medigraphic.com
ISSN 1028-4818 (Electronic)

2012, Number 2

<< Back Next >>

Mul Med 2012; 16 (2)

Raquimedular trauma in the Intensive Care Unit

Fonseca MJC, Frómeta GA, Fonseca MTA, Silveira SD

Language: Spanish
References: 20
Page:
PDF size: 150.53 Kb.


ABSTRACT

It was performed a descriptive and retrospective study of patients with a diagnosis of raquimedular Trauma who were hospitalized in the Intensive Care Unit of the University Hospital "Carlos Manuel de Céspedes" in Bayamo, with the aim of identifying the clinical and epidemiological aspects presented in them. Statistical processing was carried out taking into account the descriptive statistics. There were hospitalized an amount of 8 male patients with this diagnosis. The ages from 36 to 45 years prevailed, 3 patients (37.5%), average of 44,38 +/-17.4 years. 6 patients (75.0%) needed mechanical ventilation, 3 cases (37.5%) presented bacterial-bronchopneumonia. Methylprednisolone treatment was used in 5 cases (62.5%), and the surgical fixation was needed by 4 patients (50.0%). 5 patients (62.5%) deceased. We concluded that this condition was more frequent in young male adults. The use of mechanical ventilation was required in the majority of cases and bronchopneumonia was the complication that was evidenced, isolating the germs proper from the hospital environment. The most commonly used steroid was methylprednisolone and surgical fixation was needed by half of the patients. The cases of prolonged hospital stay prevailed.


REFERENCES

  1. Alexander RH, Proctor HJ. Curso Avanzado de Apoyo Vital en Trauma (ATLS). Colegio Americano de Cirujanos; 2004.

  2. Islas Pieck K. La hora de oro, clave en el manejo del politraumatizado. SIEMENS [Internet] 2008 [citado 10 febrero 2011]; 15(2): [aprox. 8p.]. Disponible en: http://www.diariomedico.com/2008/02/15/areacientifica/ especialidades/la-hora-de-oro-clave-en-el-manejo-delpolitraumatizado

  3. González Gil T. Valoración del paciente politraumatizado y/o policontusionado. IX Edición Premios SEEI 2006 [Internet] 2006 [citado 11 mayo 2011]. Disponible en: http://www.eccpn.aibarra.org/temario/temario.htm

  4. Fahy BG, Sivaraman V. Current concepts in neurocritical care. Anesthesiol Clin North America 2002; 20:441-462.

  5. Fehlings MG, Sekhon LH. Acute interventions in spinal cord injury: what do we know, what should we do? Clin Neurosurg 2001; 48:226-242.

  6. Hadley MN, Walters BC, Grabb PA. Guidelines for the management of acute cervical spine and spinal cord injuries. Clin Neurosurg 2002; 49:407-498.

  7. Sekhon LH, Fehlings MG. Epidemiology, demographics, and pathophysiology of acute spinal cord injury. Spine 2001; 26:2S- 12S.

  8. Rodríguez Rodríguez JC, Navidad Vera R. El politraumatizado. Aspectos generales. En: Principios de Urgencias, Emergencias y Cuidados Críticos. [Internet] s/a [citado 10 febrero 2008]. Disponible en: http://tratado.uninet.edu/indautor.html

  9. Souza Junior MF, Bastos BPR, Jallageas DN, Medeiros AA. Perfil epidemiológico de 80 pacientes com traumatismo raquimedular, internados no Hospital do Pronto: Socorro Municipal de Belém, PA, no período de janeiro a setembro de 2002. J Bras Neurocir [Internet] 2002 [citado 10 febrero 2011]; 13(3): [aprox. 6p.]. Disponible en: http://bases.bireme.br/cgibin/ wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&ba se=LILACS&lang=p&nextAction=lnk&exprSearch=458082&indexS earch=ID

  10. Botelho, Ricardo Vieira; Abgussen, Carla Maria Balieiro; Epidemiologia do trauma raquimedular cervical na zona norte da cidade de São Paulo / Epidemiology of cervical spine injury in the north area of Sao Paulo City. Arq Bras Neurocir [Internet] 2001 [citado 10 febrero 2011]; 20(3/4): [aprox. 6p.]. Disponible en: http://bases.bireme.br/cgibin/ wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&ba se=LILACS&lang=p&nextAction=lnk&exprSearch=387361&indexS earch=ID

  11. Fonseca Muñoz JC. Factores pronósticos de muerte en pacientes politraumatizados. [Internet]. 2011 [citado 4 marzo 2011]: [aprox. 6p.]. Disponible en: http://bvs.sld.cu/revistas/mie/vol10_3_11/mie03311.html

  12. Cueto Medina A, Parellada Blanco J, Hernández Pedroso W, Gómez Sánchez A. Comportamiento epidemiológico de la mortalidad por accidentes de tránsito. Rev Cub Med Int Emerg 2007; 6 (1):614-23.

  13. Medina E, Kaempffer AM. Consideraciones epidemiológicas sobre los traumatismos. Rev Chilena de Cirugía. [Internet] 2007Jun [citado 2008 Mar 4]: 59(3) [aprox. 14 p.]. Disponible en: http://www.scielo.cl/scielo.php?pid=S0718- 40262007000300003&script=sci_arttext

  14. Morejón Carbonell D, Gómez Sánchez A, López Palomares ML, Trueba Rodríguez D, Castillo López DB. Morbimortalidad por trauma grave. Rev Cub Med Int Emerg 2006;5 (2):333-54.

  15. Hecheverría Ramírez H, Señor García RF, Perdomo Jorge JM. Formación de recursos humanos en atención de urgencia al paciente con sospecha de trauma raquimedular. Rev Ciencias Médicas La Habana [Internet] 2008 [citado 2008 Mar 4]: 14(3) [aprox. 11 p.]. Disponible en: http://www.cpicmha.sld.cu/hab/vol14_3_08/hab14308.html

  16. Iraola Ferrer MD, Rodríguez Rabassa R, Santana Cano AA, Pons Moscoso F. Valor pronóstico del índice de trauma en la unidad de cuidados intensivos. Rev Cub Med Int Emerg 2003; 2 (2):15-20.

  17. Wikinski JA, Salgueiro C. Manejo anestésico del paciente dulto Politraumatizado. [Internet] 2007 [citado 2 enero 2011]. Disponible en: http://www.anestesia.org.ar/search/articulos_completos/1/1/1123 /c.pdf

  18. Argenson C, Boileau P. Classification of thoracolumbar spine fractures. In: Floman Y, Farcy JP, Argenson C. Thoracolumbar spine fractures. New York: Raven Press; 2003.

  19. Ball PA. Critical care of spinal cord injury. Spine 2003; 26:27S-30S.

  20. Belanger E, Levi AD. The acute and chronic management of spinal cord injury. J Am Coll Surg 2000; 190:603-618.




2020     |     www.medigraphic.com