Resumen

ABDO CUZA, Anselmo; FIGUEREDO MENDEZ, Javier; CASTELLANOS GUTIERREZ, Roberto  y  GOMEZ PEYRE, Francisco. Predictive value of the monitoring of cerebral hemodynamics and metabolism in the neurocritical patients. Rev Cub Med Mil [online]. 2001, vol.30, suppl.5, pp.20-24. ISSN 0138-6557.

At present, it is reported that there is a series of monitoring systems, which are decisive for the management of neurocritical patients. The value of a group of brain hemodynamics and metabolism variables for predicting outcome at discharge from ICU was determined. A study was conducted on neurocritical patients admitted to the ICU in the Medical & Surgical Research Center (CIMEQ) during a year. Twenty-four hours after the initial stroke, the values of intracranial pressure (ICP), mean blood pressure (MBP), cerebral perfusion pressure (BPP); jugular venous oxygen pressure (JOP); jugular venous oxygen saturation (JOS), jugular venous oxygen extraction (JOE) and arterio-jugular oxygen difference (AJOD) were taken. Cases were divided into group I (G-1) embracing discharges from ICU due to improvement of patient’s condition and group II (G-II) including discharges from ICU due to death of patients. The results are expressed as medians of the different variables such as iCP in g-I:7mmHg, G-II:25 mmHg (p=0,0143); BPP in g-I: 79,1 mmHg, G-II:71,6 mmHg; JOS in G-I: 79,8%, G-II: 63,3%; JOE in g-I: 18%, G-II:35%. It is concluded that high ICP 24 hours after the initial stroke was a predictor of bad outcome at discharge from ICU.

Palabras clave : CRANIOCEREBRAL TRAUMA [complications]; INTRACRANIAL PRESSURE; HEMODYNAMICS; INTENSIVE CARE UNITS.

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