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    "titulo" => "Actualizaciones en los m&#233;todos de monitorizaci&#243;n cerebral regional en los pacientes neurocr&#237;ticos&#58; presi&#243;n tisular de ox&#237;geno&#44; microdi&#225;lisis cerebral y t&#233;cnicas de espectroscop&#237;a por infrarrojos"
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        "titulo" => "Recent advances in regional cerebral monitoring in the neurocritical patient&#58; brain tissue oxygen pressure monitoring&#44; cerebral microdialysis and near-infrared spectroscopy"
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            1 => "Brain metabolism"
            2 => "Tissular oxygenation"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El resultado final de los pacientes que han presentado un traumatismo craneoencef&#225;lico &#40;TCE&#41; depende de las lesiones primarias&#44; pero tambi&#233;n&#44; y en gran medida&#44; de las lesiones secundarias&#46; El diagn&#243;stico de un gran n&#250;mero de lesiones secundarias&#44; y en especial de la isquemia cerebral&#44; se centra en la monitorizaci&#243;n simult&#225;nea de diversas variables encef&#225;licas y sist&#233;micas&#46; En el momento actual&#44; la monitorizaci&#243;n continua de la presi&#243;n intracraneal &#40;PIC&#41; se considera una medida indispensable en el manejo de los pacientes con un TCE grave que presentan cualquier tipo de lesi&#243;n intracraneal&#46; Sin embargo&#44; la informaci&#243;n que ofrece esta variable es insuficiente para diagnosticar los complejos procesos fisiopatol&#243;gicos que caracterizan a las lesiones neurotraum&#225;ticas&#46; Por ello&#44; cada vez es m&#225;s frecuente complementar la neuromonitorizaci&#243;n de los pacientes con un TCE con m&#233;todos de estimaci&#243;n del flujo sangu&#237;neo cerebral &#40;FSC&#41; como el Doppler transcraneal o las t&#233;cnicas de oximetr&#237;a yugular&#46; Sin embargo&#44; en el momento actual y en la cabecera del paciente&#44; el conocimiento de la repercusi&#243;n de las lesiones tisulares y de las medidas terap&#233;uticas sobre el metabolismo cerebral requiere un acceso directo al par&#233;nquima encef&#225;lico&#46; En esta revisi&#243;n nos centraremos en tres m&#233;todos de monitorizaci&#243;n cerebral &#8220;regional&#8221;&#58; la presi&#243;n tisular de ox&#237;geno&#44; la microdi&#225;lisis cerebral y las t&#233;cnicas transcut&#225;neas de espectroscop&#237;a por infrarrojos&#46; En cada caso se expondr&#225;n los fundamentos del m&#233;todo en cuesti&#243;n&#44; los valores de referencia de los par&#225;metros monitorizados y una serie de recomendaciones sobre c&#243;mo pueden interpretarse sus resultados a la luz de los conocimientos actuales&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The long term outcome of head-injured patients depends not only on the primary brain lesions but also to a large extent on the secondary lesions&#46; The diagnosis of many secondary lesions&#44; and specially that of brain ischemia&#44; is based on simultaneous monitoring of several intracranial and systemic variables&#46; Continuous intracranial pressure &#40;ICP&#41; monitoring is currently considered indispensable in the management of all patients with a severe head injury and intracranial lesions&#46; However&#44; the information provided by this technique is insufficient to diagnose some of the complex physiopathological processes that characterize traumatic brain lesions&#46; Consequently&#44; the use of methods to estimate cerebral blood flow such as transcranial Doppler and jugular oximetry to complement ICP monitoring is becoming increasingly widespread&#46; Nevertheless&#44; determining the effect of tissue lesions and therapeutic measures on cerebral metabolism currently requires direct access to the brain parenchyma at the bedside&#46; In this review we focus on three methods of regional cerebral monitoring&#58; oxygen tissue pressure &#40;PtiO<span class="elsevierStyleInf">2</span>&#41; monitoring&#44; microdialysis and near-infrared spectroscopy&#46; The bases of each method and reference values for the variables analyzed will be discussed&#46; We also make a series of recommendations on how results should be interpreted in light of current knowledge&#46;</p>"
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Poca&#44; M&#46;A&#46;&#59; Sahuquillo&#44; J&#46;&#59; Mena&#44; M&#46;P&#46;&#59; Vilalta&#44; A&#46;&#59; Riveiro&#44; M&#46;&#58; Actualizaciones en los m&#233;todos de monitorizaci&#243;n cerebral regional en los pacientes neurocr&#237;ticos&#58; presi&#243;n tisular de ox&#237;geno&#44; microdi&#225;lisis cerebral y t&#233;cnicas de espectroscop&#237;a por infrarrojos&#46; Neurocirug&#237;a 2005&#59; 16&#58; 385&#8211;410&#46;</p>"
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Actualizaciones en los métodos de monitorización cerebral regional en los pacientes neurocríticos: presión tisular de oxígeno, microdiálisis cerebral y técnicas de espectroscopía por infrarrojos
Recent advances in regional cerebral monitoring in the neurocritical patient: brain tissue oxygen pressure monitoring, cerebral microdialysis and near-infrared spectroscopy
M.P. Mena, A. Vilalta
Unidad de Investigación de Neurotraumatología. Hospital Universitario Vall d’Hebron. Universidad Autónoma de Barcelona. Barcelona
M.A. Poca*,
, J. Sahuquillo*, M. Riveiro**
* Servicio de Neurocirugía. Hospital Universitario Vall d’Hebron. Universidad Autónoma de Barcelona. Barcelona
** Unidad de Cuidados Intensivos. Hospital Universitario Vall d’Hebron. Universidad Autónoma de Barcelona. Barcelona

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Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
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Atención al cliente
Teléfono
Llamadas desde España
932 415 960
Llamadas desde el extranjero
+34 932 415 960
Horario de 9 a 18h. excepto los meses de julio y agosto que será de 9 a 15h.
Idiomas
Neurocirugía
es en

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