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RESUMENEl objetivo del presente escrito es realizar una amplia revisión sobre el tema de SDRA, complementándolo con el reporte de un caso tratado en Admisión Continua del Instituto Mexicano del Seguro Social, Hospital General «Gaudencio González Garza» Centro Médico Nacional «La Raza», enfocándonos en la importancia de esta patología y las opciones terapéuticas que se pueden aplicar en Urgencias. La recopilación de datos se realizó de los artículos más relevantes en el buscador PubMed y en la base de datos de Cochrane. Resultados: El SDRA es un tipo de proceso infl amatorio difuso que lleva a incremento de la permeabilidad vascular, incremento del peso y disminución de las zonas ventiladas del tejido pulmonar generando hipoxemia. Conclusión: La ventilación pulmonar en posición prono y la ventilación protectora disminuyen de manera signifi cativa la mortalidad en pacientes con SDRA grave, siendo factible el uso de estas estrategias en Urgencias.Palabras clave: Ventilación en posición prono, SDRA, Berlín, infl uenza, hipoxemia, ventilación protectora. ABSTRACTThe objective of this paper is to conduct a comprehensive review on the subject of ARDS, complemented by the reporting of a case that was treated in Admission Continuing, Mexican Institute of Social Security, Hospital General «Gaudencio González Garza» National Medical Center «La Raza», focusing on the importance of this disease and the treatment options that can be applied in emergencies. The data collection was carried out in the most relevant articles in the PubMed search engine and database of Cochrane. Results: ARDS is a type of diffuse infl ammatory process leading to increased vascular permeability, increased weight and decreased tissue ventilated lung areas causing hypoxemia. Conclusion: Pulmonary ventilation in the prone position and protective ventilation signifi cantly reduce mortality in patients with severe ARDS, being feasible to use these strategies in emergencies.

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The dissemination of university knowledge has been traditionally based on lectures to students organised in homogenous groups. The advantages of this method are that it can give a unified vision of content, guaranteeing equal access to knowledge for all students. The 21st century university must combine its learning and teaching methods and incorporate different strategies and educative resources, as well as seeking to advance individuallearning and promote collaborative work. The relevance ofWeb 2.0 is clear in this university learning context as it enables collaborative work to be carried out using ICT. In this chapter, we will deal with the different possible uses of social software in university teaching. We will show that the proper use of Web 2.0 tools can favour collaborativelearning and promote new ways of teaching and learning.

The dissemination of university knowledge has been traditionally based on lectures to students organised in homogenous groups. The advantages of this method are that it can give a unified vision of content, guaranteeing equal access to knowledge for all students. The 21st century university must combine its learning and teaching methods and incorporate different strategies and educative resources, as well as seeking to advance individual learning and promote collaborative work. The relevance of Web 2.0 is clear in this university learning context as it enables collaborative work to be carried out using ICT. In this chapter, we will deal with the different possible uses of social software in university teaching. We will show that the proper use of Web 2.0 tools can favour collaborative learning and promote new ways of teaching and learning.