Medicina Intensiva 46S1 (2022):1-13

ISSN: 0210-5691
Sociedad Española
de Medicina Intensiva, Crítica
y Unidades Coronarias
Federación Panamericana
e Ibérica de Sociedades
de Medicina Crítica Incluida en:
y Terapia Intensiva Index Medicus/MEDLINE

Volumen 34, Número 5. Junio-Julio 2010 EMBASE/Excerpta Medica

medicina intensiva
SCOPUS

Editorial Descontaminación: un tratamiento sin

Diagnóstico precoz del fracaso renal agudo
M. Rodríguez López y A. Roglan Piqueras
291
Revisión
Originales
www.fepimcti.org
Concordancia en pacientes críticos entre las
ecuaciones diseñadas para la estimación
del filtrado glomerular y el aclaramiento de
creatinina en orina de 24h
G. Seller-Pérez, M.E. Herrera-Gutiérrez, Nota clínica
E. Banderas-Bravo, R. Olalla-Sánchez,
www.semicyuc.org R. Lozano-Sáez y G. Quesada-García
294
Sincronía auriculo-ventricular en pacientes
portadores de marcapasos con estimulación
VDD. Estudio descriptivo de un periodo de Cartas al Director
14 años
A. Canabal Berlanga, M. Sánchez Casado,
J.M. Díaz Borrego, A. Raigal Caño y
P. Sánchez Rodríguez
303
Síndrome de Distrés Respiratorio Agudo,
durante la pandemia de Influenza A H1N1
2009 en Ecuador
G. Paredes y C. Cevallos
310
Puesta al día: El enfermo crítico con
infección grave
Neumonía asociada a la ventilación
mecánica
E. Diaz, L. Lorente, J. Valles y J. Rello
318
Debates en Medicina Intensiva:
indicaciones
E. Palencia Herrejón y P. Rico Cepeda
334
Hemofiltración de alto volumen en shock
séptico
C.M. Romero, P. Downey y G. Hernández
345
Hiperinfección por Strongyloides stercoralis
J. Llagunes, E. Mateo, J.J. Peña, P. Carmona y
J. de Andrés
353
Administración accidental de dosis tóxicas
de adrenalina intravenosa a un lactante de
5 meses
M.S. Holanda Peña, J.L. Teja Barbero,
J. Velasco Montes y M. López Sánchez
357
Diagnóstico tardío de un caso de porfiria
aguda intermitente en una unidad de
cuidados intensivos
A.J. Betbesé, L. Zapata, C. Martínez-Brú y
C. Herrero
358
Muerte encefálica aparente tras sobredosis
de baclofén
R. Salas De Zayas, F. San José Pacheco,
C. Dolera Moreno y L. Zoila Peiró
359

www.medintensiva.org
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

Fisiopatología del shock séptico

Luis Chiscano-Camóna,b,c, Erika Plata-Menchacaa,b, Juan Carlos Ruiz-Rodrígueza,b,c

y Ricard Ferrera,b,c,*

a
Servicio de Medicina Intensiva, Hospital Universitario Vall d’Hebron, Barcelona, España
b
Grupo de Investigación Sepsis Organ Dysfunction and Resuscitation (SODIR), Vall d’Hebron Institut de Recerca (VHIR),
Hospital Universitari Vall d’Hebron, Barcelona, España
c
Departament de Medicina. Universitat Autònoma de Barcelona. Barcelona. España

PALABRAS CLAVE Resumen La sepsis y el shockVpSWLFRVRQHOUHVXOWDGRGHXQDUHVSXHVWDLQDGHFXDGDGHOKXpVSHG

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KEYWORDS Pathophysiology of septic shock

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https://doi.org/ 10.1016/j.medin.2022.03.017

0210-5691/ © 2022 Elsevier España, S.L.U. y SEMICYUC. Todos los derechos reservados.
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Tabla 1 3ULQFLSDOHVPHGLDGRUHVLQÁDPDWRULRVHQODVHSVLV(cont.)
Ð[LGRQtWULFR 9DVRGLODWDGRU (QGRWHOLRYDVFXODU6H
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SDFLHQWHVVpSWLFRVFRQXQDHYROXFLyQFOtQLFDGHVIDYRUDEOH H[SUHVLyQGHODSURWHtQDprogrammed cell death protein-1
SUHVHQWDQXQDXPHQWRGHODVUHGHVGHQHXWUyÀORWLVXODU19 3'KLSRJDPPDJOREXOLQHPLDKLSHUFLWRFLQHPLDGLVIXQ-
(OVLVWHPDGHOFRPSOHPHQWRWDPELpQHVWiLPSOLFDGRHQOD FLyQGHOVLVWHPDGHFRPSOHPHQWR\HOLPSRUWDQWHSDSHOGH
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/DDFWLYDFLyQGHODFDVFDGDGHODFRDJXODFLyQHQHOSDFLHQWH
VpSWLFRVHUHFRQRFHFRPRSDUWHGHXQDUHVSXHVWDLQPXQLWD-
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FRDJXODFLyQLQWUDYDVFXODUGLVHPLQDGD&,'TXHSXHGHDSD-
UHFHUHQSDFLHQWHVFRQVHSVLVHVHOUHVXOWDGRGHXQDDFWLYD-
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Figura 2 )LVLRSDWRORJtDGHODVHSVLV/DXQLyQGH3$03\'$03DODV&3$LQGXFHXQDDFWLYDFLyQGHHOHPHQWRVLQÁDPDWRULRVTXH
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&3$ FpOXOD SUHVHQWDGRUD GH DQWtJHQRV ,/ LQWHUOHXFLQD '$03V damage-associated molecular patterns; *&6)*0&6) IDFWRU
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cos en etapas iniciales28DOWHUDFLRQHVHQODVSUXHEDVGHFRD-
JXODFLyQ R LVTXHPLD GLVWDO GH ODV H[WUHPLGDGHV SRU
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en la sepsis357DPELpQKD\XQDUHJXODFLyQDODEDMDGHORV
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 Medicina Intensiva 46S1 (2022):1-13 

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