Carrillo-Esper R, Carrillo-Córdova LD

Idioma: Español
Referencias bibliográficas: 33
Paginas: 225-232
Archivo PDF: 122.01 Kb.

RESUMEN

La saturación venosa yugular de oxígeno (SvyO₂) es un método de monitoreo cerebral. Otras técnicas incluyen el monitoreo de la presión tisular cerebral de oxígeno, microdiálisis y espectroscopía infrarroja. La sensibilidad y especificidad de la SvyO₂ puede modificarse por varios factores técnicos que tienen que ser tomados en cuenta antes de iniciar cualquier consideración diagnóstica o maniobra terapéutica. La lesión cerebral primaria no puede modificarse, pero sí la lesión cerebral secundaria, limitando los efectos deletéreos inducidos por la cirugía y el manejo en la Unidad de Terapia Intensiva con el monitoreo continuo de la SvyO₂. Como con cualquier otra técnica de monitoreo, la información obtenida será de utilidad cuando se correlacione con otras variables, la evolución clínica y la correcta interpretación de las mediciones. El mejor entendimiento e interpretación del monitoreo de la SvyO₂ complementa los protocolos de manejo y mejora la evolución y sobrevida de los enfermos con traumatismo craneoencefálico y otras entidades asociadas a lesión cerebral aguda.

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