Katherine Esparza Maquilón
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Antonio Miguel Ornes Rodriguez
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Diana Mercedes Bombón Salazar
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Daniela Macarena Mediavilla Paredes
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Luis Gustavo Mediavilla Sevilla
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INTRODUCTION. Interstitial lung disease (ILD) with acute respiratory failure needs ventilatory support
poorly documented. One of the interstitial diseases known is the Systemic sclerosis, its advanced stages
develop CREST syndrome. Faverio P, et al. (2016) suggested do not close the door to these patients and open the correct protocol,
criticizing the little value that the scientic community concede to invasive mechanical ventilation (IMV).
CASE REPORT. 85-year-old male is internalized in critical care unit by pneumonia, the complementary evaluation shows a
systemic sclerosis disease with CREST syndrome and it is conrmed by elevation of anti-centromere antibody and positive skin
biopsy. Tomography highlights pneumonic consolidation plus interstitial lung involvement and echocardiography reveals
pulmonary hypertension. The management is done with IMV, keeping the goal of driving pressure less than 15 as lung
protection, recovering respiratory function in 3 weeks. Discussion. The evidence is too insufcient to establish the best decision
on IMV to the management of ILD.