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• W1722818288 abstract "RESUMEN Fundamento: las atelectasias son un estado de colapso y falta de aire en todo el pulmon o en una zona del mismo. Una vez establecido el diagnostico de colapso bronquial, el tratamiento debe orientarse directamente a la causa de la obstruccion y a la infeccion que habitualmente concomita. Objetivo: utilizar como estrategia de tratamiento el lavado broncoalveolar con surfactante exogeno (Surfacen®) unido a la fisioterapia respiratoria. Caso clinico: se presenta un caso de una paciente de 16 anos de edad con el antecedente patologico personal de Epilepsia desde los dos anos de vida bajo tratamiento con valproato de sodio, que ingresa en la unidad de cuidados intensivos del hospital pediatrico Dr. Eduardo Agramonte Pina, a la que se diagnostica por clinica, radiologia y gasometria el sindrome de dificultad respiratoria aguda resultante de una causa pulmonar directa, al quinto dia de tratamiento presenta compromiso respiratorio agudo con caida brusca de la oxigenacion y se diagnostica radiologicamente una atelectasia masiva del pulmon izquierdo, se le realizo lavado broncoalveolar amplio con solucion salina al 0,9 % y luego se instilo surfactante exogeno en dosis de 100 mg diluidos en 10 mL de agua para inyeccion, dos veces al dia, administrado por via intrabronquial. Luego del segundo lavado broncoalveolar y la kinesioterapia respiratoria, se logra la expansion total de la zona colapsada y recuperacion notable de los parametros de oxigenacion. La radiografia revelo una mejoria evidente luego del tratamiento. Se retira la ventilacion mecanica cinco dias despues de esta complicacion, mantuvo buena evolucion posterior. Conclusiones: la aplicacion del lavado broncoalveolar con surfactante exogeno mejoro el compromiso de oxigenacion que ocasiona la atelectasia masiva y permitio una rapida evolucion radiografica en la paciente, asi como la disminucion de los parametros ventilatorios. ABSTRACT Background: atelectasis is a collapse state and shortness of breath in part or all of one lung. Once the diagnosis of bronchial collapse is established, the treatment must be directed towards the find of the cause of obstruction and the infection that is usually concomitant. Objective: to use bronchoalveolar lavage with exogenous surfactant (Surfacen®), along with respira-tory physiotherapy as treatment. Clinical case: the case of a sixteen-year-old female patient with a personal-pathological history of epilepsy since she was two years old is presented. The patient was under treatment with valproate sodium. She is ad-mitted in the intensive care unit of Dr. Eduardo Agramonte Pina Pediatric Hospital. The patient is diagnosed clinically, radiologically and gasometrically as having respiratory distress syndrome of a direct pulmonary cause. On the fifth day of treatment the patient presented acute respiratory problems with sudden oxygena-tion fall and is diagnosed radiologically as having massive atelectasis of the left lung. She underwent a wide bronchoalveolar lavage with 9 % saline solution and then the instillation of exogenous surfactant in 100 mg doses diluted in 10 ml of water per injection administered intrabronchially twice a day. After the second bron-choalveolar lavage and the respiratory kinesiotherapy, the total expansion of the collapsed area and a notable improvement of the oxygenation parameters were achieved. The mechanical ventilation was moved five days after the complication. The patient kept a good subsequent progress. Conclusions: the application of bronchoalveolar lavage with exogenous surfactant improved the oxygenation problem that causes massive atelectasis and allowed a rapid radiographic progress in the pa-tient, as well as the decrease of the ventilatory parameters." @default.
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• W1722818288 date "2015-01-01" @default.
• W1722818288 modified "2023-10-15" @default.
• W1722818288 title "Surfactante exógeno como tratamiento de la atelectasia pulmonar masiva" @default.
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