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2014, Number 4

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Rev Med MD 2014; 5.6 (4)

Severe cranial trauma revision in children

De la Torre-Gómez RE, Rodríguez-Rodríguez IC, López-León A, Carranza-Barrera LG, Brancaccio-Orozco J, Guzmán-Rodríguez I, Aviz-Vinaya LD

Language: Spanish
References: 60
Page: 229-237
PDF size: 583.55 Kb.


ABSTRACT

The following revision of the most important aspects from the point of view of classification, physiopathology, diagnostic and handling of cranioencephalic trauma (CET) in pediatrics. This pathology is the main cause of handicap in children and adolescents and the first cause of death in young adults. From the physiopathological point of view, the following aspects are approached: structural damage in CET, classification by severity, the most important hemodynamic variable such as intracranial pressure, cerebral perfusion pressure, self-regulation. The handling will begin from the emergency services with an aggressive resuscitation that avoids hypoxia and hypotension and the handling will continue in the pediatric intensive care unit. We emphasize recommendations on the handling of hypertense cranium, through guides on the current handling of initial measures or first line to the second line.


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