medigraphic.com

2008, Número 4

<< Anterior Siguiente >>

Med Sur 2008; 15 (4)


Actualidades en terapia intensiva neurológica
Primera parte Monitoreo neurológico multimodal

Carrillo ER, Leal GP

Idioma: Español
Referencias bibliográficas: 53
Paginas: 266-277
Archivo PDF: 253.00 Kb.


RESUMEN

Las alteraciones en la regulación de la homeostasis cerebral posterior a una lesión cerebral primaria tienen impacto en la evolución y sobrevida de los enfermos neurocríticos. El desarrollo de tecnología médica de vanguardia ayuda al intensivista en la toma de decisiones ante los cambios críticos de la homeostasis cerebral y ha logrado impactar de manera significativa en la evolución de los pacientes. La implementación del monitoreo neurológico multimodal ha sido desarrollado en base a una mejor sensibilidad y especificidad para detectar, prevenir y tratar los cambios de la homeostasis cerebral antes de que el daño cerebral secundario, que produce cambios generalmente irreversibles, se presente.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Chesnut RM, Marshall SB, Piek J. Early and late systemic hypotension as a frequent and fundamental source of cerebral ischemia following severe brain injury in the Traumatic Coma Data Bank. Acta Neurochir Suppl 1993; 59: 121-5.

  2. The Brain Trauma Foundation. The American Association of Neurological Surgeons. Congress of Neurological Surgeons. Joint Sections of Neurotrauma and Neurocritical Care. Blood Pressure and Oxygenation. J Neurotrauma 2007; 24: S7-S13.

  3. The Brain Trauma Foundation. The American Association of Neurological Surgeons. Congress of Neurological Surgeons. Joint Sections of Neurotrauma and Neurocritical Care. Indications for intracranial pressure monitoring. J Neurotrauma 2007; 24: S37-S44.

  4. Wartenberg K, Schmidt JM, Mayer S. Multimodality monitoring in neurocritical care. Crit Care Clin 2007: 507-38.

  5. The Brain Trauma Foundation. The American Association of Neurological Surgeons. Congress of Neurological Surgeons. Joint Sections of Neurotrauma and Neurocritical Care. Intracranial pressure monitoring technology. J Neurotrauma 2007; 24: S45-S54.

  6. Guyot LL, Dowling C, Diaz FC, Michael DB. Cerebral monitoring devices: analysis of complications. Acta Neurochir Suppl 1998; 71: 47-9.

  7. Bekar A, Goren S, Korali E, Aksoy K, Boyaci S. Complications of brain tissue monitoring with a fiberoptic device. Neurosurg Rev 1998; 21: 254-9.

  8. Raabe A, Totzauer R, Meyer O, Stockel R, Hohrein D, Schoeche K. Reliability of extradural pressure measurement in clinical practice: behavior of three modern sensors during simultaneous ipsilateral intraventricular or intraparenchymal pressure measurement. Neurosurgery 1998; 43: 306-11.

  9. The Brain Trauma Foundation. The American Association of Neurological Surgeons. Congress of Neurological Surgeons. Joint Sections of Neurotrauma and Neurocritical Care. Intracranial pressure thresholds. J Neurotrauma 2007; 24: S55-S58.

  10. Meixensberger J, Jaeger M, Vath A. Brain tissue oxygen guided treatment supplementing ICP/CPP therapy alter traumatic brain injury. J Neurol Neurosurg Psychiatry 2003; 74(6): 1143-51.

  11. Vespa PM. What is the optimal threshold for cerebral perfusion pressure following traumatic brain injury? Neurosurg Focus 2003; 15(6): E4.

  12. Fick A. Ueber die messung des blutquantums in den herzventrikeln. Stiz ber Physik-Med Ges Wúrzburg. Sitz ber Physik-Med Ges Wúrzburg 1870; 2: 16-28.

  13. Meyerson A, Halloran RD, Hirsch HL. Technic for obtaining blood the internal jugular vein and internal carotid artery. Arch Neurol Psychiat 1927; 17: 807-8.

  14. Gibbs EL, Lennox WG, Nims LF. Arterial and cerebral venous blood arterial-venous differences in man. J Biol Chem 1942; 144: 325-32.

  15. Kety SS, Schmidt CF. The nitrous oxide method for the quantitative-determination of cerebral blood flow in man: theory, procedure and normal values. J Clin Invest 1948; 27: 476-83.

  16. Goetting MG, Preston G. Jugular bulb catherization: Experience with 123 patients. Crit Care Med 1999; 18: 1220-23.

  17. Kiening KL, Unterberg AW, Bardt TF. Monitoring of cerebral oxygenation in patients with severe head injuries: brain tissue PO2 versus jugular vein oxygen saturation. J Neurosurg 1996; 85: 751-757.

  18. Carrillo R. Saturación de oxígeno del bulbo de la yugular. Revista Mexicana de Anestesiología 2007; 30: 225-32.

  19. Curz J, Jaggi JL, Hoffstad OJ. Cerebral blood flow and oxygen consumption in acute brain injury with acute anemia: An alternative for the cerebral metabolic rate of oxygen consumption. Crit Care Med 1993; 21: 1218-24.

  20. Poca MA, Sauquillo J, Monforte R, Vilalta A. Métodos globales de monitorización de la hemodinámica cerebral en el paciente neurocrítico: fundamentos, controversias y actualizaciones en las técnicas de oximetría yugular. Neurocirugía 2005; 16: 301-22.

  21. Robertson CS, Gopinath SP, Goodman JC. SjvO2 monitoring in head-injured patients. J Neurotrauma 1995; 12: 891-6.

  22. Smythe PR, Samra SK. Monitors of cerebral oxygenation. Anesthesiol Clin North America 2002; 20: 293-313.

  23. Robertson CS, Narayan RK, Gokaslan ZL. Cerebral arteriovenous oxygenation difference as an estimate of cerebral blood flow in comatose patients. J Neurosurg 1987; 67: 361-8.

  24. Dong K. Neuromonitoring in neurological critical care. Neurocrit Care 2006; 04: 83-92.

  25. Aaslid R, Markwalder TM, Norris N. Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. Neurosurg 1982; 57: 759.

  26. Voci S, Carson N. Ultrasound of the intracranial arteries. Ultrasound Clin 2006: 161-81.

  27. Bhatia A, Kumar A. Neuromonitoring in the intensive care unit. I. Intracranial pressure and cerebral blood flow monitoring. Intensive Care Med 2007; 33: 1263-71.

  28. Jarus-Dziedzic K, Bogucki J, Zub W. The influence of ruptured cerebral aneurysm localization on the blood flow velocity evaluated by transcranial Doppler ultrasonography. Neurol Res 2001; 23: 23-8.

  29. Lindegaard KF, Nornes H, Bakke SJ, Sorteberg W, Nakstad P. Cerebral vasospasm after subarachnoid hemorrhage investigated by means of transcranial Doppler ultrasound. Acta Neurochir 1998; 42: 81-4.

  30. Steiger HJ, Ciessinna E, Seiler RW. Identification of posttraumatic ischemia and hyperperfusion by determination of the effect of induced arterial hypertension on carbon dioxide reactivity. Stroke 1996; 27: 2048-51.

  31. Schmidt EA, Czosnyka M, Gooskens I, Piechnik SK, Matta BF, Withfeld PC, Pickard JD. Preliminary experience of the estimation of cerebral perfusion pressure using transcranial Doppler ultrasonography. J Neurolog Neurosurg Psychiatry 2001; 70: 198-204.

  32. Klotzsch C, Popescu O, Berlit P. A new 1 MHz probe for transcranial Doppler sonography in patients with inadequate temporal bone windows. Ultrasound Med Biol 1998; 24: 101-3.

  33. Bhatia A, Kumar A. Neuromonitoring in the intensive care unit. II. Cerebral oxygenation monitoring and microdialysis. Intensive Care Med 2007; 33: 1322-8.

  34. Mass AIR, Fleckstein W, Dejong DA, Van Santbrink H. Monitoring cerebral oxygenation: experimental studies and preliminary clinical results of continuous monitoring of cerebral spinal fluid and brain tissue oxygen tension. Acta Neurochir Suppl 1993; 59: 50-7.

  35. Sarrafzadeh AS, Kiening KL, Unterberg AW. Neuromonitoring: brain oxygenation and microdialysis. Curr Neurl Neuorsci Rep 2003; 3: 517-23.

  36. Gupta AK, Zygun D, Johnston AJ, Steiner LA, Al-Rawi PG, Chatfield D, Sheperd E, Kirkpatrick PJ, Hutchinson PJ, Menon DK. Extracellular brain pH and outcome following severe traumatic brain injury. J Neurotrauma 2004; 21: 678-84.

  37. Stiefel MF, Spiotta A, Gracias V. Reduced mortality rate in patients with severe traumatic brain injury treated with brain tissue oxygen monitoring. J Neurosurg 2005; 103: 805-11.

  38. Bellander BM, Cantanis E, Enblad P, Hutchinson P, Nordstrom CH, Robertson CS, Sahuquillo J, Smith M, Stocchetti N, Ungerstedt U, Unterberg A, Vidiendal O. Consensus meeting on microdialysis in neurointensive care. Intensive Care Med 2004; 30: 2166-9.

  39. Johnston AJ, Gupta AK. Advanced monitoring in the neurology intensive care unit: microdialysis. Curr Opin Crit Care 2002; 8: 121-7.

  40. Clough GF. Microdialysis of large molecules. AAPS J 2005; 7: 686-92.

  41. Poca MA, Sauquillo J, Mena MP, Vilatla A, Riveiro M. Actualizaciones en los métodos de monitorización cerebral regional en los pacientes neurocríticos: presión tisular de oxígeno, microdiálisis cerebral y técnicas de espectroscopia por infrarrojos. Neurocirugía 2005; 16: 385-410.

  42. Ungerstedt U, Rostami E. Microdialysis in neurointensive care. Current Pharmaceutical Desing 2004; 18: 2145-52.

  43. Hillered L, Valtysson J, Enblad P, Person L. Interstitial glycerol as a marker for membrane phospholipid degradation in the acutely injured human brain. J Neurol Neurosurg Psychiatry 1998; 64: 486-91.

  44. Hagstrom-Toft E, Arner P, Wahrenberg H, Wennlund A, Ungerstendt U, Bolindre J. Adrenergic regulation of human adipose tissue metabolism in situ during mental stress. J Clin Endocrinol Metab 1993; 76: 393-8.

  45. Kirpatrick PJ, Smielewski P, Czosnyka M, Menon DK, Pickard JD. An observational study of near infrared spectroscopy during carotid endarterectomy. J Neurosurg 1995; 82: 756-63.

  46. Veden JC, Gibson A, Austin T. Imaging changes in blood volume and oxygenation in the newborn infant brain using three-dimensional optical tomography. Phys Med Biol 2004; 97: 1117-30.

  47. Al Rawi PG, Smielewski P, Kirkpatrick PJ. Evaluation of a near-infrared spectrometer (NIRO 300) for the detection of intracranial oxygenation changes in the adult head. Stroke 2001; 32: 2492-2500.

  48. Daubeney PE, Smith DC, Pilkington SN. Cerebral oxygenation during paediatric cardiac surgery: identification of vulnerable periods using near infrared spectroscopy. Eur J Cardiothorac Surg 1998; 13: 370-7.

  49. Gospinath SP, Robertson CS, Contant CF. Early detection of delayed traumatic intracranial hematomas using near-infrared spectroscopy. J Neurosurg 1998; 12: 438-44.

  50. Lewis SB, Myburgh JA, Trotón EL. Cerebral oxygenation monitoring by near-infrared spectroscopy is not clinically useful in patients with severe closed-head injury: a comparison with jugular venous bulb oximetry. Crit Care Med 1996; 24: 1334-8.

  51. Townsend DW. Physical principles and technology of clinical PET imaging. Ann Acad Med Singapore 2004; 33: 133-45.

  52. Noske DP, Peerdeman S, Comans EF. Cerebral microdialysis and positron emission tomography alter surgery for aneurismal subarachnoid hemorrhage in grade I patients. Surg Neurol 2005; 64: 109-15.

  53. Grandin CB. Assessment of brain perfusion with MRI: methodology and application to acute stroke. Neuroradiology 2003; 45: 755-766.




2020     |     www.medigraphic.com