{"id":2227,"date":"2023-11-21T20:10:37","date_gmt":"2023-11-21T19:10:37","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=2227"},"modified":"2023-11-21T20:11:08","modified_gmt":"2023-11-21T19:11:08","slug":"presion-tisular-de-oxigeno-a-nivel-cerebral-en-traumatismo-craneoencefalico-grave-resultados-de-un-ensayo-clinico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2023\/11\/21\/presion-tisular-de-oxigeno-a-nivel-cerebral-en-traumatismo-craneoencefalico-grave-resultados-de-un-ensayo-clinico\/","title":{"rendered":"Presi\u00f3n tisular de oxigeno a nivel cerebral en traumatismo craneoencef\u00e1lico grave: resultados de un ensayo cl\u00ednico"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">La revista <a href=\"https:\/\/www.thelancet.com\/journals\/laneur\/home\">Lancet Neurology<\/a> acaba de publicar los resultados de un ensayo cl\u00ednico dirigido a evaluar el empleo de monitorizaci\u00f3n de la presi\u00f3n tisular de oxigeno (PtiO2) a nivel cerebral a\u00f1adido a la monitorizaci\u00f3n de la presi\u00f3n intracraneal en pacientes con traumatismo craneoencef\u00e1lico grave.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">En el trabajo participaron 25 centros de Francia y cont\u00f3 con un dise\u00f1o aleatorizado en el que se diferenci\u00f3 un grupo control para el que se empleo monitorizaci\u00f3n convencional de la presi\u00f3n intracraneal frente al grupo de tratamiento en el que a la medida anterior se a\u00f1adi\u00f3 el empleo de monitorizaci\u00f3n de la presi\u00f3n tisular de oxigeno cerebral.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Participaron cerca de 300 pacientes distribuidos en una proporci\u00f3n 1:1 en cada uno de los grupos. Los objetivos de tratamiento fueron mantener la presi\u00f3n intracraneal por debajo de 20 mmHg y la presi\u00f3n tisular de oxigeno cerebral por encima de 20 mmHg. La variable principal para determinar el resultado fue la situaci\u00f3n neurol\u00f3gica mala o el fallecimiento a los 6 meses siguiendo la escala GOS (pacientes con puntuaci\u00f3n entre 1 y 4 en dicha escala).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Los resultados mostraron que en el grupo en el que se monitoriz\u00f3 la Pti02 no se redujo la proporci\u00f3n de pacientes con resultado desfavorable. Tampoco hubo diferencias en la proporci\u00f3n de fallecimientos. En este subgrupo adem\u00e1s la proporci\u00f3n de errores de medici\u00f3n de las variables de inter\u00e9s result\u00f3 significativamente mayor (8% frente a 1% en grupo control). Un 4% de los pacientes desarroll\u00f3 complicaciones hemorr\u00e1gicas a nivel cerebral derivadas de la colocaci\u00f3n del sensor en el grupo de tratamiento frente a ning\u00fan paciente en el grupo control.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline\">Fuente:<\/span> <\/strong><a href=\"http:\/\/Intracranial pressure monitoring with and without brain tissue oxygen pressure monitoring for severe traumatic brain injury in France (OXY-TC): an open-label, randomised controlled superiority trial - The Lancet Neurology\">Payen JF, Launey Y, Chabanne R, Gay S, Francony G, Gergele L, Vega E, Montcriol A, Couret D, Cottenceau V, Pili-Floury S, Gakuba C, Hammad E, Audibert G, Pottecher J, Dahyot-Fizelier C, Abdennour L, Gauss T, Richard M, Vilotitch A, Bosson JL, Bouzat P; OXY-TC trial collaborators. Intracranial pressure monitoring with and without brain tissue oxygen pressure monitoring for severe traumatic brain injury in France (OXY-TC): an open-label, randomised controlled superiority trial. Lancet Neurol. 2023 Nov;22(11):1005-1014.<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La revista Lancet Neurology acaba de publicar los resultados de un ensayo cl\u00ednico dirigido a evaluar el empleo de monitorizaci\u00f3n de la presi\u00f3n tisular de oxigeno (PtiO2) a nivel cerebral a\u00f1adido a la monitorizaci\u00f3n de la presi\u00f3n intracraneal en pacientes con traumatismo craneoencef\u00e1lico grave. En el trabajo participaron 25 centros de Francia y cont\u00f3 con&#8230;<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1771],"tags":[],"class_list":["post-2227","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-zV","jetpack-related-posts":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2227","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=2227"}],"version-history":[{"count":4,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2227\/revisions"}],"predecessor-version":[{"id":2231,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2227\/revisions\/2231"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=2227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=2227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=2227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}