Traumatismo Craneoencefalico En Pediatria Pdf

Traumatismo craneoencefalico en pediatria pdf

Traumatic brain injury TBI is an important reason of morbidity-mortality all over the world, affecting young males more and generating Public Health problem. Unfortunately, the advances in the pathophysiology knowledge have not followed a similar development in therapeutic options, there currently not being any contrasted neuroprotectants..

In this article, we have reviewed the epidemiology, pathophysiology and therapeutic measures used in the management of patient with severe TBI. The general measures as well as those aimed at controlling intracranial hypertension, the role of the surgery and some more innovative therapeutic options currently under evaluation in these patients are analyzed..

Traumatismo craneoencefalico en pediatria

En Estados Unidos se estima en Factores predictores de malos resultados. Mantienen PPC alrededor de 55 mmHg y cierto grado de hipernatremia. Otros grupos no han demostrado los atractivos resultados publicados por el grupo de Lund.. Se ha indicado que la hipoxia cerebral representa la piedra angular de los procesos que desencadenan la muerte celular.

Con este objetivo se proponen diferentes estrategias: 1. La respuesta de la PIC a las manipulaciones puede ser de gran valor. Destacan la morbilidad asociada a dosis elevadas Estas medidas se han demostrado eficaces en disminuir la PIC, pero frecuentemente no se ha demostrado que mejoren los resultados a medio o largo plazo en el TCE..

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Tratamiento de la HTIC. Fuente: Guidelines Brain Trauma Foundation 2. Esto puede traducirse en isquemia regional Hay evidencia de que dosis prolongadas atraviesan la BHE y producen un efecto rebote.

Tampoco se ha establecido su impacto en los resultados. Sin embargo, no hay evidencia de que su uso se asocie con menor mortalidad o con mejores resultados. Esto se relaciona con mortalidad. Faltan estudios que aprueben esta conducta, aunque parece atractiva.. ISSN: Updates of severe traumatic brain injury management.

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Traumatismo craneoencefalico en pediatria pdf

UCI Trauma. Servicio de Medicina Intensiva. Hospital Universitario 12 de Octubre.

Tabla 1. Tabla 6. Tabla 8. Palabras clave:.

Traumatismo craneoencefalico en pediatria pdf

Unfortunately, the advances in the pathophysiology knowledge have not followed a similar development in therapeutic options, there currently not being any contrasted neuroprotectants.

The general measures as well as those aimed at controlling intracranial hypertension, the role of the surgery and some more innovative therapeutic options currently under evaluation in these patients are analyzed. Key words:.

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Traumatic brain injury. Texto completo. Figura 1. Tabla 2. Lesiones secundarias. Figura 2. Tabla 3. Tratamiento de la hipertermia.

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Tabla 4. Tabla 5. Efectos de la sedoanalgesia. Tabla 7. Figura 3. Figura 4. Figura 5. Figura 6. Tabla 9. Estudios en hipotermia.

Alted, D. Henzler, D. Cooper, A. Tremayne, R.

Rossaint, A. Early modifiable factors associated with fatal outcome in patients with severe traumatic brain injury: A case control study.

Crit Care Med, 35 , pp. Hiler, M. Czosnyka, P.

Traumatismo craneoencefalico en pediatria pdf

Hutchinson, M. Balstreri, P. Samirlewski, B. Matta, et al. Predictive value of initial computerized tomography scan, intracranial pressure, and state of autoregulation in patients with Traumatic brain injury. J Neurosurg, , pp.

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Traumatismo craneoencefalico en pediatria pdf

Cerebral vasomotor reactivity testing in head injury: the link between pressure and flow. J Neurolog Neurosurg Psychiatry, 74 , pp.

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Rosner, S. Cerebral perfusion pressure management in head injury.

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Traumatismo craneoencefálico grave en pediatría

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Eker, B. Asgeirsson, P. Grande, W. Shalen, C. Improved outcome alter severe head injury with a new therapy based on principles for brain volume regulation and preserved microcirculation. Crit Care Med, 26 , pp. Patel, D. Menon, S. Tebbs, R. Hawker, P. Hutchinson, P.

Traumatismo craneoencefalico en pediatria pdf

Specialist neurocritical care and outcome from head injury. Intensive Care Med, 28 , pp. Vareles, D. Eastwood, H.

Traumatismo craneoencefalico en pediatria pdf

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