Drenaje lumbar exteno como tratamiento de la hipertensión endocraneal refractaria en el paciente con traumatismo craneoencefálico

Autor:	J. M. Abadal Centellas, J. Herrero Cereceda, J. Ibanez Juve, J.A. Llompart Pou, J. Pérez Bárcena, J. Homar Ramírez
Rok vydání:	2005
Předmět:	medicine.medical_specialty Lumbar Refractory Adult patients business.industry Incidence (epidemiology) medicine Critical Care and Intensive Care Medicine Complication business Surgery Head trauma Intracranial pressure
Zdroj:	Medicina Intensiva. 29:236-239
ISSN:	0210-5691
DOI:	10.1016/s0210-5691(05)74233-9
Popis:	Endocranial hypertension is a frequent complication in severe head trauma appearing up to in 50-75% of cases. At times it is impossible to manage endocranial hypertension despite the treatment, and in these cases mortality reaches 84-100%. External lumbar drainage is a therapeutic option in refractory endocranial hypertension. Although it has been used predominantly in pediatric patients there is also experience in adult patients. The literature shows that this technique frequently controls intracranial pressure and that is associated with a limited incidence of serious complications. We present our experience in the use of external lumbar drainage in four patients admitted because of severe head trauma who showed refractory to the habitual treatment; endocranial hypertension in this case was controlled with external lumbar drainage.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::67f9ce32b4c4a692ca573160200de2ae https://doi.org/10.1016/s0210-5691(05)74233-9 Zobrazit plný text záznamu