc. Todos los derechos reservados.
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WHOLRVHSURGXFHDWUDYpVGHORVVLVWHPDVDQWLFRDJXODQWHVÀ-
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\EORTXHRÀEULQROtWLFR DQWLWURPELQD,,,\HOLQKLELGRUGHO)7(QODVHSVLVVHSURGXFH
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/DVHSVLVVHFDUDFWHUL]DSRUXQHVWDGRSURWURPEyWLFRMXQWR FLyQGHVXVtQWHVLVRGHJUDGDFLyQPHGLDQWHHODVWDVDV/D
FRQEORTXHRÀEULQROtWLFR\DPERVVRQORVPHFDQLVPRVIXQ- FRQVHFXHQFLDGHHOORHVODDSDULFLyQGHXQHVWDGRSURWURP-
GDPHQWDOHVGHOD&,'+D\XQDVHULHGHPHGLDGRUHVLQÁDPD- EyWLFRFDUDFWHUL]DGRSRUXQDFRDJXODFLyQDFWLYDGDHLQVXÀ-
WRULRVTXHSURPXHYHQODDFWLYDFLyQGHODWURPELQDHQODYtD FLHQFLDGHORVVLVWHPDVLQKLELGRUHVGHODFRDJXODFLyQ
FRP~QGHODFRDJXODFLyQFRPRSDUWHGHODUHVSXHVWDGHO
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FRPRDFWLYDGRUGHODYtDH[WUtQVHFDVHH[SUHVDHQPDFUyID- Disfunción endotelial
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