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Consideraciones para el manejo de los pacientes críticos con enfermedad tiroidea / Considerations for the management of critical patients with thyroid disease
Resumen
Resumen
El papel que desempeña el sistema endocrino en la homeostasis de toda la economía corporal es fundamental, y su integridad o su alteración impactan en la calidad de vida, el pronóstico y la sobrevida de los pacientes en diferentes escenarios. Si bien todos los órganos que conforman este sistema son importantes, cobra especial importancia la glándula tiroides por su localización anatómica fácilmente abordable y la amalgama de síntomas y signos que se producen por su afectación. En la unidad de cuidados intensivos es fundamental el conocimiento de la fisiología y de la patología tiroidea, debido a la condición crítica de los pacientes y su compromiso multisistémico, por lo que este conocimiento se convierte en una herramienta imprescindible en el arsenal diagnóstico médico para un manejo oportuno y efectivo de dichas patologías. Esta revisión tiene el objetivo de transmitir de manera concreta y actualizada las consideraciones necesarias para el óptimo abordaje de los pacientes con enfermedad tiroidea en la unidad de cuidados intensivos.
Abstract
The role of the endocrine system in the homeostasis of all the body is essential, and has an impact on quality of life, prognosis and survival of patients. Although all the organs of this system are important, the thyroid gland is sizeable due to its easily accessible anatomical location and the variety of symptoms and signs that occur after it is affected. In the intensive care unit, knowledge of thyroid physiology and pathology is essential, due to the critical condition of patients and their multisystemic compromise, which is why this knowledge becomes an essential tool in the diagnostic arsenal to give a timely and effective management of these disorders. The objective of this review is to transmit in a timely and updated manner the necessary considerations for the optimal approach to patients with thyroid disease in the intensive care unit.
Palabras clave
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DOI: https://doi.org/10.24875/RMIMSS.M20000105
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