Monitorización de presión tisular de oxígeno cerebral en pacientes pediátricos con traumatismo encéfalo craneal grave. Reporte de dos casos

Pablo Cruces R., Gabriel Muñoz R., Jorge Roque E., Ricardo Ronco M., Rafael Torres B, Astrid Valenzuela S.

Resultado de la investigación: Contribución a una revistaArtículo

Resumen

Traumatic brain injury (TBI) is one of the most frequent causes of mortality in childhood. The treatment of patients with severe TBI is directed to prevention, early detection and treatment of secondary injuries due to extra and/or intracranial etiologies. Brain ischemia is a central cause of brain damage and its prevention has become a primary goal for intensivists. New techniques have developed to detect brain ischemia directly bedside the patient, through the monitoring of oxygen tissue pressure (P tiO 2). Our objective is to report 2 pediatric patients with severe TBI and P tiO 2 monitoring, in order to ilustrate the possibility that offers this technique in early detection of brain ischemia and review the current literature. We analyzed the clinical records of the patients with coma Glasgow score below 8. The intracranial pressure and P tiO 2 monitoring was made through a catheter implanted in the encephalic matter. The device allowed early detection of secondary injuries and an optimal therapeutic approach in the patients, both with good outcome at discharge. The P tiO 2 monitoring showed high safety and reliability.

Título traducido de la contribuciónCerebral oxygen tissue pressure monitoring in children with severe traumatic brain injury. 2. Case-reports
Idioma originalEspañol
Páginas (desde-hasta)398-402
Número de páginas5
PublicaciónRevista Chilena de Pediatria
Volumen78
N.º4
EstadoPublicada - ago 2007

Palabras clave

  • Brain ischemia
  • Oxygen tissue pressure
  • Traumatic brain injury

Áreas temáticas de ASJC Scopus

  • Pediatría, perinaltología y salud infantil

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