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Updated: Sep 10, 2025
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Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
Published on: April 7, 2021
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Síndrome de angustia respiratoria aguda en medicina veterinaria - Las definiciones de ARDSVet
Anusha Balakrishnan1, Deborah C Silverstein2, Daniela Bedenice3
1Veterinary Emergency Group, White Plains, New York, USA.
Resumen
Las definiciones actualizadas para el síndrome de dificultad respiratoria aguda veterinaria (SRAP) se crearon mediante un proceso de consenso basado en la evidencia. Estos nuevos criterios veterinarios ARDS (ARDSVet) mejorarán el diagnóstico y estandarizarán la investigación para una mejor atención respiratoria de los animales.
Área de la Ciencia:
- Medicina Veterinaria
- Pulmonología
- Cuidados intensivos
Sus antecedentes:
- El síndrome de dificultad respiratoria aguda (SRAP) es una enfermedad pulmonar grave con una morbilidad y mortalidad significativas en los animales.
- Las definiciones actuales para el ARDS veterinario carecen de estandarización, lo que dificulta el diagnóstico y la investigación precisos.
- Es necesario un enfoque basado en el consenso para establecer definiciones actualizadas y basadas en la evidencia para los ARDS veterinarios.
Objetivo del estudio:
- Desarrollar definiciones actualizadas y basadas en la evidencia para el síndrome de dificultad respiratoria aguda en medicina veterinaria.
- Facilitar el reconocimiento y el diagnóstico de la ERA en diversas especies animales.
- Estandarizar las futuras investigaciones y el manejo clínico de los ARDS veterinarios.
Principales métodos:
- Se realizó una revisión sistemática de la literatura sobre el SDR y la lesión pulmonar aguda en medicina veterinaria.
- Una conferencia internacional de consenso con 12 expertos multidisciplinarios utilizó la metodología de consenso y la ciencia de la implementación.
- Encuestas al estilo Delphi y comentarios del público incorporados a las definiciones finales para el ARDS veterinario (ARDSVet).
Principales resultados:
- Se establecieron definiciones actualizadas de ARDSVet para animales pequeños (perros, gatos) y animales grandes (equídeos).
- Las búsquedas en la literatura identificaron numerosas publicaciones y casos relevantes para el ARDS veterinario.
- Las nuevas definiciones de ARDSVet incluyen criterios para factores de riesgo, edema pulmonar, deterioro de la oxigenación y estratificación de la gravedad para animales intubados y no intubados.
Conclusiones:
- El proceso de consenso produjo definiciones actualizadas de ARDSVet para mejorar el reconocimiento y el diagnóstico.
- Estas definiciones estandarizarán la investigación futura, incluido el desarrollo de un registro ARDS.
- Las definiciones actualizadas allanan el camino para las recomendaciones de tratamiento basadas en la evidencia para el ARDS veterinario.
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