Monitorización de la hemodinámica cerebral en los traumatismos craneoencefálicos graves a partir de las diferencias arterioyugulares de oxígeno. Fundamentos, metodología e indicaciones
M.A. Poca, J. Sauquillo, A. Chasampi, F. Coello, F. Ramírez, E. Rubio
Servicio de Neurocirugía. Hospital Vall d’Hebron. Barcelona
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Fundamentos, metodología e indicaciones" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "285" "paginaFinal" => "298" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "M.A. Poca, J. Sauquillo, A. Chasampi, F. Coello, F. Ramírez, E. Rubio" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "Poca" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sauquillo" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Chasampi" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Coello" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Ramírez" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Rubio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Vall d’Hebron. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "A. Robles, C. Triginer, A. Gamacho, M.D. Pelegri" "autores" => array:4 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Robles" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Triginer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Gamacho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "M.D." "apellidos" => "Pelegri" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Vigilancia Intensiva de Neurotraumatología. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicio de Bioquímica. Hospital Vall d’Hebron. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162329" "palabras" => array:8 [ 0 => "Traumatismo craneoencefálico" 1 => "Flujo sanguíneo cerebral" 2 => "Metabolismo cerebral" 3 => "Diferencias arteriovenosas de oxígeno" 4 => "Lactato" 5 => "Bulbo yugular" 6 => "Catéter yugular retrogrado" 7 => "Isquemia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162330" "palabras" => array:8 [ 0 => "Severe head injury" 1 => "Cerebral blood flow" 2 => "Cerebral metabolism" 3 => "Arteriovenous differences of oxygen" 4 => "Lactate" 5 => "Jugular bulb" 6 => "Reverse jugular catheter" 7 => "Ischemia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Poca, M. A.; Sauquillo, J.; Chasampi, A.; Robles, A.; Triginer, C.; Garnacho, A.; Coello, F.; Pelegri, M. D.; Ramírez, F.; Rubio, E.: Monitorización de la hemodinámica cerebral en los traumatismos craneoencefálicos graves a partir de las diferencias arterioyugulares de oxígeno. Fundamentos, metodología e indicaciones. Neurocirugía 1993; 4: 285–298.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:77 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 3 | 3 | 6 |
| 2023 Febrero | 0 | 1 | 1 |
| 2018 Febrero | 9 | 16 | 25 |
| 2018 Enero | 14 | 16 | 30 |
| 2017 Diciembre | 16 | 35 | 51 |
| 2017 Noviembre | 44 | 45 | 89 |
| 2017 Octubre | 13 | 34 | 47 |
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| 2017 Abril | 8 | 31 | 39 |
| 2017 Marzo | 12 | 76 | 88 |
| 2017 Febrero | 4 | 20 | 24 |
| 2017 Enero | 7 | 13 | 20 |
| 2016 Diciembre | 21 | 28 | 49 |
| 2016 Noviembre | 22 | 74 | 96 |
| 2016 Octubre | 24 | 45 | 69 |
| 2016 Septiembre | 35 | 73 | 108 |
| 2016 Agosto | 73 | 48 | 121 |
| 2016 Julio | 34 | 54 | 88 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 0 | 5 | 5 |
| 2015 Junio | 14 | 24 | 38 |
| 2015 Mayo | 43 | 57 | 100 |
| 2015 Abril | 27 | 34 | 61 |
| 2015 Marzo | 15 | 40 | 55 |
| 2015 Febrero | 11 | 47 | 58 |
| 2015 Enero | 17 | 47 | 64 |
| 2014 Diciembre | 22 | 27 | 49 |
| 2014 Noviembre | 13 | 48 | 61 |
| 2014 Octubre | 23 | 42 | 65 |
| 2014 Septiembre | 16 | 44 | 60 |
| 2014 Agosto | 20 | 45 | 65 |
| 2014 Julio | 25 | 40 | 65 |
| 2014 Junio | 23 | 31 | 54 |
| 2014 Mayo | 17 | 40 | 57 |
| 2014 Abril | 8 | 30 | 38 |
| 2014 Marzo | 12 | 38 | 50 |
| 2014 Febrero | 23 | 30 | 53 |
| 2014 Enero | 17 | 25 | 42 |
| 2013 Diciembre | 24 | 24 | 48 |
| 2013 Noviembre | 15 | 43 | 58 |
| 2013 Octubre | 21 | 32 | 53 |
| 2013 Septiembre | 29 | 63 | 92 |
| 2013 Agosto | 22 | 56 | 78 |
| 2013 Julio | 26 | 26 | 52 |
| 2013 Junio | 14 | 56 | 70 |
| 2013 Mayo | 11 | 48 | 59 |
| 2013 Abril | 17 | 63 | 80 |
| 2013 Marzo | 9 | 34 | 43 |
| 2013 Febrero | 8 | 30 | 38 |
| 2013 Enero | 14 | 32 | 46 |
| 2012 Diciembre | 6 | 24 | 30 |
| 2012 Noviembre | 1 | 17 | 18 |
| 2012 Octubre | 0 | 7 | 7 |
| 2012 Septiembre | 0 | 3 | 3 |
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