{"id":9812,"date":"2025-05-15T06:32:00","date_gmt":"2025-05-15T09:32:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=9812"},"modified":"2025-05-22T21:28:08","modified_gmt":"2025-05-23T00:28:08","slug":"pancreatite-aguda-controversias-parte-ii-como-realizar-a-hidratacao","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/pancreatite-aguda-controversias-parte-ii-como-realizar-a-hidratacao\/","title":{"rendered":"Pancreatite Aguda &#8211; Controv\u00e9rsias Parte II: Como realizar a hidrata\u00e7\u00e3o"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/9812?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/9812?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<p>Como j\u00e1 vimos no post anterior (<a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/pancreatite-aguda-controversias-parte-i-qual-a-melhor-maneira-de-predizer-a-gravidade\/\">clique aqui para conferir o artigo: Pancreatite Aguda \u2013 Controv\u00e9rsias Parte I<\/a>), o manejo da pancreatite aguda \u00e9 envolvido em controv\u00e9rsias, especialmente em rela\u00e7\u00e3o a condutas que se modificaram ao longo do tempo.<\/p>\n\n\n\n<p><strong>Uma dessas mudan\u00e7as marcantes \u00e9 em rela\u00e7\u00e3o a hidrata\u00e7\u00e3o:<\/strong> como fazer? Com que fluido? Por quanto tempo? Vamos atualizar aqui as \u00faltimas evid\u00eancias em rela\u00e7\u00e3o a esse tema.<\/p>\n\n\n\n<p>O manejo da pancreatite aguda nas suas fases iniciais (48-72 horas) \u00e9 essencial para a melhora dos desfechos da doen\u00e7a. Tradicionalmente a ressuscita\u00e7\u00e3o vol\u00eamica \u00e9 um dos pilares do tratamento, j\u00e1 que durante a fase inflamat\u00f3ria o paciente tem aumento de sua permeabilidade vascular e extravasamento de l\u00edquido do intravascular para outros espa\u00e7os. \u00c9, portanto, um evento que cursa com hipovolemia e hipoperfus\u00e3o tecidual, ocasionando danos a outros \u00f3rg\u00e3os e tamb\u00e9m ao pr\u00f3prio p\u00e2ncreas.<\/p>\n\n\n\n<p><strong>A administra\u00e7\u00e3o de volume ao paciente nas primeiras horas da doen\u00e7a \u00e9 fundamental para diminuir as complica\u00e7\u00f5es da hipovolemia e reduzir a mortalidade<\/strong>. Como realizar essa etapa ainda \u00e9 tema de debates entre experts e aqui <strong>vamos analisar os pr\u00f3s e contras de cada regime de hidrata\u00e7\u00e3o<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hidratacao-agressiva-x-hidratacao-moderada\"><br><strong>Hidrata\u00e7\u00e3o agressiva x Hidrata\u00e7\u00e3o moderada<\/strong><\/h2>\n\n\n\n<p>Embora muitos estudos sugiram que <strong>hidrata\u00e7\u00e3o agressiva<\/strong> aumentaria a sobrevida ao diminuir a forma\u00e7\u00e3o de tecido necr\u00f3tico nas pancreatites agudas graves, essa mesma conduta <strong>tamb\u00e9m gera desfechos negativos<\/strong>, como:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Complica\u00e7\u00f5es respirat\u00f3rias<\/li>\n\n\n\n<li>Sepse<\/li>\n\n\n\n<li>S\u00edndrome compartimental abdominal.<\/li>\n<\/ul>\n\n\n\n<p>Dessa forma, a maior parte dos guidelines (IAP &#8211; APA 2013 \/ AGA 2018) <strong>recomendam a hidrata\u00e7\u00e3o guiada por metas<\/strong>, principalmente em pacientes com pancreatite aguda moderada ou grave. As metas bem estabelecidas s\u00e3o:<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><div class=\"pcrstb-wrap\"><table class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background has-fixed-layout\"><thead><tr><th><strong>Par\u00e2metro<\/strong><\/th><th><strong>Meta<\/strong><\/th><\/tr><\/thead><tbody><tr><td>Frequ\u00eancia card\u00edaca<\/td><td>&lt; 120 bpm<\/td><\/tr><tr><td>Press\u00e3o arterial m\u00e9dia<\/td><td>65-90 mmHg<\/td><\/tr><tr><td>Diurese<\/td><td>0,5 ml\/kg\/h<\/td><\/tr><tr><td>Press\u00e3o venosa central<\/td><td>8-12 mmHg<\/td><\/tr><tr><td>Satura\u00e7\u00e3o venosa central<\/td><td>\u2265 70%<\/td><\/tr><tr><td>N\u00edveis de ureia nitrogenada (BUN = ureia \/ 2,14)<\/td><td>&lt; 25 mg\/dL<\/td><\/tr><tr><td>Hemat\u00f3crito<\/td><td>&lt; 44%<\/td><\/tr><tr><td>Lactato<\/td><td>Lactato normal<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<p><br>Ap\u00f3s o estudo WATERFALL publicado no New England Journal of Medicine (2022), mais evid\u00eancias corroboraram com a utiliza\u00e7\u00e3o de hidrata\u00e7\u00e3o moderada, visto que o grupo da hidrata\u00e7\u00e3o agressiva teve n\u00famero significantemente maior de sobrecarga h\u00eddrica (evidenciada principalmente por estertores pulmonares). Embora n\u00e3o tenham sido atingida signific\u00e2ncia estat\u00edstica nos desfechos prim\u00e1rios, o <em>trial <\/em>foi encerrado por seguran\u00e7a.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><div class=\"pcrstb-wrap\"><table class=\"has-background has-fixed-layout\" style=\"background:linear-gradient(135deg,rgb(238,238,238) 0%,rgb(255,255,255) 65%,rgb(169,184,195) 100%)\"><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Assim, podemos dizer que hoje as evid\u00eancias apontam para uma hidrata\u00e7\u00e3o moderada, guiada por metas, principalmente em pacientes graves.<\/strong><\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-qual-fluido-utilizar\"><br><strong>Qual fluido utilizar?<\/strong><\/h2>\n\n\n\n<p>A solu\u00e7\u00e3o ideal para a hidrata\u00e7\u00e3o inicial \u00e9 uma solu\u00e7\u00e3o cristal\u00f3ide (n\u00e3o h\u00e1 benef\u00edcio em uso de nenhuma solu\u00e7\u00e3o col\u00f3ide). Dentre as dispon\u00edveis, embora o grau de recomenda\u00e7\u00e3o seja baixo, o <strong>Ringer Lactato (RL) parece ter prefer\u00eancia<\/strong> sobre o soro fisiol\u00f3gico a 0,9%. As vantagens do RL s\u00e3o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>menor risco de causar acidose hiperclor\u00eamica<\/li>\n\n\n\n<li>redu\u00e7\u00e3o de inj\u00faria renal<\/li>\n\n\n\n<li>efeito anti-inflamat\u00f3rio, evidenciado pela redu\u00e7\u00e3o do PCR e menor incid\u00eancia de SIRS.<\/li>\n<\/ul>\n\n\n\n<p>Alguns guidelines, como da ACG de 2024, j\u00e1 recomendam essa solu\u00e7\u00e3o para hidrata\u00e7\u00e3o inicial.<\/p>\n\n\n\n<figure class=\"wp-block-table alignleft\"><div class=\"pcrstb-wrap\"><table class=\"has-background has-fixed-layout\" style=\"background:linear-gradient(135deg,rgb(238,238,238) 0%,rgb(255,255,255) 58%,rgb(169,184,195) 100%)\"><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Embora ainda n\u00e3o haja uma robusta evid\u00eancia, a prefer\u00eancia \u00e9 a hidrata\u00e7\u00e3o com solu\u00e7\u00e3o de Ringer Lactato.<\/strong><\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-\"><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Working\u00a0Group\u00a0IAP\/APA\u00a0Acute\u00a0Pancreatitis\u00a0Guidelines.\u00a0IAP\/APA\u00a0evidence-based\u00a0guidelines\u00a0for\u00a0the management\u00a0of\u00a0acute\u00a0pancreatitis.\u00a0<em>Pancreatology<\/em>. 2013;13(4\u00a0Suppl 2):e1\u2013e15.<\/li>\n\n\n\n<li>Crockett\u00a0SD,\u00a0Wani\u00a0S,\u00a0Gardner\u00a0TB,\u00a0FalckYtter\u00a0Y,\u00a0Barkun\u00a0AN.\u00a0American\u00a0Gastroenterological Association\u00a0Institute\u00a0guideline\u00a0on\u00a0initial\u00a0management\u00a0of\u00a0acute\u00a0pancreatitis.\u00a0<em>Gastroenterology<\/em>. 2018;154(4):1096\u20131101.<\/li>\n\n\n\n<li>de-Madaria\u00a0E, Buxbaum\u00a0JL,\u00a0Maisonneuve\u00a0P,\u00a0Luo\u00a0H,\u00a0Jin\u00a0K,\u00a0Hines\u00a0OJ,\u00a0et\u00a0al.\u00a0Aggressive\u00a0or\u00a0moderate fluid\u00a0resuscitation\u00a0in\u00a0acute\u00a0pancreatitis.\u00a0<em>N\u00a0Engl\u00a0J\u00a0Med<\/em>. 2022;387(11):989\u20131000.<\/li>\n\n\n\n<li>Mederos&nbsp;MA,&nbsp;Reber&nbsp;HA,&nbsp;Girgis&nbsp;MD.&nbsp;Acute&nbsp;pancreatitis:&nbsp;a&nbsp;review.&nbsp;<em>JAMA<\/em>. 2021;325(4):382\u2013390.<\/li>\n\n\n\n<li>Li\u00a0XW,\u00a0Huang\u00a0W,\u00a0Yang\u00a0J,\u00a0Zhang\u00a0L,\u00a0Zhang\u00a0C.\u00a0Comparison\u00a0of\u00a0clinical\u00a0outcomes\u00a0between\u00a0aggressive and\u00a0non-aggressive\u00a0intravenous\u00a0hydration\u00a0for\u00a0acute\u00a0pancreatitis:\u00a0a\u00a0systematic\u00a0review\u00a0and\u00a0meta analysis.\u00a0<em>Crit\u00a0Care<\/em>. 2023;27(1):122.<\/li>\n\n\n\n<li>Tenner\u00a0S,\u00a0Baillie\u00a0J,\u00a0Banks\u00a0PA,\u00a0DiMagno\u00a0MJ,\u00a0Buxbaum\u00a0JL,\u00a0Greenberg\u00a0A,\u00a0et\u00a0al.\u00a0American\u00a0College\u00a0of Gastroenterology\u00a0guidelines:\u00a0management\u00a0of\u00a0acute\u00a0pancreatitis.\u00a0<em>Am\u00a0J\u00a0Gastroenterol<\/em>. 2024;119(3):419\u2013437.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Marzinotto M. Pancreatite Aguda &#8211; Controv\u00e9rsias Parte II: Como realizar a hidrata\u00e7\u00e3o Gastropedia 2025, Vol 1. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=9812\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/gastroenterologia\/pancreatite-aguda-controversias-parte-ii-como-realizar-a-hidratacao\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Como j\u00e1 vimos no post anterior (clique aqui para conferir o artigo: Pancreatite Aguda \u2013 Controv\u00e9rsias Parte I), o manejo da pancreatite aguda \u00e9 envolvido em controv\u00e9rsias, especialmente em rela\u00e7\u00e3o&hellip;<\/p>\n","protected":false},"author":3341,"featured_media":9971,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[18,23],"tags":[],"ano":[413],"tipo":[121],"volume":[57],"class_list":["post-9812","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-pancreas","ano-413","tipo-assuntos-gerais","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pancreatite Aguda - Controv\u00e9rsias Parte II: Como realizar a hidrata\u00e7\u00e3o - Gastropedia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/pancreatite-aguda-controversias-parte-ii-como-realizar-a-hidratacao\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pancreatite Aguda - Controv\u00e9rsias Parte II: Como realizar a hidrata\u00e7\u00e3o\" \/>\n<meta property=\"og:description\" content=\"Como j\u00e1 vimos no post anterior (clique aqui para conferir o artigo: Pancreatite Aguda \u2013 Controv\u00e9rsias Parte I), o manejo da pancreatite aguda \u00e9 envolvido em controv\u00e9rsias, especialmente em rela\u00e7\u00e3o&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/pancreatite-aguda-controversias-parte-ii-como-realizar-a-hidratacao\/\" \/>\n<meta property=\"og:site_name\" content=\"Gastropedia\" \/>\n<meta property=\"article:published_time\" content=\"2025-05-15T09:32:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-23T00:28:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2025\/05\/Capa-pancreatite.png\" \/>\n\t<meta property=\"og:image:width\" content=\"960\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Maira Marzinotto\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maira Marzinotto\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/pancreatite-aguda-controversias-parte-ii-como-realizar-a-hidratacao\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/pancreatite-aguda-controversias-parte-ii-como-realizar-a-hidratacao\\\/\"},\"author\":{\"name\":\"Maira Marzinotto\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/bc9eb1d348f7591af72ba0facb603c11\"},\"headline\":\"Pancreatite Aguda &#8211; 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