<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2019000100126</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de dificultad respiratoria aguda en niños]]></article-title>
<article-title xml:lang="en"><![CDATA[Syndrome of acute respiratory distress in children]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Moya]]></surname>
<given-names><![CDATA[Valentin Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrese Pérez]]></surname>
<given-names><![CDATA[Yinet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias Almanza]]></surname>
<given-names><![CDATA[Nuria Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diaz Casañas]]></surname>
<given-names><![CDATA[Elaine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Martín Chang Puga  ]]></institution>
<addr-line><![CDATA[Nuevitas Camagüey]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Nacional Coordinador de Ensayos Clínicos  ]]></institution>
<addr-line><![CDATA[La Habana La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Dr. Antonio Luaces Iraola  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila Ciego de Ávila]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Nacional de Sanidad Agropecuaria  ]]></institution>
<addr-line><![CDATA[Mayabeque Mayabeque]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>1</numero>
<fpage>126</fpage>
<lpage>135</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2019000100126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2019000100126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2019000100126&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El síndrome de dificultad respiratoria aguda es una enfermedad con baja incidencia pero elevada mortalidad, determinada por la disfunción orgánica secundaria a un fenómeno hipóxico refractario y mantenido. Se distinguen dentro de sus formas clínicas las pulmonares y las extrapulmonares. La búsqueda de un tratamiento eficaz es una constante inquietud, al respecto están vigentes pilares fundamentales, dentro de los que se encuentran: modificar los factores de riesgo, identificar la enfermedad responsable y tratarla, mantener el medio interno (volemia, electrolitos, equilibrio ácido básico y nutrición) en niveles óptimos, el uso de la ventilación artificial con todas sus estrategias protectoras, la estabilización hemodinámica y el manejo minucioso de drogas inotrópicas. Resulta imprescindible destacar la importancia de que el personal médico y paramédico pueda identificar los síntomas y signos que constituyen el substrato de la enfermedad, con el objetivo de actuar de manera precoz sobre ellos y evitar de este modo la progresión de la hipoxemia. Esta revisión pretende describir y actualizar la evolución de los conceptos sobre dicho síndrome, en particular lo relacionado con la población pediátrica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The syndrome of acute respiratory distress is a disease of low incidence but of high mortality, which is determined by its secundary organic function of a hypoxic refractory and maintained phenomenon. Pulmonary and extra-pulmonary clinical presentations are the most outstanding. Finding an effective treatment is a constant concern, with regards to this, the main bases are valid, among them modifying risk factors, identifying and treating the responsible disease, maintaining internal means (volume, electrolytes, acid-basic balance and nutrition) at optimum levels, the use of artificial ventilation with all its protecting strategies, hemodynamic stabilization and detailed management of inotropic drugs. It is vital to highlight the importance of medical and paramedical personnel training for identifying the symptoms and signs on the basis of the disease aimed at their early management and avoiding the progression of hypoxemia. This review pretends to describe and update the evolution of concepts about this syndrome, particularly in the pediatric population.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de dificultad respiratoria]]></kwd>
<kwd lng="es"><![CDATA[síndrome de dificultad respiratoria del recién nacido]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="en"><![CDATA[respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[newborn]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
</kwd-group>
</article-meta>
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