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Review Article
Peri-Operative Atelectasis and Alveolar Recruitment Manoeuvres
Atelectasias perioperatorias y maniobras de reclutamiento alveolar
Pablo Rama-Maceiras
Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario, A Coruña, Spain
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Las complicaciones respiratorias postoperatorias constituyen una causa importante de morbimortalidad&#46; Las atelectasias perioperatorias&#44; en concreto&#44; afectan hasta al 90&#37; de los pacientes quir&#250;rgicos y su repercusi&#243;n puede prolongarse en el tiempo en forma de alteraciones de la mec&#225;nica respiratoria&#44; de la circulaci&#243;n pulmonar y de hipoxemia&#46; El colapso alveolar se produce en presencia de ciertos factores predisponentes&#44; fundamentalmente por mecanismos de compresi&#243;n y absorci&#243;n&#46; Para prevenir o tratar estas atelectasias&#44; se han propuesto diversas estrategias terap&#233;uticas&#44; como las maniobras de reclutamiento alveolar&#44; cuyo uso se ha popularizado en los &#250;ltimos a&#241;os&#46; Su aplicaci&#243;n en pacientes con colapso alveolar&#44; pero sin lesi&#243;n pulmonar aguda previa relevante&#44; presenta ciertas particularidades&#44; por lo que su empleo no est&#225; exento de incertidumbres y complicaciones&#46; Esta revisi&#243;n describe la frecuencia&#44; la fisiopatolog&#237;a&#44; la relevancia y el tratamiento de las atelectasias perioperatorias&#44; y hace especial incidencia en el tratamiento con maniobras de reclutamiento con el objetivo de proporcionar las bases para un empleo racional y adecuado de &#233;stas&#46;</p>"
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ISSN: 15792129
Original language: English
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