Hipertensión pulmonar secundaria a Sepsis en el neonato

datacite.rightshttp://purl.org/coar/access_right/c_16ec
dc.contributor.advisorAngulo García, Cesar
dc.contributor.advisorGonzález-Torres, Henry J.
dc.contributor.authorYepes Padilla, María Patricia
dc.contributor.authorBarrios Quintero, Jhony Alexander
dc.date.accessioned2023-05-18T16:46:21Z
dc.date.available2023-05-18T16:46:21Z
dc.date.issued2023
dc.description.abstractLa hipertensión pulmonar es un síndrome de falla respiratoria aguda caracterizado por elevación sostenida de las resistencias vasculares pulmonares (RVP), que produce hipertensión persistente de la arteria pulmonar después del nacimiento, que ocasiona cortocircuito extrapulmonar de derecha a izquierda de sangre no oxigenada a través del conducto arterioso (CA) y foramen oval (FO) con hipoxemia severa y acidosis secundaria. La hipertensión pulmonar secundaria a sepsis (HTP-S) es una de las complicaciones de mayor preocupación en los neonatos por las implicaciones que puede conllevar a corto, media y largo plazo, algunas incluso pudiendo a comprometer la vida del niño, por los compromisos a nivel renal, cardiaco y evidentemente respiratorio. La HTP-S puede explicarse por varios mecanismos; ejemplo: gérmenes comunes en la etapa neonatal como (Streptococcus del grupo B y bacterias gramnegativas), liberan endotoxinas bacterianas desencadenando una respuesta inflamatoria secundaria, con liberación de tromboxano endotelial y de varias citoquinas (como el factor de necrosis tumoral-alfa) que lleva a un aumento en las resistencias vasculares pulmonares. Aunque la HTP es una causa frecuente de ingreso a la Unidad de Cuidados intensivos neonatales, la causa que termina en hipertensión pulmonar puede pasar desapercibida ya sea por poca asociación a la patología o por su baja frecuencia, como es el caso de la HTP secundaria a sepsis, considerada como un desafío debido a la dificultad de identificar a los recién nacidos en riesgo de sepsis, especialmente a los que tienen un buen aspecto general.spa
dc.description.abstractPulmonary hypertension is a syndrome of acute respiratory failure characterized by sustained elevation of pulmonary vascular resistance (PVR), leading to persistent pulmonary artery hypertension after birth, leading to right-to-left extrapulmonary shunting of deoxygenated blood through the pulmonary artery. ductus arteriosus (CA) and foramen ovale (FO) with severe hypoxemia and secondary acidosis. Pulmonary hypertension secondary to sepsis (HTP-S) is one of the complications of greatest concern in neonates due to the implications that it may entail in the short, medium and long term, some of which may even compromise the life of the child, due to the commitments to renal, cardiac and obviously respiratory level. HTP-S can be explained by several mechanisms; example: common germs in the neonatal stage such as (group B Streptococcus and gram-negative bacteria), release bacterial endotoxins triggering a secondary inflammatory response, with release of endothelial thromboxane and several cytokines (such as tumor necrosis factor-alpha) that leads to an increase in pulmonary vascular resistance. Although PHT is a frequent cause of admission to the Neonatal Intensive Care Unit, the cause that ends in pulmonary hypertension may go unnoticed, either due to little association with the pathology or its low frequency, as is the case of PHT secondary to sepsis, considered a challenge due to the difficulty of identifying newborns at risk of sepsis, especially those with a good general appearance.eng
dc.format.mimetypepdf
dc.identifier.urihttps://hdl.handle.net/20.500.12442/12414
dc.language.isospa
dc.publisherEdiciones Universidad Simón Bolívarspa
dc.publisherFacultad de Ciencias de la Saludspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacionaleng
dc.rights.accessrightsinfo:eu-repo/semantics/restrictedAccessspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHipertensión segundaria a sepsisspa
dc.subjectSepsis neonatalspa
dc.subjectUnidad de cuidados intensivos neonatalspa
dc.subjectSíndrome de Dificultad Respiratoriaspa
dc.subjectTaquipneaspa
dc.subjectMortalidadspa
dc.subjectAntibióticospa
dc.subjectResistencia antibióticaspa
dc.subjectHypertension secondary to sepsiseng
dc.subjectNeonatal sepsiseng
dc.subjectNeonatal intensive care uniteng
dc.subjectRespiratory Distress Syndromeeng
dc.subjectTachypneaeng
dc.subjectMortalityeng
dc.subjectAntibioticeng
dc.subjectAntibiotic resistanceeng
dc.titleHipertensión pulmonar secundaria a Sepsis en el neonatospa
dc.type.driverinfo:eu-repo/semantics/other
dc.type.spaOtros
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