ABSTRACT

Facing a patient with Acute Respiratory Distress (ARDS) is always a challenge. It exists in the medical literature an accumulate of studies at respect, although in greater quantity in the last decade, but that at the moment to face al patient in the clinical environment carries us to controversies and doubts. Exceedingly in the medical youths that initiate their experience. In the present article tries to suggest the initial form of the management of this pathology continuing the questioning that habitually we formulate us at to undertake to the patient with SIRA: since knowing if my patient complies the criteria of SIRA to initiate the management as such, to initiate the management with the fan basing on the already dictated general objectives for the processing with conventional mechanical ventilation, ¿that methods of recruitment alveolar exist?, It is the way ventilator adequate to initiate?, ¿what is the pulmonary protection?, a consequence of the pulmonary protection is the hypercapnia permissive but is ¿turned out expected or mere consequence? These questioning they try to answer in base to the studies that more they have impacted the medical task in recent years and thus this is supported revision.

KEYWORDS

Acute respiratory syndrome, mechanical ventilation, treatment.

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