Manual especializado de posición decúbito prono en ventilación mecánica en cuidado intensivo adulto

Autores/as

Maria Angelica Rodriguez Scarpetta, Universidad Santiago de Cali, Cali; Lozada Ramos Lozada Ramos, Universidad Santiago de Cali, Facultad de Salud; Jorge Enrique Daza Arana, Universidad Santiago de Cali, Facultad de Salud; Leidy Tatiana Ordoñez Mora, Universidad Santiago de Cali, Facultad de Salud; Jhon Herney Quintana Ospina, Universidad Santiago de Cali, Facultad de Salud

Palabras clave:

Prone position, Intensive Care unit,, mechanical ventilation, Acute respiratory Distress Syndrome

Sinopsis

En 2013, la posición decúbito prono se afirmó como una herramienta efectiva para el tratamiento del síndrome de dificultad respiratoria aguda, tras un estudio experimental que demostró que su aplicación temprana y prolongada mejora significativamente la supervivencia de los pacientes con este diagnóstico. Diferentes asociaciones incluyen este tratamiento como un elemento fundamental y fue necesaria su aplicación de forma continua a causa de la pandemia por COVID-19, demostrando su efectividad en esta población. Dentro de sus beneficios fisiológicos se enumera una mejor distribución del estrés y la tensión pulmonar total, controlando la sobre distensión, además de limitar la apertura y cierre en las áreas pulmonares dependientes de manera cíclica, atenuando así la injuria pulmonar inducida por ventilación mecánica y el control de la poscarga del ventrículo.

No obstante, la pandemia por COVID-19 expuso aún más las complicaciones derivadas de su aplicación, sobre todo por las largas jornadas de exposición, sin desconocer que estas deficiencias son prevenibles y en parte responsabilidad del equipo interdisciplinario.

Por lo tanto, es necesario construir y promover manual especializado de posición decúbito prono en ventilación mecánica en cuidado intensivo adulto, que compile las directrices relacionadas con la implementación de la estrategia, con el objetivo de maximizar sus efectos beneficiosos y minimizar la aparición de efectos adversos. Este manual desea establecer un proceso estandarizado que abarque las fases previas, durante y posteriores al posicionamiento. Dicho enfoque contribuirá de manera significativa a reducir los efectos negativos asociados con el uso de la posición decúbito prono.

Capítulos

  • Conceptualización
  • Manejo del SDRA: Recomendaciones
    Maria Angelica Rodriguez Scarpetta, Jorge Enrique Daza Arana, Leidy Tatiana Ordoñez Mora, Jhon Herney Quintana Ospina
  • Generalidades sobre la infección por SARS-CoV-2
  • Procedimiento de la PDP

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Maria Angelica Rodriguez Scarpetta, Universidad Santiago de Cali, Cali

Fisioterapeuta, Especialista en Fisioterapia Cardiopulmonar, Magíster en Epidemiología. Investigador del Grupo de Investigación en Salud y Movimiento, Universidad Santiago de Cali. Docente de la Facultad de Salud, Programa de Fisioterapia. Miembro de la Asociación Colombiana de Fisioterapia, Grupo Cardiovascular Pulmonar (ASCOFI), Miembro Número de la Asociación Colombiana de Medicina Crítica y Cuidado Intensivo (AMCI).

Lozada Ramos Lozada Ramos, Universidad Santiago de Cali, Facultad de Salud

Médico y Cirujano, Especialista en Medicina Interna, Especialista en Medicina Crítica y Cuidado Intensivo, Especialista en Docencia Universitaria, Magíster en Epidemiología Clínica. Máster VIH/SIDA. Doctorando en Enfermedades Infecciosas de la Universidad de Santander UDES, Bucaramanga. Docente de la Facultad de Salud, Programa de Medicina de la Universidad Santiago de Cali, Seccional Palmira. Docente de la Especialización en Medicina Interna de la Universidad Santiago de Cali. Médico Internista Intensivista en la Clínica Palma Real, Clínica Palmira S.A. y Unidad Médica Corazón y Aorta en Buga. Investigador Asociado (IS) MinCiencias. Investigador del Grupo de Investigación en Salud y Movimiento y Grupo de Investigación en Genética, Fisiología y Metabolismo (GEFIME), Universidad Santiago de Cali. Miembro de la Asociación Colombiana de Infectología (ACIN).

Jorge Enrique Daza Arana, Universidad Santiago de Cali, Facultad de Salud

Fisioterapeuta, Especialista en Fisioterapia en Cuidado Crítico, Magíster en Epidemiología. Doctor en Ciencias Aplicadas de la Universidad Santiago de Cali. Investigador del Grupo de Investigación en Salud y Movimiento, Universidad Santiago de Cali. Docente de la Facultad de Salud, Programa de Fisioterapia y Especialización en Medicina Interna de la Universidad Santiago de Cali. Investigador Senior (IS) MinCiencias. Miembro de la Asociación Colombiana de Fisioterapia (ASCOFI), Grupo Cardiovascular Pulmonar. Miembro Número de la Asociación Colombiana de Medicina Crítica y Cuidado Intensivo (AMCI).

Leidy Tatiana Ordoñez Mora, Universidad Santiago de Cali, Facultad de Salud

Fisioterapeuta de la Escuela Nacional del Deporte, Cali, Colombia. Especialista y Magister en Neurorrehabilitación de la Universidad Autónoma de Manizales, Manizales, Colombia. Doctora en Ciencias Aplicadas de la Universidad Santiago de Cali, Cali, Colombia. Doctora en Ciencias de la Salud de la Universidad de Cadiz, Cadiz, España. Docente de la Universidad Santiago de Cali, Cali, Colombia. Investigador Senior Minciencias. Líder del grupo de Investigación Salud y movimiento Universidad Santiago de Cali.

Jhon Herney Quintana Ospina, Universidad Santiago de Cali, Facultad de Salud

Médico, Especialista en Medicina Interna de la Universidad Santiago de Cali., Maestrante en Epidemiología de la Fundación Universitaria del Área Andina. Médico Internista de Cuidado Intensivo de la Clínica de Occidente S.A. Investigador del Grupo de Investigación en Genética, Fisiología y Metabolismo (GEFIME), Universidad Santiago de Cali.

Citas

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febrero 23, 2026

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Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.