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Ítem Persistently high venous-to-arterial carbon dioxide differences during early resuscitation are associated with poor outcomes in septic shock(BioMed Central, 2013-12-01) Arango Dávila, César AugustoVenous-to-arterial carbon dioxide difference (Pv-aCO2) may reflect the adequacy of blood flow during shock states. We sought to test whether the development of Pv-aCO2 during the very early phases of resuscitation is related to multi-organ dysfunction and outcomes in a population of septic shock patients resuscitated targeting the usual oxygen-derived and hemodynamic parameters.
Ítem Correlación clínica imagenológica en síndrome afásico en un adulto joven: descripción de Caso(Asociación Colombiana de Neurología, 2013-01-01) Muñoz Ospina, BeatrizLa prevalencia de la enfermedad cerebrovascular en adultos entre 15 y 45 años es del 3 al 5% y las lesiones en la arteria cerebral media (ACM) corresponden al 23%. Entre los factores de riesgo en adultos jóvenes están: dislipidemia (38%), tabaquismo (34%) e hipertensión arterial (20%). El perfil clínico característico del evento isquémico de la ACM puede incluir déficit senso - riomotor y/o trastornos del lenguaje. Puesto que el lenguaje se soporta por redes interconectadas, la tractografía por resonancia magnética permite evaluar los tractos de sustancia blanca implicados en esta función y contribuye en la comprensión del espectro clínico.Ítem Estimación de valores hemodinámicos mediante el uso del doppler transcraneal en un grupo de voluntarios habitantes de Cali (Colombia), una ciudad a 995 m sobre el nivel del mar(Ediciones Doyma, S.L., 2015-07-01) Franco, ManuelTranscranial doppler measures the velocity of blood flow in cerebral arteries and the pulsatility index for each artery. The aim of this study was to determine the hemodynamic behaviour in a city located 995 m above sea level, and its association with gender, age and body mass index. The test was performed by an expert on a group of volunteers with no cerebrovascular disease. The study was performed on 51 volunteers (24 men, mean age 46.2 years, and 27 women, mean age: 48.5 years, standard deviation 6.2 years). There were insufficient readings in 6 participants due to an inadequate acoustic window. Statistical differences (P<.01) in the arteries of the left region of the middle cerebral arteries (P<.01), anterior cerebral (P<.1), and extracranial internal carotid (P<.01) suggest the need for gender differentiation among participants.