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SÍNDROME DE DIFICULTAD RESPIRATORIA TIPO I Dra. SONIA HERMOZA DEL POZO [email_address]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SISTEMA RESPIRATORIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SISTEMA RESPIRATORIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],EMBRIOLOGIA PULMONAR SINDROME DIFICULTAD RESPIRATORIA CANALICULAR SACULAR

36 semanas Post natal EMBRIOLOGIA PULMONAR SINDROME DIFICULTAD RESPIRATORIA ALVEOLAR

Déficit de surfactante alveolar en el pulmón inmaduro del neonato Definición

Definición Clínica ,[object Object],[object Object]

INCIDENCIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Según peso al nacer: 500 – 750 77% 751 – 1000 74 % 1001 – 1250 46 % 1251 – 1500 27 %

INCIDENCIA: Según EG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Surfactante ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fisiopatología ALVEOLO PEQUEÑO

Fisiopatología Prematuridad Inmadurez pulmonar Síntesis disminuida de surfactante Incremento de tensión superficial alveolar Atelectasia Hipoxemia, hipercapnea, acidosis Incremento resistencia vascular pulmonar Membrana hialina

[object Object],[object Object],[object Object],[object Object],E.M.H.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E.M.H.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E.M.H.

[object Object],[object Object],[object Object],[object Object],[object Object],E.M.H.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E.M.H.

TEST DE SILVERMAN ANDERSON Audible sin estetoscopio Audible con estetoscopio Ausente Quejido Marcado Mínimo Ausente Aleteo Nasal Marcada Apenas visible Ausente Retrac. Xifoidea Marcado Apenas visible No existe Tiraje Intercostal Disbalance toraco-abdominal Poca elevación en inspiración Sincronizados Elevación del tórax y el abdomen 2 1 0 SIGNO Muy grave Severa 8 – 10 Grave Moderada 5 – 7 Satisfactorio Ausente o leve 1 – 4 Excelente No Dificultad Respiratoria. (ideal) 0 PRONÓSTICO DIFICULTAD RESPIRATORIA PUNTAJE

I. Radiografía de Tórax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LABORATORIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ADMINISTRACION MATERNA DE ESTEROIDES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prevención:

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E.M.H.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E.M.H.

[object Object],[object Object],[object Object],[object Object],SURFACTANTE EXÓGENO

[object Object],SURFACTANTE EXÓGENO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

17 cm (raya morada) Peso + 6 = Labios Labios + 4 = Corte Corte + 6 = Medida de introducción del catéter En un beb é que pesa 1 kilo al nacer… Peso + 6 = Labios (7 cm) Labios (7) + 4 = Corte (11 cm) Corte (11) + 6 = Metida del Catéter (17 cm)

Clasificación Radiológica (BENCE) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E.M.H.

[object Object],[object Object],[object Object],[object Object],12. Diagnostico diferencial

“ La vida se nos da , y la merecemos dándola ” S É N E C A

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