Intoxicación por monóxido de carbono: un evento a sospechar en el servicio de urgencias
Resumen
La intoxicación por monóxido de carbono (CO) es una condición frecuente. Se presenta en 17,5 por 100.000 habitantes en países desarrollados es la principal causa de mortalidad por intoxicaciones. Requiere un alto grado de sospecha y una evaluación juiciosa de las circunstancias concomitantes, su diagnóstico se dificulta por la clínica variable y por la falta de marcadores confiables. El uso de la CO-oximetría es una herramienta que ayuda al diagnóstico, a la toma de decisiones terapéuticas y al seguimiento. Aunque la evidencia sigue siendo controversial, la mejor oportunidad para los pacientes intoxicados con CO es el uso de oxígeno a altas concentraciones en una cámara hiperbárica. Considerando el difícil acceso en nuestro medio a la terapia hiperbárica, debemos tener en consideración otras alternativas terapéuticas que pueden ayudarnos a disminuir complicaciones agudas y secuelas crónicas.
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Disciplinas:
toxicología, medicina internaLenguajes:
esAgencias de apoyo:
Universidad CESReferencias bibliográficas
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