Lesión pulmonar autoinducida por el paciente (P-SILI).

CRITICAL CARE & EMERGENGY MEDICINE VOL. 3

 Patient self-induced lung injury (P-SILI)

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 https://doi.org/10.58281/ccem23120701

Gabriela Castillo Gutiérrez MD Ernesto Deloya Tomas MD 1 , María G. Olvera Ramos MD 1 , Jorge López Fermín MD 1 , José Antonio Meade-Aguilar MD 1 * , Jorge D. Carrión Moya MD 2 * , Manuel A. Guerrero-Gutiérrez MD 1, 3 , Éder I. Zamarrón-López MD 4 , Orlando R. Pérez Nieto MD 1 * .

1 Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.
2 Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.
3 Unidad de Cuidados Intensivos, Instituto Nacional de Cancerología, Ciudad de México, México.
4Hospital Regional IMSS No. 6, Ciudad Madero, Tamaulipas, México. Unidad de Cuidados Intensivos.
* Miembros de grupo de investigación para la ventilación mecánica AVENTHO. 

Abstract

Introduction: Patient self-induced lung injury (P-SILI) is a controversial and emerging concept that refers to the fact that excessive inspi
ratory efforts by spontaneously breathing patients, whether assisted or not, can exacerbate a previously established lung injury. It is a potential complication in patients with acute respiratory distress syndrome (ARDS) who generate spontaneous ventilation during non-invasive ventilation (NIV) or invasive mechanical ventilation (IMV) that can increase the initial lung injury. Studies are required to standardize the monitoring of excessive inspiratory efforts, their implication in prognosis, and appropriate therapy.

Introducción: La lesión pulmonar autoinducida por el paciente (P-SILI) es un concepto controvertido y emergente que hace referencia al daño pulmonar producido por los esfuerzos inspiratorios excesivos de los pacientes que respiran espontáneamente, ya sea de forma asistida o no y que puede ensombrecer el pronóstico de forma significativa.
Se requieren estudios para estandarizar el monitoreo de los esfuerzos inspiratorios excesivos, su implicación en el pronóstico y la terapéutica apropiada.

Patient self-induced lung injury, P-SILI, acute respiratory distress syndrome, mechanical ventilation, non-invasive mechanical ventilation, and transpulmonary pressure

Gabriela Castillo Gutiérrez MD
Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.

Ernesto Deloya Tomas MD 
Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.

María G. Olvera Ramos MD 
Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.

Jorge López Fermín MD
Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.

José Antonio Meade-Aguilar MD
Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.
Miembros de grupo de investigación para la ventilación mecánica AVENTHO. 

Jorge D. Carrión Moya MD 
Miembros de grupo de investigación para la ventilación mecánica AVENTHO. 
Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.

Manuel A. Guerrero-Gutiérrez MD 
Unidad de Cuidados Intensivos, Instituto Nacional de Cancerología, Ciudad de México, México.
Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.

Éder I. Zamarrón-López MD 
Hospital Regional IMSS No. 6, Ciudad Madero, Tamaulipas, México. Unidad de Cuidados Intensivos.

Orlando R. Pérez Nieto MD 
Miembros de grupo de investigación para la ventilación mecánica AVENTHO. 
Unidad de Cuidados Intensivos, Hospital General San Juan del Rio, Querétaro, México.

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[1] [15] Gabriela Castillo Gutiérrez, Ernesto Deloya Tomas MD, María G. Olvera Ramos MD, Jorge López Fermín MD, José Antonio Meade-Aguilar MD, Jorge D. Carrión Moya MD, Manuel A. Guerrero-Gutiérrez MD, Éder I. Zamarrón-López MD, and Orlando R. Pérez Nieto MD. 2024. Lesión pulmonar autoinducida por el paciente (P-SILI). CRITICAL CARE & EMERGENGY MEDICINE. Vol. 3, pp. 1–12. DOI: https://doi.org/10.58281/ccem23120701.
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2992-6785

eISSN: 2992-6785
DOI: 10.3989/ccem

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