Pineda MC, Herrera JE, Chávez CJF, Zirahuén MCH, Reséndiz VMB, García LMC

Idioma: Ingles.
Referencias bibliográficas: 28
Paginas: 93-99
Archivo PDF: 132.53 Kb.

RESUMEN

Objetivo. Determinar la utilidad clínica y seguridad del drenaje de líquido cefalorraquídeo (LCR) en pacientes no quirúrgicos con traumatismo craneoencefálico severo (TCES).
Diseño. Estudio clínico prospectivo.
Lugar. Una UCI de un hospital de segundo nivel de Morelia, Mich. (México).
Pacientes. Treinta y tres pacientes no quirúrgicos con TCES, no monitorizados con presión intracraneana y sin desviación de la línea media.
Intervenciones. Se realizó drenaje del LCR mediante una punción lumbar a intervalos de 24 o 72 horas hasta obtener una presión subdural lo más cercana posible a 20 cm de agua.
Mediciones y resultados principales. Hubo una correlación negativa entre la hipertensión subdural y la Escala de Coma de Glasgow (ECG) al ingreso, con la Escala Pronóstica de Glasgow (EPG) al egreso. Cuarenta y cinco por ciento de los pacientes fueron egresados en buenas condiciones (EPG 4-5).
Conclusión. El drenaje descompresivo lumbar de LCR es un procedimiento útil y seguro en el tratamiento de los pacientes con TCES no quirúrgico.

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