Complicaciones en paciente de sexo masculino de 30 años de edad con diagnostico de insuficiencia respiratoria aguda

A 30-year-old patient is presented, who came to the emergency room for 6 days with fever up to 39 ºC, accompanied by non-productive cough, asthenia, general malaise, headache. Two days before admission to the Intensive Care Unit, he was in emergency with fever, hyaline rhinorrhea, arthralgia and on respiratory examination with crackles in the left lung base, respiratory rate of 16 breaths per minute, heart rate 110 beats per minute, and Pressure Arterial 140/90 mmHg. Oxygen saturation (SaO2) 98%. He was diagnosed with community-acquired pneumonia, and home follow-up was suggested. Fever and dyspnea persisted, with oxygen saturation (SaO2) in air of 90%. He was admitted to the ward with treatment based on ceftriaxone and azithromycin, and antiviral therapy was started with oseltamivir. At 12 hours after admission, the feverish symptoms persisted, tachypneic at 30 rpm, with signs of severe hypoxemia and a requirement for a high concentration of oxygen through a mask, achieving a SaO2 of 92%. With these manifestations, he was admitted to the ICU with the diagnosis of severe respiratory failure, rapidly evolving to critical condition due to respiratory failure, respiratory acidosis as a complication, requiring endotracheal intubation and assisted mechanical ventilation, with high volumes of PEEP up to 22 cm H2O and Fraction Inspired by Oxygen (FiO2), it evolves favorably and is graduated 30 days later.

• Հիմնական հեղինակ: Cruz Gómez, Vanessa Herminia (author)
• Ձևաչափ: bachelorThesis
• Հրապարակվել է: 2020
• Խորագրեր: Insuficiencia respiratoria aguda; Complicaciones
• Առցանց հասանելիություն: http://dspace.utb.edu.ec/handle/49000/8694