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        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The objetive of this study was to obtain information about cerebral hemodynamics through retrograde cannulation of both internal jugular veins and monitoring jugular bulb oxigen saturation&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Fourteen &#40;14&#41; patients admitted to our ICU between July of 1994 and April of 1995 were prospectively studied&#46; The intracranial pressure &#40;ICP&#41; was monitored and bilateral cannulation of the internal yugular vein was performed&#46; In 9 patients&#44; one of the two veins was channeled with an optic fiber catheter for continous monitoring at oxigen jugular saturation &#40;SyO<span class="elsevierStyleInf">2</span>&#41;&#8217; Simultaneus samples were obtained every 8 hours from both jugular veins for measuring SyO<span class="elsevierStyleInf">2</span> whenever therapeutic changes were needed or before an increase in the ICP was observed&#46; A total of 140 measurements were performed &#40;mean 10 per patient&#41;&#46; A variance analysis&#44; t of student and simple linear regression analysis of the pars obtained in the SyO<span class="elsevierStyleInf">2</span> were performed&#46; Furthermore we studied the influence of the type of intracranial pathology as assessed by cranial computerized tomography &#40;CT&#41;&#44; as well as at different levels of raised IPC&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Average monitoring time was 7&#46;2 days &#40;311&#41;&#46; The brain injury in the CT was considered focal in 8 patients and mixed &#40;focal &#43; diffused&#41; in 6&#46; The correlation between the left and right SyO<span class="elsevierStyleInf">2</span> was r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;68 &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;005&#41;&#46; In patients with focal CT lesions correlation was r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;58 &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;005&#41;&#44; with true regression Y&#61; 32 &#43; 04X&#46; Mean values were 61&#46;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#37; for the right jugular and 67&#46;6<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#37; for the left &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;005&#41;&#46; The correlation in patients with mixed CT lesions was r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;79 &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;005&#41; with true regression Y&#61; 18 &#43; O&#46;72X&#46; The average value was 70&#46;9<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>11&#37; for the rigth jugular and 71<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#37; for the left jugular vein &#40;difference not significant&#41;&#46; The correlation coefficient for ICP levels of &#60;20&#44; &#62;20&#44; &#62;30 and &#62;40<span class="elsevierStyleHsp" style=""></span>mm Hg was r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;66&#44; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;79&#44; r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;85 and r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;89&#44; respectively&#46; Clinical discordance between bilateral measurements was over 30&#37; of these in 50&#37; of the patients&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The SyO<span class="elsevierStyleInf">2</span> obtained through retrograde cannulation from both jugular veins maintains a correct positive correlation that improves in intracranial hypertension situations&#46; Correlation is better in patients with mixed CT lesion than in those with focal pathology&#46; Our study could not determine which of the two jugular veins provided more reliable information of about intracranial hemodynamics&#46; Consequently&#44; we do not support the used of bilateral SyO<span class="elsevierStyleInf">2</span> monitoring in the clinical rutine&#46;</p>"
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Medición bilateral de la saturación yugular de oxígeno
Bilateral jugular venous oxygen saturation measurements
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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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