Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos

Background: Cerebral metabolic monitoring in critical neurological patients allows the assessment of neuronal tissue response to injury and to plan the best therapy to correct each critical brain situation. Aim: To evaluate the usefulness of cerebral metabolic monitoring in patients with acute cereb...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Castillo F,Luis, Carmona V,Hans, Del Villar P,Sergio, Hernández P,Glen, Torrealba M,Gonzalo, Campos P,Manuel, Tagle M,Patricio, Bugedo T,Guillermo, Méndez S,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 1998
Materias:	Cerebral anoxia Critical care Brain injuries
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700007
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98871998000700007
record_format	dspace
spelling	oai:scielo:S0034-988719980007000071999-06-15Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicosCastillo F,LuisCarmona V,HansDel Villar P,SergioHernández P,GlenTorrealba M,GonzaloCampos P,ManuelTagle M,PatricioBugedo T,GuillermoMéndez S,Jorge Cerebral anoxia Critical care Brain injuries Background: Cerebral metabolic monitoring in critical neurological patients allows the assessment of neuronal tissue response to injury and to plan the best therapy to correct each critical brain situation. Aim: To evaluate the usefulness of cerebral metabolic monitoring in patients with acute cerebral injury. Patients and methods: A retrospective analysis of 29 patients with acute brain injury, in whom a catheter was located in the bulb of the jugular vein to perform a cerebral metabolic monitoring. These patients were compared with others that were not subjected to this monitoring. The evolution at six months of follow up was assessed using the Glasgow outcome score, considering a favorable evolution when this score was 4 or greater. Results: Patients with an hyperemic state on admission or after optimization of therapy did not have hospital mortality, and 73% had Glasgow outcome score of 4 or greater at six months of follow up. On the other hand, 50% of those with hypoperfusion or global ischemia died during hospitalization and 72% had a Glasgow outcome score of 3 or less at six months. Patients not subjected to cerebral metabolic monitoring behave as those with hypoperfusion or global ischemia. Conclusions: Cerebral metabolic monitoring is an useful tool to optimize the management of patients with acute cerebral injury, and those patients with an hyperemic cerebral state have the best prognosis.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.126 n.7 19981998-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700007es10.4067/S0034-98871998000700007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cerebral anoxia Critical care Brain injuries
spellingShingle	Cerebral anoxia Critical care Brain injuries Castillo F,Luis Carmona V,Hans Del Villar P,Sergio Hernández P,Glen Torrealba M,Gonzalo Campos P,Manuel Tagle M,Patricio Bugedo T,Guillermo Méndez S,Jorge Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos
description	Background: Cerebral metabolic monitoring in critical neurological patients allows the assessment of neuronal tissue response to injury and to plan the best therapy to correct each critical brain situation. Aim: To evaluate the usefulness of cerebral metabolic monitoring in patients with acute cerebral injury. Patients and methods: A retrospective analysis of 29 patients with acute brain injury, in whom a catheter was located in the bulb of the jugular vein to perform a cerebral metabolic monitoring. These patients were compared with others that were not subjected to this monitoring. The evolution at six months of follow up was assessed using the Glasgow outcome score, considering a favorable evolution when this score was 4 or greater. Results: Patients with an hyperemic state on admission or after optimization of therapy did not have hospital mortality, and 73% had Glasgow outcome score of 4 or greater at six months of follow up. On the other hand, 50% of those with hypoperfusion or global ischemia died during hospitalization and 72% had a Glasgow outcome score of 3 or less at six months. Patients not subjected to cerebral metabolic monitoring behave as those with hypoperfusion or global ischemia. Conclusions: Cerebral metabolic monitoring is an useful tool to optimize the management of patients with acute cerebral injury, and those patients with an hyperemic cerebral state have the best prognosis.
author	Castillo F,Luis Carmona V,Hans Del Villar P,Sergio Hernández P,Glen Torrealba M,Gonzalo Campos P,Manuel Tagle M,Patricio Bugedo T,Guillermo Méndez S,Jorge
author_facet	Castillo F,Luis Carmona V,Hans Del Villar P,Sergio Hernández P,Glen Torrealba M,Gonzalo Campos P,Manuel Tagle M,Patricio Bugedo T,Guillermo Méndez S,Jorge
author_sort	Castillo F,Luis
title	Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos
title_short	Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos
title_full	Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos
title_fullStr	Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos
title_full_unstemmed	Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos
title_sort	experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos
publisher	Sociedad Médica de Santiago
publishDate	1998
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700007
work_keys_str_mv	AT castillofluis experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT carmonavhans experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT delvillarpsergio experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT hernandezpglen experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT torrealbamgonzalo experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT campospmanuel experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT taglempatricio experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT bugedotguillermo experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos AT mendezsjorge experienciaenmonitorizacionmetabolicocerebralenpacientescriticosneurologicos
_version_	1718435869034020864

Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos

Ejemplares similares