Validez del Doppler transcraneal en el diagnóstico de muerte encefálica

Simple item page
dc.contributor.authorBrunser, Alejandro
dc.contributor.authorHoppe, Arnold
dc.contributor.authorCárcamo, Daniel
dc.contributor.authorLavados, Pablo
dc.contributor.authorRoldán, AndrésS
dc.contributor.authorRivas, Rodrigo
dc.contributor.authorValenzuela, Marcela
dc.contributor.authorMontes, José Miguel
dc.date.accessioned2021-10-07T13:42:31Z
dc.date.available2021-10-07T13:42:31Z
dc.date.issued2010
dc.description.abstractThe clinical diagnosis of brain death is complex. Aim: To evaluate the diagnostic accuracy of transcranial Doppler (TCD) for brain death. Patients and Methods: Patients seen on the intensive care unit of a private hospital between January 2004 to December 2008, were included if they were in structural coma, had no craniectomy and had a blind evaluation by a neurologist and TCD done in less than three hours. The diagnosis of brain death was based on a clinical evaluation that considered the absence of sedative drugs, median blood pressure >60 mmHg, body temperature over 35º Celsius and complete absence of brainstem reflexes. An expert neurosonologist, with a TCD-PMD-100, 2 Mhz transducer, used an institutional protocol that considers the examination as positive for brain circulatory arrest when there is presence of reverberating, small systolic peaks or the disappearance of a previous signal present on both middle cerebral arteries and intracranial vertebral arteries. Results: Fifty three patients were evaluated, 25 with clinical brain death. On 45 cases (84.9%), the interval between both evaluations was less than one hour. The sensitivity, specificity, positive and negative predictive values for the diagnosis of brain death with TCD were 100, 96, 96.1 and 100% respectively. Positive and negative likelihood ratios for brain death were 28 and 0, respectively. Conclusions: TCD is a valid and useful technique for the diagnosis of brain death and can be used on complicated cases.es
dc.identifier.citationRevista Medica Chilena 2010; 138: 406-412es
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872010000400003es
dc.identifier.urihttp://hdl.handle.net/11447/4797
dc.language.isoeses
dc.subjectBraines
dc.subjectdeathes
dc.subjectIntensive care unitses
dc.subjectTranscranial Doppleres
dc.titleValidez del Doppler transcraneal en el diagnóstico de muerte encefálicaes
dc.title.alternativeValidation of transcranial Doppler in the diagnosis of brain deathes
dc.typeArticlees

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Validez del Doppler transcraneal en el.pdf
Size:
1.71 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services