Actualización en el tratamiento de enfermedad cerebrovascular
Tratamiento de enfermedad cerebrovascular
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Transcript of Tratamiento de enfermedad cerebrovascular
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Viaaerea, respiracion, circ
ulacion, y deficitneurologico, etc
Intubacion basada una PO2 de menos de 60
mmHg;o PCO2 mayor de 50 mmHg.
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Sedoanalgesia: propofol, midazolam, fentanilo.
Manitol al 20 %: 0.25 mgs / kg de peso cada 4 hrs con control de la hosmolaridad diario.
Furosemide : solo si hay hipervolemia
NO UTILIZAR ESTEROIDES
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Hiperventilacion: reducir la PCO2 entre 30 y 35 mm Hg.
Fenitoina sodica
Control de temperatura corporal
Control de infecciones
Profilaxis de TVP
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Candidatos NO quirurgicos:
Cuando haya hemorragias pequeñas menos de 10 cc
Pacientes con Escala de Glasgow de 4 , excepto en hemorragia cerebelosa
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Candidatos Quirurgicos Hemorragia cerebelosa de mas de 3 cc ,con
deterioro Aneurisma , malformacion AV, o angioma
cavernoso Aspiracion endoscopica del hematoma:
pacientes con hematomas lobares ymenoresde 60 años.
Remocion Estereotactica del hematoma
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