Publications by authors named "A Lacerda-Gallardo"

Background And Objective: Chronic subdural hematoma is one of the most common diseases in neurosurgical practice. The content of electrolytes and gases in the collection could participate in the growth and expansion mechanism, however, there is no evidence that they have been studied before. The objective has been to identify electrolyte, gas and internal metabolomic markers of the content of chronic subdural hematomas, with the possibility of participating in their growth and expansion and to substantiate a pathophysiological hypothesis that interacts with existing ones.

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Among all types of trauma in children, traumatic brain injury has the greatest potential for the development of devastating consequences, with nearly three million affected each year in the world. A controlled, nonrandomized experimental study was carried out in pediatric patients with severe traumatic brain injury, whose objective was to evaluate the use of continuous multimodal neuromonitoring (MMN) of intracranial parameters as a guide in the treatment of children of different age-groups. The patients were divided into two groups according to the treatment received; clinical and imaging monitoring was performed in both.

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Severe traumatic brain injury (sTBI) remains prevalent in the young adult population. Indeed, far from descending, the incidence of sTBI remains high. One of the key bases of treatment is to avoid, detect and correct secondary injuries of systemic origin, which aggravate the primary lesion.

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Article Synopsis
  • Intracranial pressure (ICP) monitoring for severe traumatic brain injury (sTBI) varies worldwide due to differences in resources and medical philosophies, with a lack of comprehensive management strategies for suspected intracranial hypertension (SICH) when monitoring is absent.
  • A consensus conference with 43 Latin American medical professionals refined the existing BEST:TRIP algorithm, creating the CREVICE (Consensus REVised ICE) algorithm to define SICH and outline management and treatment options.
  • The CREVICE algorithm serves as a structured decision-support model for sTBI management in settings without ICP monitoring, aiming to improve clinical care and guide future research, while being based on expert consensus due to limited existing literature.
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Introduction: Severe craniocerebral trauma is the main cause of morbidity and mortality in children worldwide. Neuromonitoring of these patients in Cuba is not routine in paediatric intensive cares units, and there is no standardised protocol for its use in these units.

Materials And Methods: A correlational longitudinal prospective study was conducted on all patients admitted to the paediatric intensive care unit with the diagnosis of severe craniocerebral trauma in the period between January 2003 and December 2014.

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