Disnea Neonatal 2014
-
Upload
jimmy-herrera -
Category
Documents
-
view
267 -
download
4
description
Transcript of Disnea Neonatal 2014
![Page 1: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/1.jpg)
DIFICULTAD
RESPIRATORIA
NEONATAL
DR. JORGE A. ALVAREZ TOLEDO
PEDIATRA-NEONATOLOGO
![Page 2: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/2.jpg)
![Page 3: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/3.jpg)
SINDROME
DE
DIFICULTAD
RESPIRATORIA
NEONATAL
EMBRIOLOGIA
ANATOMIA
FISIOLOGIA
FISIOPATOLOGIA
PATOLOGIA
CUADROS CLINICOS
LABORATORIO
TRATAMIENTO
![Page 4: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/4.jpg)
CRECIMIENTO Y DESARROLLO
FASE EMBRIONARIA
FASE PSEUDOGLANDULAR
FASE CANALICULAR
FASE DE SACOS TERMINALES
FASE ALVEOLAR
![Page 5: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/5.jpg)
INICIO: 23 – 26 DÍAS
AGENESIA TRAQUEAL
ESTENOSISFISTULA TRAQUEOESOFAGICA
FASE EMBRIONARIA
![Page 6: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/6.jpg)
SEMANAS 5 – 16
20 GENERACIONES DE VIAS AEREAS
QUISTES BRONCOGENICOSHERNIA DIAFRAGMATICA
FASE PSEUDOGLANDULAR
![Page 7: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/7.jpg)
![Page 8: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/8.jpg)
SEMANAS 17 – 2821 - 23 GENERACIONES DE VIAS AEREAS
DISMINUCION DE TEJIDO CONECTIVORELACIÓN CAPILARES – EPITELIO
SURFACTANTEINTERCAMBIO GASEOSO POSIBLE
FUNCION RESPIRATORIA DEPENDE DEL DESARROLLO
DE ACINOS Y CAPILARES
FASE CANALICULAR
![Page 9: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/9.jpg)
SEMANAS 26 - 37
DESARROLLO DE ACINOSSACULOS Y ALVEOLOS
MAYOR CANTIDAD DE SANGRE EN CONTACTOCON LA SUPERFICIE ALVEOLAR
SURFACTANTE
VMPP ENFISEMA INTERSTICIALMEMBRANA HIALINA
FASE DE SACOS TERMINALES
![Page 10: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/10.jpg)
FASE ALVEOLAR
37 SEMANAS – 3 AÑOS
PROLIFERACION Y DESARROLLO ALVEOLAR
ADELGAZAMIENTO DE PAREDES ALVEOLARESSUBSACULOS EN ALVEOLOS
ALVEOLOS DE FORMA POLIEDRICA
![Page 11: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/11.jpg)
SINDROME
DE
DIFICULTAD
RESPIRATORIA
NEONATAL
E T I O P A T O G E N I A
TRANSTORNOSPULMONARES
TRANSTORNOSEXTRAPULMONARES
![Page 12: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/12.jpg)
E T I O P A T O G E N I A
COMUNES SDR TIPO I TAQUIPNEA TRANSITORIA ASPIRACION DE MECONIO NEUMONIA NEUMOTORAX
MENOS COMUNES HIPOPLASIA PULMONAR OBSTRUCCION DE VIA AEREA ANOMALIAS DE JAULA COSTAL LESIONES OCUPANTES HEMORRAGIA PULMONARES
TRANSTORNOS PULMONARES
![Page 13: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/13.jpg)
E T I O P A T O G E N I A
TRANSTORNOS EXTRAPULMONARES
VASCULARESCIRCULACION FETAL PERSISTENTECARDIOPATIAS CONGENITASHIPOVOLEMIA, ANEMIAPOLICITEMIA
METABOLICOSACIDOSISHIPOGLICEMIAHIPOTERMIA
NEUROMUSCULARESEDEMA Y HEMORRAGIA CEREBRALDROGASTRANSTORNOS MUSCULARESPROBLEMAS DE MEDULA ESPINALDAÑO DEL NERVIO FRENICO
![Page 14: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/14.jpg)
E T I O P A T O G E N I A
CIRCULACION FETAL PERSISTENTE
![Page 15: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/15.jpg)
C L A S I F I C A C I O N
SINDROME DE DIFICULTAD RESPIRATORIA TIPO I
MEMBRANA HIALINA
SINDROME DE DIFICULTAD RESPIRATORIA TIPO II
OTRAS PATOLOGIAS
![Page 16: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/16.jpg)
MANEJO DEL SINDROME DE DIFICULTAD RESPIRATORIA NEONATAL
SCORE DE DIFICULTAD RESPIRATORIA
PARAMETRO PUNTUACION 0 1 2
F. RESPIRATORIA 40 – 60 X ´ 60 – 80 X ’ SOBRE 80 X ‘ (APNEAS)
RETRACCIONES AUSENTES LEVES MODERADAS O GRAVES
ENTRADA DE AIRE BUENA DISMINUIDA MUY DISMINUIDA O AUSENTE
QUEJIDO ESPIRATORIO AUSENTE FONENDOSCOPIO A DISTANCIA
CIANOSIS AUSENTE AIRE AMBIENTAL OXIGENO 40%
![Page 17: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/17.jpg)
SCORE DE DIFICULTAD RESPIRATORIA
PUNTUACION EVALUACION ACCION
0 RN NORMAL OBSERVACION
1 - 3 SDR LEVE OXIGENO 40%
4 – 6 SDR MODERADO CPAP GRAVE
SOBRE 7 SDR MUY GRAVE INTUBACION
MANEJO DEL SINDROME DE DIFICULTAD RESPIRATORIA NEONATAL
![Page 18: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/18.jpg)
DIAGNOSTICO DIFERENCIAL
ANTECEDENTES OBSTETRICOS
ESTADO POSTNATAL INMEDIATO
EXAMEN FISICO
EXAMENES DE LABORATORIO
![Page 19: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/19.jpg)
DIAGNOSTICO DIFERENCIAL
PREMATUREZ SDR TIPO I
L. A. M. SAM
INFECCIONES MATERNAS NEUMONIAS
R. P. M. N. BACTERIANAS
ANTECEDENTES OBSTETRICOS
![Page 20: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/20.jpg)
DIAGNOSTICO DIFERENCIAL
DISNEA GRAVE ATRESIA DE COANASNEUMONIA I. U.
ABDOMEN EXCAVADO H. DIAFRAGMATICA
PREMATUREZ SDR TIPO IDISNEA PROGRESIVA
L. A. M. SAM
ESTADO POSTNATAL INMEDIATO
![Page 21: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/21.jpg)
DIAGNOSTICO DIFERENCIAL
INSPECCION
PALPACION
PERCUSION
AUSCULTACION
EXAMEN FISICO
![Page 22: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/22.jpg)
DIAGNOSTICO DIFERENCIAL
HEMATOLOGIA
IMAGENOLOGIA
MICROBIOLOGIA
EXAMENES DE LABORATORIO
![Page 23: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/23.jpg)
DIAGNOSTICO DIFERENCIAL
![Page 24: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/24.jpg)
DIAGNOSTICO DIFERENCIAL
![Page 25: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/25.jpg)
DIAGNOSTICO DIFERENCIAL
![Page 26: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/26.jpg)
DIAGNOSTICO DIFERENCIAL
![Page 27: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/27.jpg)
T R A T A M I E N T O
LIQUIDOS Y ELECTROLITOS
OXIGENOTERAPIA
ANTIBIOTICOTERAPIA
SURFACTANTE
CUIDADOS GENERALES
ALIMENTACION
![Page 28: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/28.jpg)
T R A T A M I E N T O
PUNTUACION EVALUACION ACCION
0 RN NORMAL OBSERVACION
1 - 3 SDR LEVE OXIGENO 40%
4 – 6 SDR MODERADO CPAP GRAVE
7 SDR MUY GRAVE INTUBACION
![Page 29: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/29.jpg)
C A M A R A C E F A L I C A
![Page 30: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/30.jpg)
C A M A R A C E F A L I C A
![Page 31: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/31.jpg)
C A M A R A C E F A L I C A
![Page 32: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/32.jpg)
CPAP DE AGUA
![Page 33: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/33.jpg)
CPAP DE AGUA
![Page 34: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/34.jpg)
TERAPIA DE ALTO FLUJO DE OXIGENO POR CANULA NASAL (TAFOCN)
![Page 35: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/35.jpg)
V
E
N
T
I
L
A
D
O
R
E
S
![Page 36: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/36.jpg)
V
E
N
T
I
L
A
D
O
R
E
S
![Page 37: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/37.jpg)
V
E
N
T
I
L
A
D
O
R
E
S
DESDE 1970 HASTA LA ACTUALIDAD
FISIOLOGIA Y FISIOPATOLOGIA
COMPLICACIONES
TECNICAS VENTILATORIAS
VENTILADORES PARA NEONATOS
MONITORIZACION NO INVASIVA
![Page 38: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/38.jpg)
V
E
N
T
I
L
A
D
O
R
E
S
NO EXISTEN EVIDENCIAS DE QUE LA VENTILACION PULMONAR
MECANICA, SEA UNA TERAPEUTICA EFECTIVAPARA EL TRATAMIENTO
DE RECIEN NACIDOS CON ENFERMEDAD DE MEMBRANA
HIALINA
BERHMAN 1970
![Page 39: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/39.jpg)
![Page 40: Disnea Neonatal 2014](https://reader034.fdocuments.net/reader034/viewer/2022042501/563db8d1550346aa9a9736d0/html5/thumbnails/40.jpg)