ABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Hematoma, Subdural, Acute/diagnostic imaging , Hematoma, Subdural, Acute/therapy , Intracranial Aneurysm/diagnostic imaging , Aneurysm, Ruptured/diagnostic imaging , Glasgow Coma Scale , Cerebral Arteries/diagnostic imaging , Cerebral Arteries/pathology , Hemorrhage/complications , Hematoma, Subdural/diagnostic imaging , Cerebral AngiographyABSTRACT
No disponible
Subject(s)
Humans , Male , Young Adult , Empyema, Subdural/etiology , Maxillary Sinusitis/complications , Radicular Cyst/complications , Surgical Procedures, Operative , Empyema, Subdural/diagnostic imaging , Maxillary Sinusitis/diagnostic imaging , Maxillary Sinusitis/surgery , Neurosurgical Procedures , Radicular Cyst/diagnostic imaging , Radicular Cyst/surgery , Tomography, Emission-ComputedABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Hernia/etiology , Lung Injury/complications , Thoracic Injuries/complications , Thoracic Surgical ProceduresABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Thiamine Deficiency/complications , Wernicke Encephalopathy/diagnosis , Deficiency Diseases/diagnosis , Alcohol-Related Disorders/diagnosis , Brain Damage, Chronic/etiology , Brain Diseases, Metabolic/diagnosisABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Subarachnoid Hemorrhage/physiopathology , Cerebral Infarction/physiopathology , Neuroimaging , Hydrocephalus/etiology , Critical Care/methods , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Diaphragm/injuries , Thoracic Injuries/complications , Abdominal Injuries/complications , Diagnostic ImagingABSTRACT
No disponible
Subject(s)
Adult , Humans , Male , Respiratory Insufficiency/chemically induced , Colistin/adverse effects , Neuromuscular Blockade , Neuromuscular Junction , Pressure Ulcer/complicationsABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Vertebrobasilar Insufficiency , Vasospasm, Intracranial , Ultrasonography, Doppler, Transcranial/methods , Headache/etiology , Subarachnoid Hemorrhage/etiology , AngiographyABSTRACT
Los traumatismos son uno de los principales problemas de salud en todo el mundo. En los últimos años hemos presenciado profundas modificaciones en el paradigma de la resucitación del paciente traumatizado crítico, se han desarrollado nuevos conceptos en relación con la coagulopatía inducida por el trauma, así como hemos asistido a la expansión comercial de productos específicos relacionados con la hemostasia, entre otros. Las nuevas estrategias de resucitación en el trauma incluyen: identificar de manera precoz las lesiones que amenazan la vida del paciente, la detección de aquellas que precisan de un inmediato control quirúrgico o intervencionismo radiológico, tolerar una hipotensión moderada, reponer de manera racional el volumen intravascular, prevenir la hipotermia, evitar la acidosis, optimizar los transportadores de oxígeno, así como identificar aquellos factores necesarios para el paciente (plasma fresco congelado, plaquetas, ácido tranexámico, fibrinógeno, crioprecipitados y complejo protrombínico). Sin embargo, a pesar de estos avances, se necesitan más evidencias para reducir las tasas de mortalidad de los pacientes traumatizados graves
Traumatic injuries represent a major health problem all over the world. In recent years we have witnessed profound changes in the paradigm of severe trauma patient resuscitation, new concepts regarding acute coagulopathy in trauma have been proposed, and there has been an expansion of specific commercial products related to hemostasis, among other aspects. New strategies in severe trauma management include the early identification of those injuries that are life threatening and require surgical hemostasis, tolerance of moderate hypotension, rational intravascular volume replacement, prevention of hypothermia, correction of acidosis, optimization of oxygen carriers, and identification of those factors required by the patient (fresh frozen plasma, platelets, tranexamic acid, fibrinogen, cryoprecipitates and prothrombin complex). However, despite such advances, further evidence is required to improve survival rates in severe trauma patients
