Valoración de dos métodos para la medición de la presión intracraneal
Evaluation of two methods for I.C.P. measure
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"apellidos" => "Betbesé" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Ballús" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Bak" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Net" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Medicina Intensiva. Hospital de la Santa Creu i Sant Pau. Universitat Autonoma de Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "J. Molet" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Molet" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Neurocirugía. Hospital de la Santa Creu i Sant Pau. Universitat Autonoma de Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of two methods for I.C.P. measure" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec163174" "palabras" => array:4 [ 0 => "Presión intracraneal" 1 => "Presión epidural" 2 => "Presión intraparenquimatosa" 3 => "Presión intraventricular" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec163175" "palabras" => array:4 [ 0 => "Intracranial pressure" 1 => "Epidural pressure" 2 => "Intraparenchymal pressure" 3 => "Intraventricular pressure" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la utilidad clínica de dos métodos en la medición de la presión intracraneal (PIC): registro intraparenquimatoso (PICc) y registro epidural (PICe), comparándolo con la PIC intraventricular (PICv) como referencia.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron prospectivamente 13 pacientes ingresados entre Febrero 1990 y Diciembre 1993, tras sufrir traumatismo craneoencefálico grave (Glasgows 8). En todos los pacientes se obtuvo una PICv mediante columna de agua con catéter multiperforado. En 6 pacientes se registró la PICc mediante transductor de fibra óptica (Camino V420<span class="elsevierStyleSup">R</span>), yen los 7 restantes la PICe con sistema acoplado a fluido. (Plastimed<span class="elsevierStyleSup">R</span>). Se colocó el registro estudio contralateral al de referencia (PICv). Las tomografías computarizadas (TC) realizadas en estos pacientes mostraron lesiones clasificadas como focales (cuando existía una lesión localizada, ocupante o no de espacio), difusas (cuando el grado de afectación de la lesión era generalizado), o mixtas (cuando presentaban los 2 tipos de lesiones). La PICc fue medida homolateral a la lesión focal en 3 casos y contralateral en 2; la PICe se midió homolateral a la lesión focal en 2 casos y contralateral en 3. La calibración de los 3 sistemas se realizó a nivel del pabellón auricular. Se realizó un análisis estadístico (coeficientes de correlación entre PICc-PICv y entre PICe-PICv de manera global con todos los pacientes e individualmente con cada uno de ellos) de los pares horarios de mediciones obtenidas por el registro estudio y el de referencia y durante todo el tiempo de asistencia (5,5 días de media para PICc y 4,85 para PICe).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En los 6 pacientes estudiados, se observó una correlación PICc-PICv con un coeficiente de r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,84 (P<span class="elsevierStyleHsp" style=""></span><0,001) y una recta de regresión Y<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span> −0,85 + 0,93X. De manera individual se observó una r<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>0,78 en 4 de los 6 casos. En 7 pacientes la correlación PICe-PICv mostró un coeficiente r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,47 (P<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001), con una recta de regresión Y<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>7,2 + 0,43X. La correlación individual fue <0,5 en todos los casos. El estudio de correlación para cortes de PICv>20<span class="elsevierStyleHsp" style=""></span>mmHg, >25<span class="elsevierStyleHsp" style=""></span>mmHg y >30<span class="elsevierStyleHsp" style=""></span>mmHg mostró para PICc una r de 0,89, de 0,94 y de 0,97 respectivamente, y par PICe una r de 0,25, 0,13 y 0,009 respectivamente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En nuestra serie la PICc se valora como un buen sistema de medición de la PIC. La PICe infravalora de forma significativa los valores de la PIC. En situaciones de hipertensión endocraneal, la correlación PICc-PICv es óptima y no es correcta en caso de PICe-PICv, con sistema acoplado a fluidos.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluate the clinical usefulness of two different méthods of intra-cranial pressure (ICP) measurement: intraparenchymal (ICPc) and epidural (ICPe) monitoring as compared with intra-ventricular measurement (ICPv) as a reference.</p> <span class="elsevierStyleSectionTitle">Material and Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Therteen patients, admitted between February 1990 and December 1993 were prospectively studied. All patients had suffered severe cranial trauma (Glasgow<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>8). ICPv was measured in all patients using an intraventricular catheter. Six of the patients had the ICPc registered using an optic fiber transducer (Camino V420<span class="elsevierStyleSup">R</span>), while the other seven had the ICPe registered with a fluid coupling system (Plastimed<span class="elsevierStyleSup">R</span>). Both ICPc ad ICPe were measured contralateral to the reference (ICPv).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Computerized tomographies (CT) findings in these patients were classified into: focal, when there was a localized lesion, with or without mass effect, diffuse, when there was not focal mass effect, or mixed, when both lesions were present. ICPc was measured ipsilaterally to the lesion in two cases and contralaterally in three cases. A statistical analysis was carried out (correlation coefficients between ICPc-ICPv and between ICPe-ICPv both globally and in the individual patient) of the hourly ICP measurements obtained with study recordings during the monitoring period (average duration: 5.5 days with ICPc and 4.85 with ICPe).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the 6 patients in which ICPc-ICPv were compared, the correlation coefficient was r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.84 (P<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001) with a regression line of Y<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.85 + 0.93X. Individually a coefficient r<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>0.78 was observed in 4 of the 6 cases. Of the 7 patients in which ICPe-ICPv were compared, the correlation coefficient was r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.47 (P<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001) with a regression line of Y<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>7.2 + 0.43X. The individual correlation was <0.5 in all cases. The correlation study for cuts, of ICPv >20<span class="elsevierStyleHsp" style=""></span>mmHg, >25<span class="elsevierStyleHsp" style=""></span>mmHg and >30<span class="elsevierStyleHsp" style=""></span>mmHg showed r values for ICPc of 0.89, 0.94 and 0.97 respectively, and r values for ICPe of 0.25, 0.13, and 0.009 respectively.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">In the present study ICPc was seen to be a valid measurement of ICP. ICPe significantly underrated ICP values. In conditions of intracranial hypertension, the correlation between ICPc-ICPv is very good while is not correct between ICPe and ICP-v.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Pérez-Márquez, M.; Marruecos, L.; Betbesé, A.J.; Ballús, J.; Bak, E.: Valoración de dos métodos para la medición de la presión intracraneal. Neurocirugía 1997; 8: 205–210.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison among three methods of intracranial pressure recording" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. North" 1 => "P. Reilly" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1961.18.6.0730" "Revista" => array:6 [ "tituloSerie" => "J Neurosurg" "fecha" => "1986" "volumen" => "18" "paginaInicial" => "730" "paginaFinal" => "732" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13922191" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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Tomasello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Intracranial pressure VIII" "paginaInicial" => "82" "paginaFinal" => "84" "serieFecha" => "1993" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Difficulties in interpretation of extradural pressure (EDP). Measurement in acutely raised intracranial pressure (ICP)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Powell" 1 => "Crockard" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Intracranial pressure VI" "paginaInicial" => "203" "paginaFinal" => "206" "serieFecha" => "1986" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/11301473/0000000800000003/v1_201305151502/S1130147397710315/v1_201305151502/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/11301473/0000000800000003/v1_201305151502/S1130147397710315/v1_201305151502/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147397710315?idApp=UINPBA00004B" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 3 | 2 | 5 |
| 2018 March | 0 | 1 | 1 |
| 2018 February | 13 | 20 | 33 |
| 2018 January | 13 | 14 | 27 |
| 2017 December | 16 | 25 | 41 |
| 2017 November | 50 | 23 | 73 |
| 2017 October | 9 | 26 | 35 |
| 2017 September | 13 | 34 | 47 |
| 2017 August | 14 | 25 | 39 |
| 2017 July | 10 | 16 | 26 |
| 2017 June | 15 | 28 | 43 |
| 2017 May | 23 | 28 | 51 |
| 2017 April | 12 | 22 | 34 |
| 2017 March | 12 | 65 | 77 |
| 2017 February | 5 | 16 | 21 |
| 2017 January | 7 | 18 | 25 |
| 2016 December | 26 | 33 | 59 |
| 2016 November | 23 | 34 | 57 |
| 2016 October | 22 | 35 | 57 |
| 2016 September | 41 | 46 | 87 |
| 2016 August | 53 | 40 | 93 |
| 2016 July | 25 | 35 | 60 |
| 2016 June | 2 | 0 | 2 |
| 2016 April | 1 | 0 | 1 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 5 | 0 | 5 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 1 | 5 | 6 |
| 2015 June | 18 | 23 | 41 |
| 2015 May | 23 | 29 | 52 |
| 2015 April | 25 | 39 | 64 |
| 2015 March | 22 | 30 | 52 |
| 2015 February | 18 | 33 | 51 |
| 2015 January | 17 | 23 | 40 |
| 2014 December | 21 | 26 | 47 |
| 2014 November | 18 | 37 | 55 |
| 2014 October | 24 | 44 | 68 |
| 2014 September | 17 | 39 | 56 |
| 2014 August | 25 | 33 | 58 |
| 2014 July | 22 | 22 | 44 |
| 2014 June | 29 | 28 | 57 |
| 2014 May | 17 | 39 | 56 |
| 2014 April | 20 | 45 | 65 |
| 2014 March | 21 | 35 | 56 |
| 2014 February | 21 | 31 | 52 |
| 2014 January | 18 | 25 | 43 |
| 2013 December | 27 | 22 | 49 |
| 2013 November | 20 | 29 | 49 |
| 2013 October | 29 | 26 | 55 |
| 2013 September | 27 | 28 | 55 |
| 2013 August | 35 | 23 | 58 |
| 2013 July | 25 | 26 | 51 |
| 2013 June | 23 | 32 | 55 |
| 2013 May | 12 | 31 | 43 |
| 2013 April | 15 | 23 | 38 |
| 2013 March | 13 | 24 | 37 |
| 2013 February | 8 | 20 | 28 |
| 2013 January | 12 | 10 | 22 |
| 2012 December | 11 | 9 | 20 |
| 2012 November | 0 | 12 | 12 |
| 2012 October | 0 | 1 | 1 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 16 | 0 | 16 |
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