Hipotermia intravascular inducida en el manejo de la hipertensión intracraneana en insuficiencia hepática aguda. Caso clínico

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dc.contributor.authorCastillo Fuenzalida, Luis Benito
dc.contributor.authorPérez Ríos, Cristián
dc.contributor.authorRuiz B., C.
dc.contributor.authorBugedo Tarraza, Guillermo
dc.contributor.authorHernández P., Glenn
dc.contributor.authorMartínez Castillo, Jorge
dc.contributor.authorJarufe Cassis, Nicolás
dc.contributor.authorPérez Ayuso, Rosa María
dc.contributor.authorMellado T., Patricio
dc.contributor.authorDomínguez, P.
dc.date.accessioned2023-06-30T20:35:16Z
dc.date.available2023-06-30T20:35:16Z
dc.date.issued2009
dc.description.abstractAcute liver failure has a mortality rate in excess of 80%. Most deaths are attributed to brain edema with intracranial hypertension and herniation of structures, where ammonium plays a major role in its generation. We report an 18 year-old female with a fulminant hepatic failure caused by virus A infection. The patient developed a profound sopor and required mechanical ventilation. A CT scan showed the presence of brain edema and intracranial hypertension. A Raudemic® catheter was inserted to measure intracranial pressure and brain temperature. Intracranial hypertension became refractory and intravascular hypothermia was started, reducing brain temperature to 33oC. Seventy two hours later, a liver transplantation was performed. After testing graft perfusion, rewarming was started, completing 122 hours of hypothermia at 33oC. The patient was discharged in good conditions after 69 days of hospitalization (Rev Méd Chile 2009; 137: 801-6).
dc.fechaingreso.objetodigital2023-06-12
dc.format.extent6 páginas
dc.fuente.origenORCID
dc.identifier.doi10.4067/S0034-98872009000600010
dc.identifier.issn0034-9887
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872009000600010
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-70349659979&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74029
dc.information.autorucEscuela de Medicina ; Castillo Fuenzalida, Luis Benito ; S/I ; 54397
dc.information.autorucEscuela de Medicina ; Pérez Ríos, Cristián ; S/I ; 175148
dc.information.autorucEscuela de Medicina ; Bugedo Tarraza, Guillermo ; 0000-0001-7527-6202 ; 60490
dc.information.autorucEscuela de Medicina ; Hernández P., Glenn ; S/I ; 98874
dc.information.autorucEscuela de Medicina ; Martínez Castillo, Jorge ; 0000-0001-5823-7308 ; 65778
dc.information.autorucEscuela de Medicina ; Jarufe Cassis, Nicolás ; S/I ; 104492
dc.information.autorucEscuela de Medicina ; Pérez Ayuso, Rosa María ; S/I ; 100479
dc.information.autorucEscuela de Medicina ; Mellado T., Patricio ; S/I ; 3552
dc.issue.numero6
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final806
dc.pagina.inicio801
dc.revistaRevista médica de Chile
dc.rightsacceso abierto
dc.subjectBrain edema
dc.subjectHypothermia
dc.subjectLiver failure, acute
dc.titleHipotermia intravascular inducida en el manejo de la hipertensión intracraneana en insuficiencia hepática aguda. Caso clínico
dc.title.alternativeIntravascular hypothermia for the management of Intracranial hypertension in acute liver failure. Case report
dc.typeartículo
dc.volumen137
sipa.codpersvinculados54397
sipa.codpersvinculados175148
sipa.codpersvinculados60490
sipa.codpersvinculados98874
sipa.codpersvinculados65778
sipa.codpersvinculados104492
sipa.codpersvinculados100479
sipa.codpersvinculados3552
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