Cerebral metabolic monitoring in critical neurological patients Experiencia en monitorización metabólico-cerebral en pacientes críticos neurológicos

Castillo L.; Carmona, H; Villar S.D.; Hernández G.; Torrealba G.; Campos M.; Tagle P.; Bugedo G.; Méndez J.

Keywords: brain, mortality, care, disease, circulation, metabolism, humans, scale, human, male, disorders, aged, adult, female, article, monitoring, adolescent, coma, studies, study, cross-sectional, middle, and, Aged,, 80, over, Monitoring,, Physiologic, Retrospective, Cerebrovascular, intensive, Critical, Glasgow


Background: Cerebral metabolic monitoring in critical neurological patients allows the assessment of neuronal tissue response to injury and to plan the best therapy to correct each critical brain situation. Aim: To evaluate the usefulness of cerebral metabolic monitoring in patients with acute cerebral injury. Patients and methods: A retrospective analysis of 29 patients with acute brain injury, in whom a catheter was located in the bulb of the jugular vein to perform a cerebral metabolic monitoring. These patients were compared with others that were not subjected to this monitoring. The evolution at six months of follow up was assessed using the Glasgow outcome score, considering a favorable evolution when this score was 4 or greater. Results: Patients with an hyperemic state on admission or after optimization of therapy did not have hospital mortality, and 73% had Glasgow outcome score of 4 or greater at six months of follow up. On the other hand, 50% of those with hypoperfusion or global ischemia died during hospitalization and 72% had a Glasgow outcome score of 3 or less at six months. Patients not subjected to cerebral metabolic monitoring behave as those with hypoperfusion or global ischemia. Conclusions: Cerebral metabolic monitoring is an useful tool to optimize the management of patients with acute cerebral injury, and those patients with an hyperemic cerebral state have the best prognosis.

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Título de la Revista: REVISTA MEDICA DE CHILE
Volumen: 126
Número: 7
Editorial: Sociedad Médica de Santiago
Fecha de publicación: 1998
Página de inicio: 793
Página final: 802
URL: http://www.scopus.com/inward/record.url?eid=2-s2.0-0032128726&partnerID=q2rCbXpz