Valoración neuroanestésica de pacientes con traumatismo craneoencefálico en una unidad de cuidados intensivos pediátricos / Neurological-anesthetic assessment of patients with cranioencephalic trauma at a pediatric intensive care unit
Medisan
; 15(9)sept. 2011. tab
Article
in Spanish
| LILACS
| ID: lil-616360
Responsible library:
CU418.1
RESUMEN
Se efectuó un estudio descriptivo, transversal y retrospectivo de 45 pacientes menores de 15 años, ingresados en la Unidad de Cuidados Intensivos Pediátricos del Hospital Infantil Sur Docente de Santiago de Cuba con el diagnóstico de traumatismo craneoencefálico y operados a causa de ello en el período de enero de 2005 a junio de 2009. Se halló que ese tipo de lesión predominó en niños de 5-10 años, que murieron en mayor número los menores de 4 y que las puntuaciones más bajas de la escala de Glasgow para el coma se correspondieron con los peores resultados posoperatorios. El adecuado control neuroanestésico contribuyó a la disminución de la morbilidad y mortalidad en los integrantes de la casuística, como también lo hizo la menor demora entre la producción del accidente y el tratamiento quirúrgico.
ABSTRACT
A cross-sectional, descriptive, and retrospective study of 45 patients under 15 years of age, who were hospitalized at the Pediatric Intensive Care Unit from the Teaching Southern Children's Hospital in Santiago de Cuba with cranioencephalic trauma diagnosis and surgically treated due to this condition, was carried out from January, 2005 to June, 2009. Results were as follows this kind of injury prevailed in children aged 5-10 years, children under 4 years of age died to a greater extent, and lower score of Glasgow Coma Scale was consistent with the worst post-operative results. An adequate neurological anesthetic control contributed to a decreased morbidity and mortality in the case material, and to a low delay between the developed condition and the surgical treatment.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
Database:
LILACS
Main subject:
Glasgow Coma Scale
/
Craniocerebral Trauma
/
Hospitals, Pediatric
/
Intensive Care Units
/
Neuromuscular Blocking Agents
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Medisan
Journal subject:
Medicine
Year:
2011
Document type:
Article
Affiliation country:
Cuba
/
Mexico
Institution/Affiliation country:
Facultad de Ciencias Médicas No 2/CU
/
Hospital Infantil Sur/CU
/
Instituto Nacional de Neurología y Neurocirugía/CU