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2001, Número 6

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Med Crit 2001; 15 (6)


Monitoreo de la presión tisular de oxígeno cerebral: una herramienta para prevenir y tratar la isquemia cerebral traumática

Carmona SJA, Van den Brink W, Van Santbrink H, Hogesteeger C, Steyerberg PE, Sosa EL, Mass A

Idioma: Español
Referencias bibliográficas: 189
Paginas: 185-202
Archivo PDF: 244.85 Kb.


RESUMEN

Objetivo: Presentar nuestra experiencia en el monitoreo de la oxigenación cerebral con el propósito de promover esta técnica en México para la atención del trauma severo. Diseño: Estudio prospectivo entre 1992 y 1996. Lugar: UCI de un hospital universitario de Rotterdam, Holanda. Pacientes: Se incluyeron 101 pacientes (edad media 35 ± 17 años, rango 11-83 años). Intervenciones: Con el propósito de prevenir, detectar y tratar la isquemia cerebral, se monitorizó la oxigenación cerebral mediante un catéter implantado en la materia blanca del encéfalo. Mediciones y resultados principales: Se registró presión intracraneana (PIC), presión parcial de oxígeno tisular cerebral (PtO²c), presión arterial de CO² (PaCO²) la diferencia basal-final de ICP (DICP), ptO²c (DPtO²c) y PaCO² (DPaCO²), presión de perfusión cerebral, escala de coma de Glasgow y escala pronóstica de Glasgow (GOS). El pronóstico estuvo relacionado con la ICP y PtO²c/PaCO² e ICP y PtO²c/PaCO² (p ‹ 0.5). Conclusión: Este procedimiento es una herramienta útil para el monitoreo del paciente crítico con trauma craneoencefálico severo.


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  140. Dearden NM. Jugular bulb venous oxygen saturation in the management of severe head injury. Acta Neurochir (Suppl) 1993;59:91-97.

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