<?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>S2448-89092020000400231</article-id>
<article-id pub-id-type="doi">10.35366/95878</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de la presión de distensión alveolar en los pacientes con síndrome de distrés respiratorio agudo (SDRA): revisión narrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of alveolar distention pressure on days under mechanical ventilation in patients with acute respiratory distress syndrome (SDRA)]]></article-title>
<article-title xml:lang="pt"><![CDATA[Impacto da pressão da distensão alveolar em pacientes com síndrome do desconforto respiratório agudo (SDRA): revisão narrativa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardoso-Ramírez]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Prado]]></surname>
<given-names><![CDATA[Irma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Medel]]></surname>
<given-names><![CDATA[Aldo Giovanni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Islas-Mejía]]></surname>
<given-names><![CDATA[Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Deloya-Tomás]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Nieto]]></surname>
<given-names><![CDATA[Orlando Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamarrón-López]]></surname>
<given-names><![CDATA[Eder Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero-Gutiérrez]]></surname>
<given-names><![CDATA[Manuel Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soriano-Orozco]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central de la Cruz Roja Mexicana  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de San Juan del Río  ]]></institution>
<addr-line><![CDATA[Querétaro ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital CEMAIN  ]]></institution>
<addr-line><![CDATA[Tampico Tamaulipas]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Cancerología  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Unidad Médica de Alta Especialidad T1 Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>34</volume>
<numero>4</numero>
<fpage>231</fpage>
<lpage>237</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092020000400231&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092020000400231&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092020000400231&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El síndrome de distrés respiratorio agudo (SDRA) se caracteriza por una heterogeneidad del daño en el parénquima pulmonar; la asociación entre el volumen tidal (Vt) y la distensibilidad pulmonar estática (Cst) puede ser evaluada mediante la presión de distensión (PD). Se desconoce hasta el día de hoy si el control de la PD impacta en otros objetivos, tales como la disminución de los días bajo ventilación mecánica.  Material y métodos:  Se realizó una revisión de artículos médicos científicos en Pubmed, EMBASE y Medigraphic con las siguientes palabras clave: «driving pressure» y «acute respiratory distress syndrome» para relacionar la PD y los días libres de ventilación mecánica en los principales estudios sobre SDRA; se analizaron las variables respiratorias reportadas por estas publicaciones y se tomaron estudios de revisión, revisiones sistematizadas y metaanálisis, lo cual fue evaluado por seis de los autores principales.  Resultados:  Se encontró en la revisión sistematizada la siguiente relación: los pacientes ventilados con SDRA y PD &lt; 15 cmH2O se asociaban con menos días de ventilación mecánica con un valor de p = 0.03; los pacientes ventilados con SDRA y PD &lt; 15 cmH2O, al comparar la mortalidad a 90 días, la disminuían, tomando un valor de p &#8804; 0.0001; los pacientes sin SDRA y PD &lt; 15 cm cmH2O, comparando la mortalidad a 28 días con una p = 0.005, las complicaciones pulmonares postoperatorias, la PD &lt; 15 cmH2O y los valores de PD mayores a 15 cmH2O se asociaron con barotrauma, infecciones pulmonares postoperatorias, con una p &#8804; 0.0001; en supervivencia y mortalidad a los 90 días, se correlacionó con una razón de momios (RM) de 0.60 a favor de PD &lt; 15 cmH2O, y en mortalidad a 28 días con una RM de 0.29 a favor de la PD menor, al valor de corte.  Conclusión:  La PD se asocia con mortalidad de manera directamente proporcional y los valores más bajos de PD se asocian con menos días de ventilación mecánica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  ARDS is characterized by a heterogeneity of damage in the lung parenchyma and the association between tidal volume (Vt) and static lung compliance (Cst) can be evaluated by DP. Most studies on DP and ARDS focus on mortality, showing a lower percentage of survival while the level of DP is higher, however, it is unknown until today whether the control of DP impacts on other objectives such as decrease of days under mechanical ventilation.  Material and methods:  A systematic review of medical articles in Pubmed, EMBASE and Medigraphic was carried out with key words: driving pressure and acute respiratory distress syndrome to relate DP and days free of mechanical ventilation in the main studies on ARDS, analyzing the respiratory variables reported by these publications.  Results:  The relationship was found in the systematized review; that patients ventilated with ARDS and DP &lt; 15 cmH2O was associated with fewer days of mechanical ventilation with a p = 0.03, patients with ARDS and DP &lt; 15 cmH2O comparing mortality at 90 days, decreased their mortality with p &#8804; 0.0001, patients without ARDS and PD &lt; 15 cm cmH2O comparing mortality at 28 days with p = 0.005, patients with ARDS and DP association of postoperative pulmonary complications and DP &lt; 15 cmH2O, DP values greater than 15 cmH2O was associated with barotrauma, postoperative pulmonary infections, with a p &#8804; 0.0001 of, in survival and mortality at 90 days, correlated with a odds ratio (OR) of 0.60 in favor of DP less than 15 cmH2O and in mortality at 28 days with an OR of 0.29, in favor of DP below 15 cmH2O.  Discussion:  DP is associated with mortality in a directly proportional way.  Conclusion:  Lower values of DP are associated with fewer days of mechanical ventilation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A SDRA é caracterizada pela heterogeneidade do dano do parênquima pulmonar e a associação entre volume corrente (Vt) e complacência pulmonar estática (Cst) pode ser avaliada por pressão de distensão alveolar (PD). Não se sabe até hoje se o controle da PD afeta outros objetivos, como redução de dias sob ventilação mecânica.  Material e métodos:  Foi realizada uma revisão de artigos médicos científicos no Pubmed, EMBASE e Medigraphic com palavras-chave: pressão de distensão e síndrome do desconforto respiratório agudo para relacionar PD e dias sem ventilação mecânica nos principais estudos de SDRA, analisando as variáveis relatados por essas publicações, realizando estudos de revisão, revisões sistemáticas e meta-análises, sendo avaliados por 6 dos principais autores.  Resultados:  A relação foi encontrada na revisão sistemática; que ventilaram pacientes com SDRA e PD &lt; 15 cmH2O estiveram associados a menos dias de ventilação mecânica com p = 0.03, pacientes ventilados com SDRA e PD &lt; 15 cmH2O comparando a mortalidade em 90 dias, sua mortalidade diminuiu com p &#8804; 0.0001, pacientes sem SDRA e PD &lt; 15 cm cmH2O comparando mortalidade em 28 dias com p = 0.005, associação de complicações pulmonares pós-operatórias e PD &lt; 15 cmH2O, valores de PD maiores que 15 cmH2O foram associados a traumatismo barro, infecções pulmonares pós-operatórias , com p &#8804; 0.0001 de, na sobrevida e mortalidade aos 90 dias, foi correlacionada com uma Odds Ratio (RM) de 0.60 a favor da PD menor que 15 cmH2O e na mortalidade aos 28 dias com uma RM de 0.29, a favor do PD menor que o valor de corte.  Conclusão:  a PD está associada à mortalidade de maneira diretamente proporcional. e valores mais baixos de PD estão associados a menos dias de ventilação mecânica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Presión de distensión]]></kwd>
<kwd lng="es"><![CDATA[síndrome de distrés respiratorio agudo]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[lesión inducida por ventilador]]></kwd>
<kwd lng="en"><![CDATA[Driving pressure]]></kwd>
<kwd lng="en"><![CDATA[acute respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[ventilator-induced lung injury]]></kwd>
<kwd lng="pt"><![CDATA[Pressão de distensão]]></kwd>
<kwd lng="pt"><![CDATA[síndrome do desconforto respiratório agudo]]></kwd>
<kwd lng="pt"><![CDATA[ventilação mecânica]]></kwd>
<kwd lng="pt"><![CDATA[lesão induzida por ventilador]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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