<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092016000500324</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Monitorización de la capacidad residual funcional en pacientes con síndrome de dificultad respiratoria aguda grave. Presentación de un caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Monitoring of residual functional capacity in patients with severe acute respiratory distress syndrome. Case report and review of the literature]]></article-title>
<article-title xml:lang="pt"><![CDATA[Monitorização da capacidade residual funcional em pacientes com SDRA grave. Apresentação de um caso e revisão da literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Chávez]]></surname>
<given-names><![CDATA[Manuel José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valero Rodríguez]]></surname>
<given-names><![CDATA[Julián Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valero Vidal]]></surname>
<given-names><![CDATA[Maximiliano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad del Bajío  ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Irapuato  ]]></institution>
<addr-line><![CDATA[Irapuato Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Valle de México Campus Querétaro ]]></institution>
<addr-line><![CDATA[ Querétaro]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>5</numero>
<fpage>324</fpage>
<lpage>328</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092016000500324&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092016000500324&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092016000500324&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Se presenta el caso de un paciente masculino en la quinta década de vida con diagnóstico de tumoración renal. Fue ingresado a cirugía para embolización selectiva de arteria renal ipsilateral al sitio de la lesión tumoral. Durante el periodo transoperatorio se presentó hemorragia masiva, por lo cual recibió múltiples transfusiones y se ingresó al área de terapia intensiva. Se documentó lesión renal aguda (AKIN III) y desarrollo de síndrome de dificultad respiratoria aguda (SDRA) grave de acuerdo con los Criterios de Berlín 2012. Se propusieron métodos no convencionales de ventilación entre los cuales la ventilación mecánica inversa, ventilación con liberación de presión (APRV)/bilateral y ventilación controlada a volumen y regulada a presión (PRVC) no mostraron mejoría. Se decidió cambio de estrategia a reclutamiento guiado por la capacidad residual funcional (CRF). Se observó una mejoría en los parámetros de ventilación y niveles de fracción de oxígeno inspirado (FiO2) y evolución grave con desarrollo de pancreatitis y sangrado que requirió intervención quirúrgica con posterior deceso del paciente. Se realiza presentación del caso así como de la revisión de la literatura para maniobras de reclutamiento guiado por CRF.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: We report the case of a male patient of the 5th decade of life with a diagnosis of renal tumor. Is entered surgery for selective embolization of renal artery ipsilateral to the site of the tumor lesion. During Trans operative, presented massive bleeding, receiving multiple transfusions, requiring admission to intensive care unit. Acute kidney injury (AKIN III) was documented, severe acute respiratory distress syndrome (ARDS) development according to criteria of Berlin 2012. Unconventional modes of ventilation among which were reverse ventilation, bi-level (APRV) and PRVC were used without improvement. It was decided to change recruitment strategy led by FRC in view, with improved ventilation parameters and levels of FiO2. Poor outcome with subsequent development of pancreatitis and bleeding requiring reoperation with subsequent death of the patient. Case presentation and review of the literature for recruitment maneuvers guided by FRC in view is performed.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Apresenta-se o caso de um paciente do sexo masculino na quinta década de vida com um diagnóstico de tumor renal. É admitido a cirurgia para embolização seletiva da artéria renal ipsilateral no local da lesão tumoral. Durante o período transoperatório, apresenta uma hemorragia profusa, pelo que recebeu múltiplas transfusões, e foi admitido na unidade de terapia intensiva. Documenta-se insuficiência renal aguda (AKI lll) e o desenvolvimento de SDRA grave de acordo com critérios de Berlim 2012. Proporciona-se métodos não convencionais de ventilação, entre os quais estavam a ventilação mecânica inversa, ventilação com liberação de pressão (APRV)/bilateral e ventilação controlada a volume e regulada para pressão (PRVC) sem melhoria. Determina-se a mudança de estratégia de recrutamento guiado pela capacidade residual funcional (CRF). Apresenta uma melhoria nos parâmetros de ventilação e níveis da fração de oxigênio inspirado (FiO2). Evolução grave com subsequente desenvolvimento de pancreatite e sangrando, necessitou de intervenção cirurgica, com posterior morte do paciente. É feita apresentação do caso, bem como a revisão da literatura para manobras de recrutamento guiado pelo CRF.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de dificultad respiratoria aguda]]></kwd>
<kwd lng="es"><![CDATA[maniobras de reclutamiento]]></kwd>
<kwd lng="es"><![CDATA[capacidad residual funcional]]></kwd>
<kwd lng="en"><![CDATA[Acute respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[recruitment maneuvers]]></kwd>
<kwd lng="en"><![CDATA[functional residual capacity]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de dificuldade respiratória aguda (SDRA)]]></kwd>
<kwd lng="pt"><![CDATA[manobras de recrutamento]]></kwd>
<kwd lng="pt"><![CDATA[capacidade residual funcional (CRF)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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