NCT
INICIO RECIENTES ARCHIVO COVID-19
INICIO RECIENTES ARCHIVO PUBLICAR INSTRUCCIONES
PARA AUTORES COVID-19 ENTRAR / REGISTRARSE HISTORIA NOSOTROS DIRECTORIO CONTACTO
Difusión pulmonar de monóxido de carbono: actualizaciones en las recomendaciones y procedimiento

Centeno-Sáenz, Gustavo I; Alvarado-Amador, Irlanda; Almonte-Mora, Florisel; Castillo-Ayala, Atzimba E; Camacho-Jiménez, Alan U; Guinto-Ramírez, Paulina; Pérez-Kawabe, Karla M; Pérez-Padilla, Rogelio; Gochicoa-Rangel, Laura; Torre-Bouscoulet, Luis; Thirión-Romero, Ireri





2023, Número 4

2023; 82 (4)






RESUMEN

La capacidad de difusión pulmonar de monóxido de carbono es una prueba que permite evaluar cuantitativamente la transferencia de oxígeno del aire alveolar a la hemoglobina sanguínea a través de la membrana alveolocapilar. Desde su descripción original en 1957, la prueba de difusión pulmonar de monóxido de carbono ha evolucionado gracias al advenimiento de los analizadores de gases de respuesta rápida. Actualmente, el método de medición de respiración única está sólidamente estandarizado y es el recomendado con fines clínicos. La prueba de difusión pulmonar de monóxido de carbono de respiración única tiene implicaciones tanto para el diagnóstico como para el seguimiento y el pronóstico de pacientes con enfermedades crónicas no sólo del sistema respiratorio. Este documento se actualiza con información propuesta por la European Respiratory Society y de la American Thoracic Society en los estándares de los años 2005, 2017 y 2021 e incluye las recomendaciones técnicas para sistemas de respiración única basados en los analizadores de gases de respuesta rápida aceptadas internacionalmente. A pesar de su valor clínicamente comprobado, la difusión pulmonar de monóxido de carbono es subutilizada, aunque se posiciona como la segunda prueba más importante después de la espirometría. Sin embargo, su relevancia es especialmente destacada en pacientes con enfermedades pulmonares intersticiales, enfisema y enfermedades vasculares pulmonares.

PALABRAS CLAVE

pruebas de función pulmonar, capacidad de difusión pulmonar, monóxido de carbono, volumen alveolar.

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2023, Número 4

2023; 82 (4)