De la Maza-Krzeptowsky LC, Romero-Esquiliano G, Ramírez-Segura EH, De Obieta-Cruz E, Vega-Sosa A, Cárdenas-Mejía A, San Juan-Orta D, Castillo-Herrera M, Aguilar-Castillo SJ, Ávila-Ordóñez MU, Cordero-Guzmán LM, Escobar-Cedillo RE, Fraire-Martínez MI, Franco-Lira MO, González-Jaime JJ, Paz-Navarro, Claudia E; Ramos-Peek JN, Shkurovich-BialikP, Silva-Cerecedo P, Tello-Valdés CA, Zavala-Reina ÁA, López-Rodríguez J, Sosa-García O

Idioma: Español
Referencias bibliográficas: 26
Paginas: 132-139
Archivo PDF: 207.57 Kb.

RESUMEN

Introducción: El monitoreo neurofisiológico intraoperatorio (MNIO) es un procedimiento que emplea técnicas neurofisiológicas con la finalidad de evaluar los sistemas motor y sensitivo durante cirugías que ponen en riesgo al sistema nervioso. Método: Se definieron el enfoque, los alcances, la población diana y las preguntas clínicas por resolver. Se realizó una búsqueda sistematizada de la evidencia por etapas. En la primera, se buscaron guías de práctica clínica; en la segunda, revisiones sistemáticas; y en la tercera, ensayos clínicos y estudios observacionales. Se utilizaron los términos MeSH y libres correspondientes, sin restricciones de lenguaje y con una temporalidad de 5 a 10 años. Se graduó la calidad de la evidencia utilizando las escalas CEPD y SIGN. Resultados: Mediante los algoritmos de búsqueda se obtuvieron 892 documentos, y se seleccionaron 58 para la inclusión de la síntesis cualitativa. Debido a la heterogeneidad entre los estudios, no fue posible realizar metaanálisis. Conclusiones: Se emitieron 18 recomendaciones, las cuales servirán como apoyo para la adecuada utilización del MNIO.

REFERENCIAS (EN ESTE ARTÍCULO)

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