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array:23 [ "pii" => "S1130147399707918" "issn" => "11301473" "doi" => "10.1016/S1130-1473(99)70791-8" "estado" => "S300" "fechaPublicacion" => "1999-01-01" "aid" => "70791" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1999" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1999;10:291-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2722 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 1021 "PDF" => 1683 ] ] "itemSiguiente" => array:18 [ "pii" => "S113014739970792X" "issn" => "11301473" "doi" => "10.1016/S1130-1473(99)70792-X" "estado" => "S300" "fechaPublicacion" => "1999-01-01" "aid" => "70792" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Neurocirugia. 1999;10:296" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 7323 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 3665 "PDF" => 3641 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Comentario" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "296" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Sahuquillo" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Sahuquillo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739970792X?idApp=UINPBA00004B" "url" => "/11301473/0000001000000004/v1_201305151014/S113014739970792X/v1_201305151014/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147399707906" "issn" => "11301473" "doi" => "10.1016/S1130-1473(99)70790-6" "estado" => "S300" "fechaPublicacion" => "1999-01-01" "aid" => "70790" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Neurocirugia. 1999;10:290" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 7398 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 3703 "PDF" => 3678 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Comentario" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "290" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rafael Alday" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Rafael" "apellidos" => "Alday" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707906?idApp=UINPBA00004B" "url" => "/11301473/0000001000000004/v1_201305151014/S1130147399707906/v1_201305151014/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Experiencia clínica con la monitorización de la presión intracraneal. 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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