{"id":20440,"date":"2025-01-07T17:01:35","date_gmt":"2025-01-07T17:01:35","guid":{"rendered":"https:\/\/www.eakinrespiratory.com\/?post_type=blogs&#038;p=20440"},"modified":"2025-02-12T13:08:46","modified_gmt":"2025-02-12T13:08:46","slug":"hemorragia-intraventricular-en-prematuros","status":"publish","type":"blogs","link":"https:\/\/dev.eakinrespiratory.com\/es\/blogs\/hemorragia-intraventricular-en-prematuros\/","title":{"rendered":"Hemorragia intraventricular en prematuros: fisiopatolog\u00eda, factores de riesgo y atenci\u00f3n m\u00e9dica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"20440\" class=\"elementor elementor-20440 elementor-20156\" data-elementor-post-type=\"blogs\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c6b5e86 e-con-full e-flex e-con e-parent\" data-id=\"c6b5e86\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-80fc556 elementor-widget elementor-widget-template\" data-id=\"80fc556\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"20853\" class=\"elementor elementor-20853 elementor-13670\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<div class=\"elementor-element elementor-element-00376f4 elementor-hidden-tablet elementor-hidden-mobile e-flex e-con-boxed e-con e-parent\" data-id=\"00376f4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e1aeba2 animated-slow e-con-full elementor-hidden-tablet elementor-hidden-mobile e-flex e-con e-child\" data-id=\"e1aeba2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;,&quot;animation_mobile&quot;:&quot;none&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-af31315 elementor-widget elementor-widget-breadcrumbs\" data-id=\"af31315\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Home<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f7189e7 animated-slow e-con-full e-flex e-con e-child\" data-id=\"f7189e7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;,&quot;animation_mobile&quot;:&quot;none&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3eecea1 elementor-widget elementor-widget-heading\" data-id=\"3eecea1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Hemorragia intraventricular en prematuros: fisiopatolog\u00eda, factores de riesgo y atenci\u00f3n m\u00e9dica<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-599b55c elementor-widget elementor-widget-text-editor\" data-id=\"599b55c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tLa hemorragia intraventricular (HIV) es una complicaci\u00f3n cr\u00edtica en el prematuro, que afecta principalmente a los beb\u00e9s nacidos antes de las 30 semanas de gestaci\u00f3n o con un peso inferior a 1500 gr.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28991be elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"28991be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c087466 elementor-widget elementor-widget-post-info\" data-id=\"c087466\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-e5d04a9 elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t<span class=\"elementor-post-info__item-prefix\">Publicado en:<\/span>\n\t\t\t\t\t\t\t\t\t\t<time>07\/01\/2025<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-168f7b5 elementor-widget elementor-widget-spacer\" data-id=\"168f7b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39ee099 elementor-share-buttons--shape-circle elementor-share-buttons--color-custom elementor-share-buttons--view-icon-text elementor-share-buttons--skin-gradient elementor-grid-0 elementor-widget elementor-widget-share-buttons\" data-id=\"39ee099\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"share-buttons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_facebook\" role=\"button\" tabindex=\"0\" aria-label=\"Compartir en facebook\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-facebook\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256c0 123.78 90.69 226.38 209.25 245V327.69h-63V256h63v-54.64c0-62.15 37-96.48 93.67-96.48 27.14 0 55.52 4.84 55.52 4.84v61h-31.28c-30.8 0-40.41 19.12-40.41 38.73V256h68.78l-11 71.69h-57.78V501C413.31 482.38 504 379.78 504 256z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tFacebook\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_x-twitter\" role=\"button\" tabindex=\"0\" aria-label=\"Compartir en x-twitter\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-x-twitter\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M389.2 48h70.6L305.6 224.2 487 464H345L233.7 318.6 106.5 464H35.8L200.7 275.5 26.8 48H172.4L272.9 180.9 389.2 48zM364.4 421.8h39.1L151.1 88h-42L364.4 421.8z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tX\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_linkedin\" role=\"button\" tabindex=\"0\" aria-label=\"Compartir en linkedin\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-linkedin\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-daaf739 elementor-hidden-desktop e-flex e-con-boxed e-con e-parent\" data-id=\"daaf739\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4398c93 animated-slow e-con-full elementor-hidden-tablet elementor-hidden-mobile e-flex e-con e-child\" data-id=\"4398c93\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;,&quot;animation_mobile&quot;:&quot;none&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd953ff elementor-widget elementor-widget-breadcrumbs\" data-id=\"bd953ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Home<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e6096c2 animated-slow e-con-full e-flex e-con e-child\" data-id=\"e6096c2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;,&quot;animation_mobile&quot;:&quot;none&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aec990c elementor-widget elementor-widget-heading\" data-id=\"aec990c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Hemorragia intraventricular en prematuros: fisiopatolog\u00eda, factores de riesgo y atenci\u00f3n m\u00e9dica<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af2f421 elementor-widget elementor-widget-text-editor\" data-id=\"af2f421\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tLa hemorragia intraventricular (HIV) es una complicaci\u00f3n cr\u00edtica en el prematuro, que afecta principalmente a los beb\u00e9s nacidos antes de las 30 semanas de gestaci\u00f3n o con un peso inferior a 1500 gr.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-988a8e7 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"988a8e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9e3532 elementor-widget elementor-widget-post-info\" data-id=\"e9e3532\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-e5d04a9 elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t<span class=\"elementor-post-info__item-prefix\">Published on:<\/span>\n\t\t\t\t\t\t\t\t\t\t<time>enero 7, 2025<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0c1908c elementor-share-buttons--shape-circle elementor-share-buttons--color-custom elementor-share-buttons--view-icon elementor-share-buttons--skin-gradient elementor-grid-0 elementor-widget elementor-widget-share-buttons\" data-id=\"0c1908c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"share-buttons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_facebook\" role=\"button\" tabindex=\"0\" aria-label=\"Compartir en facebook\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-facebook\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256c0 123.78 90.69 226.38 209.25 245V327.69h-63V256h63v-54.64c0-62.15 37-96.48 93.67-96.48 27.14 0 55.52 4.84 55.52 4.84v61h-31.28c-30.8 0-40.41 19.12-40.41 38.73V256h68.78l-11 71.69h-57.78V501C413.31 482.38 504 379.78 504 256z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_x-twitter\" role=\"button\" tabindex=\"0\" aria-label=\"Compartir en x-twitter\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-x-twitter\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M389.2 48h70.6L305.6 224.2 487 464H345L233.7 318.6 106.5 464H35.8L200.7 275.5 26.8 48H172.4L272.9 180.9 389.2 48zM364.4 421.8h39.1L151.1 88h-42L364.4 421.8z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_linkedin\" role=\"button\" tabindex=\"0\" aria-label=\"Compartir en linkedin\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fab-linkedin\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5e42e53 e-con-full elementor-hidden-tablet elementor-hidden-mobile e-flex e-con e-parent\" data-id=\"5e42e53\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-ca7e09f e-flex e-con-boxed e-con e-child\" data-id=\"ca7e09f\" data-element_type=\"container\" data-e-type=\"container\" 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975Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-44e859b e-con-full elementor-hidden-desktop e-flex e-con e-parent\" data-id=\"44e859b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-c558fb0 e-flex e-con-boxed e-con e-child\" data-id=\"c558fb0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1540518 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"1540518\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" data-src=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/01\/INSPIRE-Hemorragia-intraventricular-en-prematuros.jpg\" title=\"\" alt=\"Eakin Healthcare\" width=\"1920\" class=\"smush-dimensions lazyload\" style=\"--smush-image-width: 1920px; --smush-image-aspect-ratio: 1920\/1005;\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-793c60f elementor-widget elementor-widget-spacer\" data-id=\"793c60f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-92f709a e-con-full e-flex e-con e-parent\" data-id=\"92f709a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-d5baec7 e-flex e-con-boxed e-con e-child\" data-id=\"d5baec7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3f4b0 elementor-widget elementor-widget-text-editor\" data-id=\"2c3f4b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La hemorragia intraventricular (HIV) es una complicaci\u00f3n cr\u00edtica en el prematuro, que afecta principalmente a los beb\u00e9s nacidos antes de las 30 semanas de gestaci\u00f3n o con un peso inferior a 1500 gr. Aunque las mejoras en la atenci\u00f3n peri- y neonatal han aumentado la tasa de supervivencia de los beb\u00e9s prematuros, en especial la de los nacidos con una edad gestacional inferior a 25 semanas<sup>1<\/sup>, la HIV sigue siendo una importante causa de morbimortalidad. La incidencia de la HIV en estos beb\u00e9s sigue siendo aproximadamente de entre el 25 y el 30\u00a0%<sup>2,3<\/sup>. Estos hallazgos ponen de relieve la dificultad de determinar las estrategias \u00f3ptimas de atenci\u00f3n m\u00e9dica de la HIV. En esa revisi\u00f3n se ofrece una descripci\u00f3n general de la fisiopatolog\u00eda, los factores de riesgo y la atenci\u00f3n de la HIV, haciendo hincapi\u00e9 en los enfoques basados en los datos en toda la atenci\u00f3n pre-, peri- y posnatal.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af48457 elementor-widget elementor-widget-spacer\" data-id=\"af48457\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0431630 elementor-widget elementor-widget-heading\" data-id=\"0431630\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Fisiopatolog\u00eda de la HIV<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac73240 elementor-widget elementor-widget-spacer\" data-id=\"ac73240\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab618e0 elementor-widget elementor-widget-text-editor\" data-id=\"ab618e0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La HIV se origina fundamentalmente en la matriz germinal, una capa celular transitoria, muy activa metab\u00f3licamente y muy vascularizada, situada a lo largo de los ventr\u00edculos laterales. Esta capa es responsable de los precursores de las neuronas corticales y las c\u00e9lulas neurogliales de los hemisferios cerebrales, que, posteriormente, migran hacia la periferia siguiendo un esquema programado. La matriz germinal est\u00e1 activa sobre todo durante las etapas iniciales de la gestaci\u00f3n e involuciona de manera progresiva, de manera que hacia las 32-34 semanas de gestaci\u00f3n solo queda un peque\u00f1o componente residual en el surco caudotal\u00e1mico<sup>4<\/sup>. La gran vascularizaci\u00f3n de la matriz germinal la hace particularmente vulnerable a las hemorragias, en particular en los prematuros, cuya vasculatura inmadura, que se caracteriza por capilares de paredes finas, es propensa a romperse con las agresiones. Los factores que contribuyen a esta vulnerabilidad son:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d357f4 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"8d357f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Inmadurez de la autorregulaci\u00f3n cerebral (ARC): <\/b>los beb\u00e9s prematuros carecen de mecanismos autorreguladores fuertes para estabilizar el flujo sangu\u00edneo cerebral (FSC), lo que hace que su enc\u00e9falo sea susceptible a las lesiones causadas por la hipotensi\u00f3n, la hipertensi\u00f3n o las fluctuaciones en la presi\u00f3n arterial sist\u00e9mica<sup>5,6.<\/sup>  <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Factores inflamatorios e hip\u00f3xicos:<\/b> afecciones como la corioamnionitis y la septicemia posnatal agravan el da\u00f1o endotelial, lo que aumenta el riesgo de HIV.<sup>(7)<\/sup><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Inestabilidades metab\u00f3licas:<\/b> la hipoxia, la hipercapnia y la acidosis desestabilizan la fr\u00e1gil vasculatura de la matriz germinal <sup>8,9.<\/sup> <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6483f4 elementor-widget elementor-widget-spacer\" data-id=\"f6483f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c440b1 elementor-widget elementor-widget-heading\" data-id=\"2c440b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Factores de riesgo de HIV<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-33ed86c elementor-widget elementor-widget-spacer\" data-id=\"33ed86c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a71106 elementor-widget elementor-widget-text-editor\" data-id=\"2a71106\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Factores de riesgo prenatales:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db24046 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"db24046\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Baja edad gestacional y bajo peso al nacer:<\/b> el factor de riesgo m\u00e1s importante para la HIV de la matriz germinal es una edad gestacional muy baja. Los beb\u00e9s nacidos antes de las 30 semanas de gestaci\u00f3n o con un peso inferior a los 1000 gramos son los que presentan un mayor riesgo.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>\tCorioamnionitis e infecciones maternas:<\/b> la inflamaci\u00f3n materna es uno de los factores responsables del da\u00f1o cerebrovascular temprano<sup>9<\/sup>.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8695ef0 elementor-widget elementor-widget-spacer\" data-id=\"8695ef0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7631946 elementor-widget elementor-widget-text-editor\" data-id=\"7631946\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Factores de riesgo posnatales:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6eef45 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"a6eef45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>S\u00edndrome de dificultad respiratoria (SDR):<\/b> la hipoxia y las dificultades de la ventilaci\u00f3n mec\u00e1nica asociada aumentan la susceptibilidad a la HIV.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Fluctuaciones en las presiones sist\u00e9micas: <\/b>la hipotensi\u00f3n y la hipertensi\u00f3n pueden conducir a la rotura de un vaso encef\u00e1lico.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Hipernatremia y administraci\u00f3n r\u00e1pida de l\u00edquidos:<\/b> ambas situaciones pueden alterar los gradientes osm\u00f3ticos y agravar el riesgo de extravasaci\u00f3n capilar.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Septicemia y coagulopat\u00eda:<\/b> ambas aumentan las cascadas inflamatorias y la lesi\u00f3n endotelial.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4bda9a7 elementor-widget elementor-widget-spacer\" data-id=\"4bda9a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0e61a52 elementor-widget elementor-widget-heading\" data-id=\"0e61a52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico y clasificaci\u00f3n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c370b27 elementor-widget elementor-widget-spacer\" data-id=\"c370b27\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d86a434 elementor-widget elementor-widget-text-editor\" data-id=\"d86a434\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Ecograf\u00eda:<\/strong> la ecograf\u00eda craneal es el m\u00e9todo de referencia para el diagn\u00f3stico de la HIV, ya que permite la detecci\u00f3n temprana de la hemorragia y la monitorizaci\u00f3n de complicaciones como la dilataci\u00f3n ventricular poshemorr\u00e1gica (DVPH).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aadf8e4 elementor-widget elementor-widget-text-editor\" data-id=\"aadf8e4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Sistema de clasificaci\u00f3n de Papile<\/strong><sup>8<\/sup><strong>:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e6385c elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"6e6385c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Grado I<\/b> hemorragia limitada a la matriz germinal.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Grado II:<\/b> hemorragia que se extiende hacia los ventr\u00edculos, pero sin dilataci\u00f3n.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Grado III:<\/b> hemorragia intraventricular con dilataci\u00f3n concomitante.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Grado IV:<\/b> extensi\u00f3n parenquimatosa, tambi\u00e9n denominada infarto hemorr\u00e1gico periventricular (IHPV).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ca154d8 elementor-widget elementor-widget-spacer\" data-id=\"ca154d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa4b022 elementor-widget elementor-widget-spacer\" data-id=\"fa4b022\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c245cf1 elementor-widget elementor-widget-text-editor\" data-id=\"c245cf1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>RM para pron\u00f3stico: <\/strong>aunque la ecograf\u00eda craneal sigue siendo el m\u00e9todo de referencia para el control sist\u00e9mico y la detecci\u00f3n temprana de la HIV, tiene limitaciones, especialmente para detectar lesiones leves en el cerebelo, as\u00ed como en las materias gris y blanca. La resonancia magn\u00e9tica (RM) se considera superior a la hora de visualizar lesiones en la materia blanca y proporcionar una evaluaci\u00f3n m\u00e1s exhaustiva del da\u00f1o encef\u00e1lico. Sin embargo, la RM plantea varias dificultades para su uso generalizado en los beb\u00e9s prematuros. Es dif\u00edcil de realizar en etapas tempranas, ya que la inestabilidad cl\u00ednica de la mayor\u00eda de neonatos dificulta su transporte, el tiempo de adquisici\u00f3n de las im\u00e1genes es muy lento, requiere anestesia y es un procedimiento caro. Adem\u00e1s, puede que no modifique la atenci\u00f3n m\u00e9dica en las etapas iniciales. A pesar de estas dificultades, en los estudios ha quedado demostrado que la RM es m\u00e1s eficaz si se realiza a una edad de 40\u00a0semanas desde la fecundaci\u00f3n, sobre todo para evaluar lesiones en la materia blanca. En este estadio, la RM puede ofrecer valiosos conocimientos sobre las consecuencias en el neurodesarrollo a corto y largo plazo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90d25ad elementor-widget elementor-widget-spacer\" data-id=\"90d25ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f05822 elementor-widget elementor-widget-heading\" data-id=\"3f05822\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Prevenci\u00f3n y atenci\u00f3n m\u00e9dica<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-beb81c6 elementor-widget elementor-widget-spacer\" data-id=\"beb81c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-95c3485 elementor-widget elementor-widget-text-editor\" data-id=\"95c3485\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Abordaje prenatal:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-992e532 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"992e532\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Corticoesteroides prenatales<\/b>: se ha demostrado que reducen la incidencia de la HIV, al estabilizar la estructura cerebrovascular inmadura y mejorar los resultados respiratorios neonatales. En los estudios se demuestra que la administraci\u00f3n de corticoesteroides entre 24 horas y 7 d\u00edas antes del parto prematuro reduce la incidencia de HIV grave en beb\u00e9s nacidos entre las 22 y las 29 semanas de gestaci\u00f3n. Los corticoesteroides prenatales tambi\u00e9n se asocian a una mejora del SDR y a la reducci\u00f3n de la duraci\u00f3n de la ventilaci\u00f3n mec\u00e1nica<sup>10,11,12. <\/sup><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Sulfato de magnesio:<\/b> Asi se administra durante el trabajo de parto prematuro, reduce el riesgo de par\u00e1lisis cerebral (PC) en los neonatos supervivientes, aunque su efecto directo en la prevenci\u00f3n del HIV est\u00e1 menos claro.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Traslado de la madre a centros especializados con unidades de cuidados intensivos neonatales<\/b>: las instalaciones con unidades de cuidados intensivos neonatales (UCIN) mejoran las tasas de supervivencia y reducen las HIV graves gracias a unos recursos y unos protocolos avanzados.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66b7515 elementor-widget elementor-widget-spacer\" data-id=\"66b7515\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1e61bc elementor-widget elementor-widget-text-editor\" data-id=\"a1e61bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Abordaje perinatal:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef5584b elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"ef5584b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Pinzamiento tard\u00edo del cord\u00f3n umbilical (PTC):<\/b> el PTC realizado entre 30 y 60 segundos despu\u00e9s del parto mejora la estabilidad circulatoria al incrementar la volemia y la concentraci\u00f3n de hemoglobina. Los datos indican que el PTC reduce el riesgo de HIV grave en hasta un 50 %<sup>13.<\/sup><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Optimizaci\u00f3n de las pr\u00e1cticas en los paritorios<\/b>: garantizar la estabilidad de la temperatura, una manipulaci\u00f3n cuidadosa y la reducci\u00f3n al m\u00ednimo de los grandes cambios hemodin\u00e1micos son cruciales para reducir el riesgo de HIV inmediatamente despu\u00e9s del parto.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eeaf8ac elementor-widget elementor-widget-spacer\" data-id=\"eeaf8ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5f5a0f elementor-widget elementor-widget-text-editor\" data-id=\"a5f5a0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Abordaje posnatal: <\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c10d51 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"2c10d51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Estrategias de ventilaci\u00f3n<\/b> la ventilaci\u00f3n asistida controlada por volumen (VCV) disminuye el riesgo de HIV al reducir al m\u00ednimo las grandes fluctuaciones del volumen corriente. Se ha demostrado que la VCV reduce la incidencia de HIV grave y de enfermedad pulmonar cr\u00f3nica en comparaci\u00f3n con la ventilaci\u00f3n asistida controlada por presi\u00f3n<sup>14<\/sup>. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>\tManejo del di\u00f3xido de carbono (CO2)<\/b> el control estricto del CO2 es esencial, ya que tanto la hipercapnia como la hipocapnia aumentan el riesgo de HIV debido a los r\u00e1pidos cambios cerebrovasculares<sup>15,16<\/sup>.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>\tPrevenci\u00f3n de valores extremos en la presi\u00f3n arterial<\/b>: el mantenimiento de una presi\u00f3n arterial \u00f3ptima es esencial en los prematuros, ya que la hipotensi\u00f3n y la hipertensi\u00f3n se asocian a un aumento del riesgo de HIV. La hipotensi\u00f3n afecta a entre el 15 % y el 50 % de los grandes prematuros, aunque no existe una definici\u00f3n de presi\u00f3n arterial normal universalmente aceptada para esta poblaci\u00f3n. Una pr\u00e1ctica habitual entre los neonat\u00f3logos es definir hipotensi\u00f3n como una media de la presi\u00f3n arterial (PA) inferior a la edad gestacional del beb\u00e9 en semanas. Sin embargo, la presi\u00f3n arterial, por s\u00ed sola, no es un indicador fiable de la perfusi\u00f3n cerebral o la sist\u00e9mica. La administraci\u00f3n de f\u00e1rmacos in\u00f3tropos o la reposici\u00f3n de la volemia en beb\u00e9s prematuros hipotensos que presentan signos cl\u00ednicos de un riego sangu\u00edneo satisfactorio pueden ser innecesarias y podr\u00edan aumentar de manera involuntaria el riesgo de HIV<sup>17<\/sup>. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40dd1ff elementor-widget elementor-widget-spacer\" data-id=\"40dd1ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1af1e52 elementor-widget elementor-widget-heading\" data-id=\"1af1e52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Paquete de medidas asistenciales neonatales para la prevenci\u00f3n de la HIV:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a190e94 elementor-widget elementor-widget-spacer\" data-id=\"a190e94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07ff02b elementor-widget elementor-widget-text-editor\" data-id=\"07ff02b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Se ha estudiado ampliamente la optimizaci\u00f3n de la atenci\u00f3n a los beb\u00e9s prematuros durante las cr\u00edticas 72\u00a0primeras horas de vida como estrategia para reducir la incidencia de la HIV. Sin embargo, los resultados de los estudios siguen siendo contradictorios, lo que pone en evidencia la necesidad de realizar m\u00e1s investigaciones para determinar los protocolos de atenci\u00f3n \u00f3ptimos. Las pr\u00e1cticas aceptadas de manera general son<sup>18,19,20,21<\/sup>.<\/p><ol><li>Mantener la l\u00ednea media en dec\u00fabito supino con la cabeza en orientaci\u00f3n neutra.<\/li><li>Inclinar la incubadora en un \u00e1ngulo de entre 10\u00b0 y 30\u00b0 para evitar la posici\u00f3n cabeza abajo.<\/li><li>Reducir la manipulaci\u00f3n al m\u00ednimo, lo que incluye la limitaci\u00f3n de la aspiraci\u00f3n.<\/li><li>Evitar inyecciones r\u00e1pidas o la extracci\u00f3n de sangre por v\u00eda intravenosa o arterial.<\/li><li>Abstenerse de practicar la aspiraci\u00f3n endotraqueal de manera sistem\u00e1tica.<\/li><li>Realizar otras intervenciones para el alivio del dolor o el estr\u00e9s, como la succi\u00f3n no nutritiva y la administraci\u00f3n de leche materna o sacarosa.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9cbe798 elementor-widget elementor-widget-spacer\" data-id=\"9cbe798\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e80e275 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"e80e275\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Monitorizaci\u00f3n e intervenci\u00f3n temprana:<\/b> las ecograf\u00edas craneales y las mediciones de la circunferencia craneal peri\u00f3dicas son esenciales para identificar la DVPH e intervenir a tiempo. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1018286 elementor-widget elementor-widget-spacer\" data-id=\"1018286\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef9b484 elementor-widget elementor-widget-heading\" data-id=\"ef9b484\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Complicaciones<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5d9d8e elementor-widget elementor-widget-spacer\" data-id=\"e5d9d8e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e34699 elementor-widget elementor-widget-text-editor\" data-id=\"6e34699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La HIV puede causar complicaciones graves, como el infarto hemorr\u00e1gico periventricular (IHPV), la dilataci\u00f3n ventricular poshemorr\u00e1gica (DVPH), la leucomalacia periventricular y la hemorragia cerebelosa.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28752ed elementor-widget elementor-widget-spacer\" data-id=\"28752ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc3c6b8 elementor-widget elementor-widget-heading\" data-id=\"fc3c6b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Infarto hemorr\u00e1gico periventricular (IHPV):<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18c2f37 elementor-widget elementor-widget-spacer\" data-id=\"18c2f37\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2638840 elementor-widget elementor-widget-text-editor\" data-id=\"2638840\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El IHPV suele ser unilateral, causa lesiones en las v\u00edas corticotal\u00e1micas y altera la migraci\u00f3n de las neuronas y las c\u00e9lulas neurogliales. Esto afecta negativamente al desarrollo de la materia gris. El IHPV se asocia a importantes complicaciones a largo plazo: par\u00e1lisis cerebral en el 60\u00a0% de los casos, deterioro cognitivo en el 50%, alteraciones del campo visual en el 25\u00a0% y epilepsia en el 20\u00a0%. El riesgo de mortalidad aumenta con la gravedad de la lesi\u00f3n<sup>22,23<\/sup>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39c7d42 elementor-widget elementor-widget-spacer\" data-id=\"39c7d42\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-617ceea elementor-widget elementor-widget-heading\" data-id=\"617ceea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dilataci\u00f3n ventricular poshemorr\u00e1gica (DVPH):<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f22e4bb elementor-widget elementor-widget-spacer\" data-id=\"f22e4bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e308c34 elementor-widget elementor-widget-text-editor\" data-id=\"e308c34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Con frecuencia, la DVPH aparece entre 1 y 3\u00a0semanas despu\u00e9s de una HIV grave y afecta aproximadamente a un tercio de los beb\u00e9s prematuros con muy bajo peso al nacer. Aproximadamente en la mitad de los casos aparece hidrocefalia progresiva; de ellos, casi el 15\u00a0% requiere cirug\u00eda. La detecci\u00f3n temprana es fundamental, y la supervisi\u00f3n peri\u00f3dica de la circunferencia craneal resulta esencial. Un incremento de m\u00e1s de 1\u00a0mm al d\u00eda justifica m\u00e1s estudios para diagnosticar y tratar la DVPH de manera eficaz<sup>22<\/sup>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f8ac43 elementor-widget elementor-widget-spacer\" data-id=\"9f8ac43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60f98f3 elementor-widget elementor-widget-heading\" data-id=\"60f98f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Tratamiento<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53f6e85 elementor-widget elementor-widget-spacer\" data-id=\"53f6e85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c6a1d50 elementor-widget elementor-widget-text-editor\" data-id=\"c6a1d50\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>En la actualidad, no existe un tratamiento definitivo para la HIV. Este se centra en el tratamiento sintom\u00e1tico, incluida la estabilizaci\u00f3n hemodin\u00e1mica, que garantice una oxigenaci\u00f3n y ventilaci\u00f3n satisfactorias, proporcione un soporte nutricional y de l\u00edquidos apropiado, controle las convulsiones y aborde las complicaciones a medida que vayan surgiendo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a051165 elementor-widget elementor-widget-spacer\" data-id=\"a051165\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64a203c elementor-widget elementor-widget-heading\" data-id=\"64a203c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pron\u00f3stico<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dee50c1 elementor-widget elementor-widget-spacer\" data-id=\"dee50c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af268fb elementor-widget elementor-widget-text-editor\" data-id=\"af268fb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El pron\u00f3stico de la HIV depende de la gravedad de la hemorragia, la presencia de lesi\u00f3n parenquimatosa y la aparici\u00f3n de convulsiones o la necesidad de colocaci\u00f3n de una derivaci\u00f3n<sup>8,24<\/sup>. Los beb\u00e9s con HIV de grado\u00a0I-II pueden presentar retraso del neurodesarrollo, p\u00e9rdida de audici\u00f3n y par\u00e1lisis cerebral. En la HIV de grado\u00a0I, la par\u00e1lisis cerebral ocurre en el 6,8\u00a0% de los casos, y en la HIV de grado\u00a0II, en el 8,1\u00a0%<sup>25<\/sup>. La incidencia de la par\u00e1lisis cerebral aumenta en presencia de dilataci\u00f3n ventricular o leucomalacia periventricular qu\u00edstica. En la HIV de grado\u00a0III o IV, la par\u00e1lisis cerebral ocurre en m\u00e1s del 50\u00a0% de los casos. El 75\u00a0% de estos ni\u00f1os requieren educaci\u00f3n especial. La incidencia de trastornos graves del desarrollo neurol\u00f3gico en la HIV de grado\u00a0IV super\u00f3 el 55\u00a0%, que aument\u00f3 hasta el 86\u00a0% en presencia de IHPV y derivaci\u00f3n<sup>22<\/sup>.<\/p><p>Seg\u00fan las directrices del Instituto Nacional de Excelencia Cl\u00ednica (National Institute of Clinical Excellence, NICE) brit\u00e1nico (NG72), es esencial un seguimiento integral del desarrollo neurol\u00f3gico, lo que incluye fisioterapia, terapia ocupacional y soporte educativo especializado, para optimizar los resultados de los beb\u00e9s afectados.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-720914a elementor-widget elementor-widget-spacer\" data-id=\"720914a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7fe936 elementor-widget elementor-widget-heading\" data-id=\"a7fe936\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Conclusi\u00f3n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4afa71 elementor-widget elementor-widget-spacer\" data-id=\"f4afa71\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-981b0db elementor-widget elementor-widget-text-editor\" data-id=\"981b0db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Prevenir y tratar la HIV en los beb\u00e9s prematuros requiere un enfoque integrador que abarque la atenci\u00f3n pre-, peri- y posnatal. Las estrategias basadas en los datos disponibles, como los corticoesteroides prenatales, el pinzamiento tard\u00edo del cord\u00f3n umbilical, la optimizaci\u00f3n de la ventilaci\u00f3n asistida y los paquetes de medidas asistenciales neuroprotectoras han demostrado ser eficaces para reducir la incidencia y la gravedad de la HIV. La investigaci\u00f3n constante en tratamientos innovadores y en sistemas de soporte a largo plazo es esencial para mejorar los resultados para esta poblaci\u00f3n vulnerable.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15f278f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"15f278f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a945c6 elementor-author-box--layout-image-left elementor-author-box--align-left elementor-author-box--image-valign-middle elementor-widget elementor-widget-author-box\" data-id=\"0a945c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"author-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-author-box\">\n\t\t\t\t\t\t\t<div  class=\"elementor-author-box__avatar\">\n\t\t\t\t\t<img decoding=\"async\" data-src=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/01\/Aishin-1.jpg\" alt=\"Imagen de Aishlin Lok\" title=\"\" width=\"253\" class=\"smush-dimensions lazyload\" style=\"--smush-image-width: 253px; --smush-image-aspect-ratio: 253\/253;\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\">\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<div class=\"elementor-author-box__text\">\n\t\t\t\t\t\t\t\t\t<div >\n\t\t\t\t\t\t<h4 class=\"elementor-author-box__name\">\n\t\t\t\t\t\t\tAishlin Lok\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-author-box__bio\">\n\t\t\t\t\t\t<p>\n<b>Consultor neonatal, Bradford Royal Infirmary<\/b><\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4fdf3df elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4fdf3df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c3e3bd elementor-widget elementor-widget-n-accordion\" data-id=\"3c3e3bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-6310\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-6310\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Referencias <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-6310\" class=\"elementor-element elementor-element-db66b6f e-con-full e-flex e-con e-child\" data-id=\"db66b6f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ea68de1 elementor-widget elementor-widget-text-editor\" data-id=\"ea68de1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li><a href=\"https:\/\/fn.bmj.com\/content\/106\/3\/251.abstract\" target=\"_blank\" rel=\"noopener\">van Beek PE, Groenendaal F, Broeders L, Dijk PH, Dijkman KP, van den Dungen FAM, et al. Survival and causes of death in extremely preterm infants in the Netherlands. Arch Dis Child Fetal Neonatal Ed. 2021;106:251\u2013257. doi: 10.1136\/archdischild-2020-318978.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/thejns.org\/pediatrics\/view\/journals\/j-neurosurg-pediatr\/17\/3\/article-p260.xml\" target=\"_blank\" rel=\"noopener\">Christian EA, Jin DL, Attenello F, Wen T, Cen S, Mack WJ, et al. Trends in hospitalization of preterm infants with intraventricular hemorrhage and hydrocephalus in the United States, 2000-2010. J Neurosurg Pediatr. 2016;17:260\u2013269. doi: 10.3171\/2015.7.PEDS15140.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1090379822000708\" target=\"_blank\" rel=\"noopener\">de Figueiredo Vinagre LE, de Siqueira Caldas JP, Martins Marba ST, Procianoy RS, de Cassia Silveira R, Santiago Rego MA, et al. Temporal trends in intraventricular hemorrhage in preterm infants: a Brazilian multicenter cohort. Eur J Paediatr Neurol. 2022;39:65\u201373. doi: 10.1016\/j.ejpn.2022.05.003.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.perinatology.theclinics.com\/article\/S0095-5108(09)00068-2\/abstract\" target=\"_blank\" rel=\"noopener\">Bassan H. Intracranial hemorrhage in the preterm infant:understanding it, preventing it. Clin Perinatol. 2009;36:737\u201362. doi: 10.1016\/j.clp.2009.07.014.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.perinatology.theclinics.com\/article\/S0095-5108(20)30043-9\/fulltext\" target=\"_blank\" rel=\"noopener\">Kooi EMW, Richter AE. Cerebral autoregulation in sick infants: current insights. Clin Perinatol. 2020;47:449\u2013467. doi: 10.1016\/j.clp.2020.05.003.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0887899400001843\" target=\"_blank\" rel=\"noopener\">Verma PK, Panerai RB, Rennie JM, Evans DH. Grading of cerebral autoregulation in preterm and term neonates. Pediatr Neurol. 2000;23:236\u2013242. doi: 10.1016\/s0887-8994(00)00184-3.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16549908\/\" target=\"_blank\" rel=\"noopener\">Babnik J, Stucin-Gantar I, Kornhauser-Cerar L, Sinkovec J, Wraber B, Derganc M. Intrauterine inflammation and the onset of peri-intraventricular hemorrhage in premature infants. Biol Neonate. 2006;90:113\u201321. doi: 10.1159\/000092070.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/cir.nii.ac.jp\/crid\/1573950399931433984\" target=\"_blank\" rel=\"noopener\">Volpe JJ. Intracranial hemorrhage:germinal matrix \u2013intraventricular hemorrhage of the premature infant. In: Volpe JJ, editor. Neurology of the newborn. 5th edition. Philadelphia: Elsevier; 2008. pp. 517\u201388.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1052305715006783\" target=\"_blank\" rel=\"noopener\">Lu H, Wang Q, Lu J, Zhang Q, Kumar P. Risk Factors for Intraventricular Hemorrhage in Preterm Infants Born at 34 Weeks of Gestation or Less Following Preterm Premature Rupture of Membranes. J Stroke Cerebrovasc Dis. 2016;25:807\u201312. doi: 10.1016\/j.jstrokecerebrovasdis.2015.12.011.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD004454.pub4\/full\" target=\"_blank\" rel=\"noopener\">McGoldrick E, Stewart F, Parker R, Dalziel SR. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev. 2020;12:CD004454. doi: 10.1002\/14651858.CD004454.pub4.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/sciendo.com\/article\/10.34763\/devperiodmed.20172104.328335\" target=\"_blank\" rel=\"noopener\">Helwich E, Rutkowska M, Bokiniec R, Gulczynska E, Hozejowski R. Intraventricular hemorrhage in premature infants with Respiratory Distress Syndrome treated with surfactant: incidence and risk factors in the prospective cohort study. Dev Period Med. 2017;21:328\u2013335. doi: 10.34763\/devperiodmed.20172104.328335.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.nature.com\/articles\/jp201638\" target=\"_blank\" rel=\"noopener\">Wei JC, Catalano R, Profit J, Gould JB, Lee HC. Impact of antenatal steroids on intraventricular hemorrhage in very-low-birth weight infants. J Perinatol. 2016;36:352\u2013356. doi: 10.1038\/jp.2016.38.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/14767058.2020.1836148\" target=\"_blank\" rel=\"noopener\">Hemmati F, Sharma D, Namavar Jahromi B, Salarian L, Farahbakhsh N. Delayed cord clamping for prevention of intraventricular hemorrhage in preterm neonates: a randomized control trial. 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Paediatr Child Health. 2018;23:e70\u2013e76. doi: 10.1093\/pch\/pxx175.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/publications.aap.org\/pediatrics\/article-abstract\/121\/5\/e1167\/73401\/Neurodevelopmental-Outcome-of-Extremely-Low-Birth\" target=\"_blank\" rel=\"noopener\">Adams-Chapman I, Hansen NI, Stoll BJ, Higgins R NICHD Research Network. Neurodevelopmental outcome of extremely low birth weight infants with posthemorrhagic hydrocephalus requiring shunt insertion. Pediatrics. 2008;121:e1167\u201377. doi: 10.1542\/peds.2007-0423.<\/a><br \/><br \/><\/li><li><a href=\"https:\/\/publications.aap.org\/pediatrics\/article-abstract\/120\/4\/785\/71287\/Neurodevelopmental-Outcome-in-Survivors-of\" target=\"_blank\" rel=\"noopener\">Bassan H, Limperopoulos C, Visconti K, et al. Neurodevelopmental outcome in survivors of periventricular hemorrhagic infarction. 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Pediatrics. 2006;117:828\u201335. doi: 10.1542\/2005-0091.<\/a><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b980bd9 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b980bd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db0072c elementor-widget elementor-widget-heading\" data-id=\"db0072c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 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);word-spacing:var( --e-global-typography-primary-word-spacing );color:var( --e-global-color-primary );}.elementor-13664 .elementor-element.elementor-element-05a1113 .elementor-heading-title{font-size:var( --e-global-typography-e2d8f86-font-size );line-height:var( --e-global-typography-e2d8f86-line-height );letter-spacing:var( --e-global-typography-e2d8f86-letter-spacing );word-spacing:var( --e-global-typography-e2d8f86-word-spacing );color:var( --e-global-color-text );}.elementor-13664 .elementor-element.elementor-element-05a1113.elementor-element{--flex-grow:0;--flex-shrink:0;}.elementor-13664 .elementor-element.elementor-element-bbf6d1c{--spacer-size:10px;}.elementor-widget-post-info .elementor-icon-list-item:not(:last-child):after{border-color:var( --e-global-color-text );}.elementor-widget-post-info .elementor-icon-list-icon i{color:var( --e-global-color-primary );}.elementor-widget-post-info .elementor-icon-list-icon svg{fill:var( --e-global-color-primary 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.elementor-element.elementor-element-7b0beb9 .elementor-icon-list-item{font-size:var( --e-global-typography-e2d8f86-font-size );line-height:var( --e-global-typography-e2d8f86-line-height );letter-spacing:var( --e-global-typography-e2d8f86-letter-spacing );word-spacing:var( --e-global-typography-e2d8f86-word-spacing );}.elementor-13664 .elementor-element.elementor-element-7b0beb9.elementor-element{--flex-grow:1;--flex-shrink:0;}.elementor-13664 .elementor-element.elementor-element-d81a5f7{--spacer-size:10px;}@media(max-width:1024px){.elementor-13664 .elementor-element.elementor-element-25e6ac0{--justify-content:center;}.elementor-widget-image .widget-image-caption{font-size:var( --e-global-typography-text-font-size );line-height:var( --e-global-typography-text-line-height );letter-spacing:var( --e-global-typography-text-letter-spacing );}.elementor-widget-theme-post-title .elementor-heading-title{font-size:var( --e-global-typography-primary-font-size );line-height:var( --e-global-typography-primary-line-height );letter-spacing:var( --e-global-typography-primary-letter-spacing );word-spacing:var( --e-global-typography-primary-word-spacing );}.elementor-13664 .elementor-element.elementor-element-05a1113 .elementor-heading-title{font-size:var( --e-global-typography-e2d8f86-font-size );line-height:var( --e-global-typography-e2d8f86-line-height );letter-spacing:var( --e-global-typography-e2d8f86-letter-spacing );word-spacing:var( --e-global-typography-e2d8f86-word-spacing );}.elementor-13664 .elementor-element.elementor-element-bbf6d1c{--spacer-size:5px;}.elementor-widget-post-info .elementor-icon-list-item{font-size:var( --e-global-typography-text-font-size );line-height:var( --e-global-typography-text-line-height );letter-spacing:var( --e-global-typography-text-letter-spacing );}.elementor-13664 .elementor-element.elementor-element-7b0beb9 .elementor-icon-list-item{font-size:var( --e-global-typography-e2d8f86-font-size );line-height:var( --e-global-typography-e2d8f86-line-height );letter-spacing:var( --e-global-typography-e2d8f86-letter-spacing );word-spacing:var( --e-global-typography-e2d8f86-word-spacing );}.elementor-13664 .elementor-element.elementor-element-d81a5f7{--spacer-size:5px;}}@media(max-width:767px){.elementor-13664 .elementor-element.elementor-element-51660e6{--flex-direction:column;--container-widget-width:100%;--container-widget-height:initial;--container-widget-flex-grow:0;--container-widget-align-self:initial;--flex-wrap-mobile:wrap;}.elementor-widget-image .widget-image-caption{font-size:var( --e-global-typography-text-font-size );line-height:var( --e-global-typography-text-line-height );letter-spacing:var( --e-global-typography-text-letter-spacing );}.elementor-13664 .elementor-element.elementor-element-ca24d62 img{height:200px;}.elementor-widget-theme-post-title .elementor-heading-title{font-size:var( --e-global-typography-primary-font-size );line-height:var( --e-global-typography-primary-line-height );letter-spacing:var( --e-global-typography-primary-letter-spacing );word-spacing:var( --e-global-typography-primary-word-spacing );}.elementor-13664 .elementor-element.elementor-element-05a1113 .elementor-heading-title{font-size:var( --e-global-typography-e2d8f86-font-size );line-height:var( --e-global-typography-e2d8f86-line-height );letter-spacing:var( --e-global-typography-e2d8f86-letter-spacing );word-spacing:var( --e-global-typography-e2d8f86-word-spacing );}.elementor-13664 .elementor-element.elementor-element-bbf6d1c{--spacer-size:10px;}.elementor-widget-post-info .elementor-icon-list-item{font-size:var( --e-global-typography-text-font-size );line-height:var( --e-global-typography-text-line-height );letter-spacing:var( --e-global-typography-text-letter-spacing );}.elementor-13664 .elementor-element.elementor-element-7b0beb9 .elementor-icon-list-item{font-size:var( --e-global-typography-e2d8f86-font-size );line-height:var( --e-global-typography-e2d8f86-line-height );letter-spacing:var( --e-global-typography-e2d8f86-letter-spacing );word-spacing:var( --e-global-typography-e2d8f86-word-spacing );}.elementor-13664 .elementor-element.elementor-element-d81a5f7{--spacer-size:10px;}}@media(min-width:768px){.elementor-13664 .elementor-element.elementor-element-51660e6{--width:100%;}.elementor-13664 .elementor-element.elementor-element-25e6ac0{--width:30%;}.elementor-13664 .elementor-element.elementor-element-71ed0b0{--width:70%;}}@media(max-width:1024px) and (min-width:768px){.elementor-13664 .elementor-element.elementor-element-25e6ac0{--width:65%;}}\/* Start custom CSS for container, class: .elementor-element-51660e6 *\/.elementor-13664 .elementor-element.elementor-element-51660e6:hover { transform: scale(1.03);}\/* End custom CSS *\/<\/style>\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"13664\" class=\"elementor elementor-13664 e-loop-item e-loop-item-27323 post-27323 blogs type-blogs status-publish has-post-thumbnail hentry category-blogs\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<a class=\"elementor-element elementor-element-51660e6 e-con-full e-flex e-con e-parent\" data-id=\"51660e6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" href=\"https:\/\/dev.eakinrespiratory.com\/es\/blogs\/por-que-el-ajuste-de-la-mascarilla-importa-en-la-ventilacion-mecanica-no-invasiva\/\">\n\t\t<div class=\"elementor-element elementor-element-25e6ac0 e-con-full e-flex e-con e-child\" data-id=\"25e6ac0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca24d62 elementor-widget elementor-widget-image\" data-id=\"ca24d62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1365\" height=\"715\" data-src=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2026\/01\/Why-Mask-Fit-Matters-ES-blogpage.jpg\" class=\"attachment-full size-full wp-image-27327 lazyload\" alt=\"Eakin Healthcare\" data-srcset=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2026\/01\/Why-Mask-Fit-Matters-ES-blogpage.jpg 1365w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2026\/01\/Why-Mask-Fit-Matters-ES-blogpage-300x157.jpg 300w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2026\/01\/Why-Mask-Fit-Matters-ES-blogpage-1024x536.jpg 1024w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2026\/01\/Why-Mask-Fit-Matters-ES-blogpage-768x402.jpg 768w\" data-sizes=\"(max-width: 1365px) 100vw, 1365px\" title=\"\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1365px; --smush-placeholder-aspect-ratio: 1365\/715;\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-71ed0b0 e-con-full e-flex e-con e-child\" data-id=\"71ed0b0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-05a1113 elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"05a1113\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Por qu\u00e9 el ajuste de la mascarilla importa en la ventilaci\u00f3n mec\u00e1nica no invasiva<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbf6d1c elementor-widget elementor-widget-spacer\" data-id=\"bbf6d1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b0beb9 elementor-widget elementor-widget-post-info\" data-id=\"7b0beb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-fd9b5ed elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>enero 30, 2026<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d81a5f7 elementor-widget elementor-widget-spacer\" data-id=\"d81a5f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"13664\" class=\"elementor elementor-13664 e-loop-item e-loop-item-26974 post-26974 blogs type-blogs status-publish has-post-thumbnail hentry category-blogs-es\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<a class=\"elementor-element elementor-element-51660e6 e-con-full e-flex e-con e-parent\" data-id=\"51660e6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" href=\"https:\/\/dev.eakinrespiratory.com\/es\/blogs\/alto-flujo-en-el-periodo-perioperatorio\/\">\n\t\t<div class=\"elementor-element elementor-element-25e6ac0 e-con-full e-flex e-con e-child\" data-id=\"25e6ac0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca24d62 elementor-widget elementor-widget-image\" data-id=\"ca24d62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1365\" height=\"715\" data-src=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/12\/INSPIRE-Alto-flujo-en-el-periodo-perioperatorio.jpg\" class=\"attachment-full size-full wp-image-26977 lazyload\" alt=\"Eakin Healthcare\" data-srcset=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/12\/INSPIRE-Alto-flujo-en-el-periodo-perioperatorio.jpg 1365w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/12\/INSPIRE-Alto-flujo-en-el-periodo-perioperatorio-300x157.jpg 300w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/12\/INSPIRE-Alto-flujo-en-el-periodo-perioperatorio-1024x536.jpg 1024w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/12\/INSPIRE-Alto-flujo-en-el-periodo-perioperatorio-768x402.jpg 768w\" data-sizes=\"(max-width: 1365px) 100vw, 1365px\" title=\"\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1365px; --smush-placeholder-aspect-ratio: 1365\/715;\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-71ed0b0 e-con-full e-flex e-con e-child\" data-id=\"71ed0b0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-05a1113 elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"05a1113\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Alto flujo en el periodo perioperatorio<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbf6d1c elementor-widget elementor-widget-spacer\" data-id=\"bbf6d1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b0beb9 elementor-widget elementor-widget-post-info\" data-id=\"7b0beb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-fd9b5ed elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>diciembre 9, 2025<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d81a5f7 elementor-widget elementor-widget-spacer\" data-id=\"d81a5f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"13664\" class=\"elementor elementor-13664 e-loop-item e-loop-item-27047 post-27047 blogs type-blogs status-publish has-post-thumbnail hentry category-blogs-de\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<a class=\"elementor-element elementor-element-51660e6 e-con-full e-flex e-con e-parent\" data-id=\"51660e6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" href=\"https:\/\/dev.eakinrespiratory.com\/es\/blogs\/mascarilla-facial-o-nasal\/\">\n\t\t<div class=\"elementor-element elementor-element-25e6ac0 e-con-full e-flex e-con e-child\" data-id=\"25e6ac0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca24d62 elementor-widget elementor-widget-image\" data-id=\"ca24d62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1365\" height=\"715\" data-src=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/11\/INSPIRE-Mascarilla-facial-o-nasal.jpg\" class=\"attachment-full size-full wp-image-27051 lazyload\" alt=\"Eakin Healthcare\" data-srcset=\"https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/11\/INSPIRE-Mascarilla-facial-o-nasal.jpg 1365w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/11\/INSPIRE-Mascarilla-facial-o-nasal-300x157.jpg 300w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/11\/INSPIRE-Mascarilla-facial-o-nasal-1024x536.jpg 1024w, https:\/\/dev.eakinrespiratory.com\/wp-content\/uploads\/2025\/11\/INSPIRE-Mascarilla-facial-o-nasal-768x402.jpg 768w\" data-sizes=\"(max-width: 1365px) 100vw, 1365px\" title=\"\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1365px; --smush-placeholder-aspect-ratio: 1365\/715;\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-71ed0b0 e-con-full e-flex e-con e-child\" data-id=\"71ed0b0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-05a1113 elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"05a1113\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">\u00bfMascarilla facial o nasal? \u00bfCu\u00e1l es la mejor opci\u00f3n para la estabilizaci\u00f3n neonatal?\u00a0<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbf6d1c elementor-widget elementor-widget-spacer\" data-id=\"bbf6d1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b0beb9 elementor-widget elementor-widget-post-info\" data-id=\"7b0beb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-fd9b5ed elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>noviembre 25, 2025<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d81a5f7 elementor-widget elementor-widget-spacer\" data-id=\"d81a5f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>La hemorragia intraventricular (HIV) es una complicaci\u00f3n cr\u00edtica en el prematuro, que afecta principalmente a los beb\u00e9s nacidos antes de las 30 semanas de gestaci\u00f3n o con un peso inferior a 1500 gr.<\/p>\n","protected":false},"featured_media":23655,"template":"elementor_header_footer","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"Inspire, Blog, The benefits of heated, humidified gases in the delivery 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