Cerebral salt wasting syndrome and brain surgery: intraoperative predisposing factors

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"apellidos" => "Barberá" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709905?idApp=UINPBA00004B" "url" => "/11301473/0000001000000001/v1_201305151005/S1130147399709905/v1_201305151005/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147399709887" "issn" => "11301473" "doi" => "10.1016/S1130-1473(99)70988-7" "estado" => "S300" "fechaPublicacion" => "1999-01-01" "aid" => "70988" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1999;10:55-60" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2372 "formatos" => array:3 [ "EPUB" => 19 "HTML" => 1065 "PDF" => 1288 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "La «técnica de Dalias» en el tratamiento de los aneurismas de la arteria oftálmica de gran tamaño" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "55" "paginaFinal" => "60" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The «Dalias maneuver» in the treatment of the giant carotid-ophtalmic aneurysms" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. González-Darder, J.L. Gil-Salú" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "González-Darder" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Gil-Salú" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709887?idApp=UINPBA00004B" "url" => "/11301473/0000001000000001/v1_201305151005/S1130147399709887/v1_201305151005/es/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "titulo" => "Cerebral salt wasting syndrome and brain surgery: intraoperative predisposing factors" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "61" "paginaFinal" => "66" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "N. Saiz-Sapena" "autores" => array:1 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Saiz-Sapena" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Anestesiología Clínica Universitaria, Universidad de Navarra. Pamplona" ] ] ] 1 => array:3 [ "autoresLista" => "V. Vanaclocha, P. Irimia, F. Panta" "autores" => array:3 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "Vanaclocha" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "P." "apellidos" => "Irimia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "**" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Panta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicios de Neurocirugía Clínica Universitaria, Universidad de Navarra. Pamplona" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Neurología Clínica Universitaria, Universidad de Navarra. Pamplona" "etiqueta" => "**" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El síndrome de la pérdida cerebral de sal y la cirugía cerebral: Factores intraoperatorios predisponentes" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156610" "palabras" => array:5 [ 0 => "Síndrome pierde-sal" 1 => "Hiponatremia" 2 => "Natriuresis" 3 => "Síndrome de secreción inadecuada de hormona antidiurética" 4 => "Tratamiento: hiponatremia. Balance hidroelectrolítico: fisiología" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156609" "palabras" => array:6 [ 0 => "Cerebral salt wasting" 1 => "Hyponatremia" 2 => "Natriuresis" 3 => "Syndrome of inappropriate antidiuretic hormone secretion" 4 => "Hyponatremia therapy" 5 => "Water Electrolyte Balance physiology" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "Nuestro objetivo fue el estudiar la correlación entre las maniobras anestésicas y la aparición de CSWS en pacientes neuroquirúrgicos.Se estudiaron quinientas veintiuna craniotomías consecutivas, excluyendo las relacionadas con el hipotálamo, el tercer ventrículo o hipófisis y aquellos con patología renal.Factores estudiados: ingesta líquida, diuresis, hipertensión intracraneal, corticoides, furosemida, manitol, hipnóticos, opiáceos, duración de la cirugía y tiempo hasta la extubación.Se observaron treinta y dos casos (6,14%) de Cerebral salt wasting syndrome (CSWS). Su aparición sólo se vio relacionada con la administración de opiáceos. Treinta de estos casos habían recibido fentanilo > 0,25mg más morfina > 5mg y los otros dos restantes fentanilo 0,20mg más morfina 5mg. Ninguno de los 93 pacientes que recibieron fentanilo ≤ 0,15mg y ninguna morfina desarrollaron CSWS. ConclusiónLa administración de dosis medias o altas de opiáceos (fentanilo >0,25mg y morfina >5mg) en el curso de cirugía cerebral parece de algún modo predisponer a la aparición de CSWS." ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "We aimed to study the relationship between the anaesthetic manoeuvres and the appearance of Cerebral salt wasting syndrome (CSWS) in neurosurgical patients.Five-hundred and twenty-one consecutive craniotomies were studied, excluding those related to the hypothalamus, IIIrd ventricle and pituitary and those with kidney troubles.Factors studied: fluid intake, diuresis, intracranial hypertension, corticoids, furosemide, mannitol, hypnotic agents, opioids, anaesthetic gases, duration of surgery, and time to extubation.Thirty-two cases (6,14%) of CSWS were seen. Its appearance was related only to opioid administration. Thirty of the cases had received fentanyl > 0,25mg plus morphine > 5mg and the other two fentanyl 0,20mg plus morphine 5mg. None of the 93 patients managed with fentanyl ≤ 0,15mg and no morphine at alla developed CSWS. ConclusiónThe administration of medium/large doses of opioids (fentanyl >0,25mg and morphine >5mg) during brain surgery seems to somehow predispose to CSWS." ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Saiz-Sapena, N.; Vanaclocha, V.; Irimia, P.; Panta, F.: Cerebral salt wasting syndrome and brain surgery intraoperative predisposing factors. Neurocirugía 1999; 10: 61–66." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:62 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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El síndrome de la pérdida cerebral de sal y la cirugía cerebral: Factores intraoperatorios predisponentes

N. Saiz-Sapena

Servicios de Anestesiología Clínica Universitaria, Universidad de Navarra. Pamplona

V. Vanaclocha*, P. Irimia**, F. Panta*

* Servicios de Neurocirugía Clínica Universitaria, Universidad de Navarra. Pamplona

** Servicios de Neurología Clínica Universitaria, Universidad de Navarra. Pamplona

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          "identificador" => "xpalclavsec156609"
          "palabras" => array:6 [
            0 => "Cerebral salt wasting"
            1 => "Hyponatremia"
            2 => "Natriuresis"
            3 => "Syndrome of inappropriate antidiuretic hormone secretion"
            4 => "Hyponatremia therapy"
            5 => "Water Electrolyte Balance physiology"
          ]
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nuestro objetivo fue el estudiar la correlaci&#243;n entre las maniobras anest&#233;sicas y la aparici&#243;n de CSWS en pacientes neuroquir&#250;rgicos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron quinientas veintiuna craniotom&#237;as consecutivas&#44; excluyendo las relacionadas con el hipot&#225;lamo&#44; el tercer ventr&#237;culo o hip&#243;fisis y aquellos con patolog&#237;a renal&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Factores estudiados&#58; ingesta l&#237;quida&#44; diuresis&#44; hipertensi&#243;n intracraneal&#44; corticoides&#44; furosemida&#44; manitol&#44; hipn&#243;ticos&#44; opi&#225;ceos&#44; duraci&#243;n de la cirug&#237;a y tiempo hasta la extubaci&#243;n&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se observaron treinta y dos casos &#40;6&#44;14&#37;&#41; de Cerebral salt wasting syndrome &#40;CSWS&#41;&#46; Su aparici&#243;n s&#243;lo se vio relacionada con la administraci&#243;n de opi&#225;ceos&#46; Treinta de estos casos hab&#237;an recibido fentanilo &#62; 0&#44;25<span class="elsevierStyleHsp" style=""></span>mg m&#225;s morfina &#62; 5<span class="elsevierStyleHsp" style=""></span>mg y los otros dos restantes fentanilo 0&#44;20<span class="elsevierStyleHsp" style=""></span>mg m&#225;s morfina 5<span class="elsevierStyleHsp" style=""></span>mg&#46; Ninguno de los 93 pacientes que recibieron fentanilo &#8804; 0&#44;15<span class="elsevierStyleHsp" style=""></span>mg y ninguna morfina desarrollaron CSWS&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La administraci&#243;n de dosis medias o altas de opi&#225;ceos &#40;fentanilo &#62;<span class="elsevierStyleHsp" style=""></span>0&#44;25<span class="elsevierStyleHsp" style=""></span>mg y morfina &#62;<span class="elsevierStyleHsp" style=""></span>5<span class="elsevierStyleHsp" style=""></span>mg&#41; en el curso de cirug&#237;a cerebral parece de alg&#250;n modo predisponer a la aparici&#243;n de CSWS&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We aimed to study the relationship between the anaesthetic manoeuvres and the appearance of Cerebral salt wasting syndrome &#40;CSWS&#41; in neurosurgical patients&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Five-hundred and twenty-one consecutive craniotomies were studied&#44; excluding those related to the hypothalamus&#44; IIIrd ventricle and pituitary and those with kidney troubles&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Factors studied&#58; fluid intake&#44; diuresis&#44; intracranial hypertension&#44; corticoids&#44; furosemide&#44; mannitol&#44; hypnotic agents&#44; opioids&#44; anaesthetic gases&#44; duration of surgery&#44; and time to extubation&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Thirty-two cases &#40;6&#44;14&#37;&#41; of CSWS were seen&#46; Its appearance was related only to opioid administration&#46; Thirty of the cases had received fentanyl &#62; 0&#44;25<span class="elsevierStyleHsp" style=""></span>mg plus morphine &#62; 5<span class="elsevierStyleHsp" style=""></span>mg and the other two fentanyl 0&#44;20<span class="elsevierStyleHsp" style=""></span>mg plus morphine 5<span class="elsevierStyleHsp" style=""></span>mg&#46; None of the 93 patients managed with fentanyl &#8804; 0&#44;15<span class="elsevierStyleHsp" style=""></span>mg and no morphine at alla developed CSWS&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The administration of medium&#47;large doses of opioids &#40;fentanyl &#62;<span class="elsevierStyleHsp" style=""></span>0&#44;25<span class="elsevierStyleHsp" style=""></span>mg and morphine &#62;<span class="elsevierStyleHsp" style=""></span>5<span class="elsevierStyleHsp" style=""></span>mg&#41; during brain surgery seems to somehow predispose to CSWS&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Saiz-Sapena&#44; N&#46;&#59; Vanaclocha&#44; V&#46;&#59; Irimia&#44; P&#46;&#59; Panta&#44; F&#46;&#58; Cerebral salt wasting syndrome and brain surgery intraoperative predisposing factors&#46; Neurocirug&#237;a 1999&#59; 10&#58; 61&#8211;66&#46;</p>"
      ]
    ]
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Información del artículo

ISSN: 11301473
Idioma original: Inglés

DOI:10.1016/S1130-1473(99)70989-9

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