Journal Information
Vol. 3. Issue 4.
Pages 285-298 (January 1992)
Share
Share
Download PDF
More article options
Vol. 3. Issue 4.
Pages 285-298 (January 1992)
Monitorización de la hemodinámica cerebral en los traumatismos craneoencefálicos graves a partir de las diferencias arterioyugulares de oxígeno. Fundamentos, metodología e indicaciones
Visits
3001
M.A. Poca, J. Sauquillo, A. Chasampi, F. Coello, F. Ramírez, E. Rubio
Servicio de Neurocirugía. Hospital Vall d’Hebron. Barcelona
A. Robles*, C. Triginer*, A. Gamacho*, M.D. Pelegri**
* Unidad de Vigilancia Intensiva de Neurotraumatología. Hospital Vall d’Hebron. Barcelona
** Servicio de Bioquímica. Hospital Vall d’Hebron. Barcelona
This item has received
Article information
Resumen

Estudios recientes han demostrado la importancia de las lesiones secundarias en el resultado final de los pacientes afectos de un traumatismo craneoencefálico grave (TCEG). Entre las lesiones secundarias, revisten una especial importancia las lesiones hipóxico-isquémicas cerebrales. La potencial reversibilidad en algunos casos de las lesiones isquémicas, sugiere la necesidad de un diagnóstico precoz y adecuado de las mismas. La monitorización de la hemodinámica y del metabolismo cerebral a partir de las diferencias arteriovenosas de oxígeno y lactatos, permite detectar alteraciones del metabolismo energético celular.

A pesar de que diversos autores preconizan este sistema de monitorización, la literatura que existe al respecto es escasa y controvertida. En este trabajo pretendemos exponer los fundamentos, indicaciones y limitaciones del método, ya que su uso rutinario puede contribuir a la racionalización de las medidas terapéuticas y, en último término, a mejorar el pronóstico de los pacientes con un TCE grave.

Palabras clave:
Traumatismo craneoencefálico
Flujo sanguíneo cerebral
Metabolismo cerebral
Diferencias arteriovenosas de oxígeno
Lactato
Bulbo yugular
Catéter yugular retrogrado
Isquemia
Summary

Recent studies have shown the importance of secondary lesions in the final outcome of patients suffering from severe head injury. Among secondary lesions, hypoxic-ischemic injury is of special importance. Possible reversibility of ischemic damage suggests the need of an early diagnosis of these lesions. Monitorization of hemodynamics and cerebral metabolism by measuring the arteriovenous differences of oxygen and lactates may allow to detect significant alterations in brain metabolism. Some authors have considered this method of monitoring to be controversial. The object of this study is to describe the basic methodology, the indications and the limitations of this method wich may contribute to the rationalitation of therapeutic manouvers and improve the final outcome of severe head injuried patients.

Key words:
Severe head injury
Cerebral blood flow
Cerebral metabolism
Arteriovenous differences of oxygen
Lactate
Jugular bulb
Reverse jugular catheter
Ischemia

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?