Experiencia clínica con la monitorización de la presión intracraneal. Estudio retrospectivo de 239 pacientes monitorizados con el Sistema Camino®
Clinical experience of intracranial pressure monitoring. Retrospective study in 239 Camino® monitored patients
R.M. Martínez-Mañas, E. Ferrer Rodríguez, C. García-Amorena García
Servicio de Neurocirugía. Hospital Clinic i Provincial de Barcelona. Universitat de Barcelona
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Estudio retrospectivo de 239 pacientes monitorizados con el Sistema Camino<span class="elsevierStyleSup">®</span>" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "291" "paginaFinal" => "296" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "R.M. Martínez-Mañas, E. Ferrer Rodríguez, C. García-Amorena García" "autores" => array:3 [ 0 => array:2 [ "nombre" => "R.M." "apellidos" => "Martínez-Mañas" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Ferrer Rodríguez" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "García-Amorena García" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Clinic i Provincial de Barcelona. Universitat de Barcelona" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinical experience of intracranial pressure monitoring. Retrospective study in 239 Camino<span class="elsevierStyleSup">®</span> monitored patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156734" "palabras" => array:3 [ 0 => "Monitorización" 1 => "Presión intracraneal" 2 => "Traumatismo craneoencefálico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156735" "palabras" => array:4 [ 0 => "Fiberoptic devices" 1 => "Intracranial pressure" 2 => "Head injury" 3 => "Monitoring" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La monitorización invasiva de la presión intracraneal (PIC) se ha convertido en el estandar en el manejo y cuidado de pacientes neurológicos agudos y neuroquirúrgicos susceptibles de padecer hipertensión intracraneal.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Describir el tipo de patología que motivó la monitorización, terapéuticas derivadas de ésta, así como las complicaciones más frecuentes entre los pacientes monitorizados con el sistema Camino<span class="elsevierStyleSup">®</span>.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realizó un estudio retrospectivo de todos los pacientes sometidos a monitorización de la presión intracraneal con sensores de fibra óptica Camino <span class="elsevierStyleSup">®</span>, en sus tres modalidades, en el período de tiempo comprendido entre 1992–1995, ambos incluidos. Se colocaron 239 sensores de presión intracraneal (120 intraparenquimatosos, 93 subdurales, 26 intraventriculares).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La duración media de la monitorización fue de 5,1 días. La patología más frecuente fue el traumatismo craneoencefálico (152 casos) y entre ellos los accidentes de tráfico (103 casos). Dentro de las intervenciones terapéuticas derivadas de la monitorización de la PIC, la más frecuente fue el tratamiento médico (hiperventilación, sedación, coma barbitúrico). Las complicaciones más frecuentes fueron la hemorragia y la infección. Se observó sangrado en el 1,6% del total de pacientes, ascendiendo al 11% en pacientes con coagulopatía. La tasa de infección clínicamente manifiesta fue del 1,6%.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La monitorización de la PIC con sensores de fibra óptica es un método preciso y seguro pero con limitaciones. En aquellos pacientes con coagulopatía de base se recomienda la monitorización con otros métodos menos invasivos (epidurales). Se ha observado un incremento de la tasa de infección en aquellos monitores implantados más de 5 días especialmente en los intraventriculares, por lo que en estos casos se recomienda un cambio de sensor si se prevee una monitorización prolongada.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Intracranial pressure (ICP) monitoring has become the standard in management and care of acute neurosurgical and neurological patients with raised ICP.</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Describing the intracranial pathology leading to ICP monitoring, the therapies applied, and the infection and hemorrhage rates among patients monitored with Camino<span class="elsevierStyleSup">®</span> ICP fiberoptic devices.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A retrospective study was performed, including all the patients monitored with Camino devices in their three modalities. The study lasted from 1992 to 1995. We placed 239 ICP devices (120 intraparenchymal, 93 subdural, and 26 intraventricular).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Mean monitoring time was 5,17 days. Most common cause of monitoring was head injury in 152 cases. Most common therapy because of raised ICP was medical treatment (hyperventilation, sedation and barbituric coma). Most common related complications were hemorrhage and infection. Hemorrhage rate was 1,6% in the whole group, but among the patient with disorders it increased to 11 %. Infection rate was 1,6%.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">ICP monitoring with fiberoptic devices is an accurate and safe method, but it has its own limits. In those patients with coagulation disorders we recomend ICP monitoring with other, less invasive devices, such epidural sensors. We have noticed an increased infection rate in patients monitored for more than 5 days, especially with the intraventricular sensor. We recommend changing the device if the expected period of monitoring is long more than 5 days.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Martínez-Mañas, R.M.; Ferrer Rodríguez, E.; GarcíaAmorena García, e.: Experiencia clínica con la monitorización de la presión intracraneal. Estudio retrospectivo de 239 pacientes monitorizados con el sistema Camino<span class="elsevierStyleSup">®</span>. Neurocirugía 1999; 10: 291–296.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 2 | 3 |
| 2018 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 10 | 5 | 15 |
| 2018 Enero | 14 | 14 | 28 |
| 2017 Diciembre | 10 | 18 | 28 |
| 2017 Noviembre | 54 | 24 | 78 |
| 2017 Octubre | 11 | 20 | 31 |
| 2017 Septiembre | 11 | 19 | 30 |
| 2017 Agosto | 15 | 23 | 38 |
| 2017 Julio | 14 | 13 | 27 |
| 2017 Junio | 20 | 48 | 68 |
| 2017 Mayo | 16 | 20 | 36 |
| 2017 Abril | 12 | 31 | 43 |
| 2017 Marzo | 8 | 68 | 76 |
| 2017 Febrero | 13 | 23 | 36 |
| 2017 Enero | 13 | 13 | 26 |
| 2016 Diciembre | 23 | 21 | 44 |
| 2016 Noviembre | 17 | 23 | 40 |
| 2016 Octubre | 25 | 30 | 55 |
| 2016 Septiembre | 36 | 29 | 65 |
| 2016 Agosto | 46 | 21 | 67 |
| 2016 Julio | 30 | 22 | 52 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Julio | 2 | 4 | 6 |
| 2015 Junio | 9 | 40 | 49 |
| 2015 Mayo | 17 | 54 | 71 |
| 2015 Abril | 15 | 52 | 67 |
| 2015 Marzo | 21 | 56 | 77 |
| 2015 Febrero | 10 | 42 | 52 |
| 2015 Enero | 25 | 32 | 57 |
| 2014 Diciembre | 15 | 31 | 46 |
| 2014 Noviembre | 13 | 39 | 52 |
| 2014 Octubre | 25 | 59 | 84 |
| 2014 Septiembre | 18 | 48 | 66 |
| 2014 Agosto | 12 | 51 | 63 |
| 2014 Julio | 23 | 56 | 79 |
| 2014 Junio | 20 | 39 | 59 |
| 2014 Mayo | 98 | 58 | 156 |
| 2014 Abril | 44 | 44 | 88 |
| 2014 Marzo | 14 | 36 | 50 |
| 2014 Febrero | 21 | 39 | 60 |
| 2014 Enero | 15 | 30 | 45 |
| 2013 Diciembre | 21 | 27 | 48 |
| 2013 Noviembre | 16 | 24 | 40 |
| 2013 Octubre | 23 | 33 | 56 |
| 2013 Septiembre | 21 | 34 | 55 |
| 2013 Agosto | 20 | 36 | 56 |
| 2013 Julio | 22 | 34 | 56 |
| 2013 Junio | 11 | 36 | 47 |
| 2013 Mayo | 9 | 41 | 50 |
| 2013 Abril | 8 | 24 | 32 |
| 2013 Marzo | 7 | 23 | 30 |
| 2013 Febrero | 14 | 21 | 35 |
| 2013 Enero | 12 | 17 | 29 |
| 2012 Diciembre | 7 | 22 | 29 |
| 2012 Noviembre | 0 | 13 | 13 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 8 | 0 | 8 |
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