{"id":40901,"date":"2023-10-20T09:39:59","date_gmt":"2023-10-20T09:39:59","guid":{"rendered":"https:\/\/ifevet.com\/pt\/?p=40901"},"modified":"2025-01-10T15:45:24","modified_gmt":"2025-01-10T15:45:24","slug":"sindrome-de-isquemia-reperfusao-sistemica","status":"publish","type":"post","link":"https:\/\/ifevet.com\/pt\/sindrome-de-isquemia-reperfusao-sistemica\/","title":{"rendered":"S\u00edndrome de Isqu\u00e9mia-Reperfus\u00e3o Sist\u00e9mica"},"content":{"rendered":"<p><strong>Defini\u00e7\u00e3o:<\/strong> apresenta\u00e7\u00e3o cl\u00ednica semelhante \u00e0 da s\u00e9psis, uma vez que os doentes apresentam inflama\u00e7\u00e3o sist\u00e9mica (SIRS), ativa\u00e7\u00e3o da coagula\u00e7\u00e3o (DIC) e rutura endotelial.<\/p>\n<p><strong>Sinais cl\u00ednicos:<\/strong><\/p>\n<ol style=\"list-style-type: lower-alpha;\">\n<li>taquicardia\/bradicardia<\/li>\n<li>taquipneia<\/li>\n<li>febre\/hipotermia<\/li>\n<li>hipoperfus\u00e3o<\/li>\n<li>fal\u00eancia de m\u00faltiplos \u00f3rg\u00e3os<\/li>\n<li>hemorragias, edemas, etc.<\/li>\n<\/ol>\n<p><strong>Tratamento:<\/strong><\/p>\n<ol style=\"list-style-type: lower-alpha;\">\n<li>Otimiza\u00e7\u00e3o hemodin\u00e2mica: Utiliza\u00e7\u00e3o de terapia precoce dirigida por objectivos. Os nossos objectivos ser\u00e3o uma press\u00e3o venosa central de 0-10 cm H2O, PAM 80-120 mmHg, ScvO2 &gt; 70% e lactato &lt; 2,5 mmol\/L.<\/li>\n<li>Controlo glic\u00e9mico: A hiperglicemia agrava a les\u00e3o cerebral isqu\u00e9mica. Recomenda-se a administra\u00e7\u00e3o regular de insulina para manter a glicose abaixo de 180 mg\/dL.<\/li>\n<li>Disfun\u00e7\u00e3o adrenal: A insufici\u00eancia de corticoster\u00f3ides relacionada com a doen\u00e7a cr\u00edtica (CIRCI) foi descrita em pessoas ap\u00f3s PCP. Considerar doses baixas de hidrocortisona\/metilprednisolona em doentes dependentes de vasopressores.<\/li>\n<\/ol>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-40904 size-full\" src=\"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/10\/sindrome-de-isquemia-reperfusao-sistemica.png\" alt=\"\" width=\"1000\" height=\"667\" srcset=\"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/10\/sindrome-de-isquemia-reperfusao-sistemica.png 1000w, https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/10\/sindrome-de-isquemia-reperfusao-sistemica-300x200.png 300w, https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/10\/sindrome-de-isquemia-reperfusao-sistemica-768x512.png 768w, https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/10\/sindrome-de-isquemia-reperfusao-sistemica-600x400.png 600w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Defini\u00e7\u00e3o: apresenta\u00e7\u00e3o cl\u00ednica semelhante \u00e0 da s\u00e9psis, uma vez que os doentes apresentam inflama\u00e7\u00e3o sist\u00e9mica (SIRS), ativa\u00e7\u00e3o da coagula\u00e7\u00e3o (DIC) e rutura endotelial. Sinais cl\u00ednicos: taquicardia\/bradicardia taquipneia febre\/hipotermia hipoperfus\u00e3o fal\u00eancia de m\u00faltiplos \u00f3rg\u00e3os hemorragias, edemas, etc. Tratamento: Otimiza\u00e7\u00e3o hemodin\u00e2mica: Utiliza\u00e7\u00e3o de terapia precoce dirigida por objectivos. Os nossos objectivos ser\u00e3o uma press\u00e3o venosa central de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":40904,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[46],"tags":[],"class_list":["post-40901","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-conteudo-clinico"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>S\u00edndrome de Isqu\u00e9mia-Reperfus\u00e3o Sist\u00e9mica - Ifevet International - Portugal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ifevet.com\/pt\/sindrome-de-isquemia-reperfusao-sistemica\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"S\u00edndrome de Isqu\u00e9mia-Reperfus\u00e3o Sist\u00e9mica - Ifevet International - Portugal\" \/>\n<meta property=\"og:description\" content=\"Defini\u00e7\u00e3o: apresenta\u00e7\u00e3o cl\u00ednica semelhante \u00e0 da s\u00e9psis, uma vez que os doentes apresentam inflama\u00e7\u00e3o sist\u00e9mica (SIRS), ativa\u00e7\u00e3o da coagula\u00e7\u00e3o (DIC) e rutura endotelial. Sinais cl\u00ednicos: taquicardia\/bradicardia taquipneia febre\/hipotermia hipoperfus\u00e3o fal\u00eancia de m\u00faltiplos \u00f3rg\u00e3os hemorragias, edemas, etc. Tratamento: Otimiza\u00e7\u00e3o hemodin\u00e2mica: Utiliza\u00e7\u00e3o de terapia precoce dirigida por objectivos. 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