Eficacia del tratamiento hemodinámico guiado por el pH intramucoso gástrico en niños críticamente enfermos
Effectiveness of hemodynamic treatment guided by gastric intramucosalph monitoring
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"apellidos" => "López-Herce Cid" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "P." "apellidos" => "Dorao Martínez-Romillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Cuidados Intensivos. Hospital Infantil La Paz. Madrid." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Cuidados Intensivos Pediátricos. Hospital General Gregorio Marañón. Madrid." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Viento, 5, 5.<span class="elsevierStyleSup">°</span> A. Tres Cantos. 28760 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effectiveness of hemodynamic treatment guided by gastric intramucosalph monitoring" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-08-31" "fechaAceptado" => "2000-01-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186315" "palabras" => array:5 [ 0 => "pH intramucoso" 1 => "Tonometría gástrica" 2 => "Niños" 3 => "Pacientes" 4 => "Tratamiento hemodinámico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186316" "palabras" => array:5 [ 0 => "Intramucosal pH" 1 => "Gastric tonometry" 2 => "Children" 3 => "Critically ill patients" 4 => "Hemodynamic therapy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la eficacia del pH intramucoso gástrico como guía terapéutica en niños críticamente enfermos.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ensaya un protocolo de tratamiento hemodinámico en 34 niños críticamente enfermos (médicos y quirúrgicos), con el objetivo final de conseguir la normalización del pH intramucoso gástrico. Se comparan las complicaciones hemodinámicas con otro grupo de pacientes críticos tratados de forma convencional.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El tratamiento administrado para mejorar la oxigenación hística (estabilización hemodinámica, expansión de volumen y perfusión de dobutamina) logró elevar los valores del pH intramucoso gástrico desde 7,25 ± 0,04 hasta 7,32 ± 0,13 de media (p = 0,014). Presentaron complicaciones hemodinámicas el 73% de los niños con valores de pH intramucoso gástrico menor de 7,30. Comparamos estos datos con los de un grupo control de 30 niños críticamente enfermos que fueron tratados según las pautas habituales de la unidad de cuidados intensivos pediátricos. En este grupo, desarrollaron complicaciones hemodinámicas el 93,8% de los niños con valores de pH intramucoso gástrico inferior a 7,30 (p = 0,048).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El pH intramucoso gástrico puede ser útil como guía para el tratamiento hemodinámico de niños críticamente enfermos.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine whether gastric intramucosal pH can be used as an indicator for the treatment of critically ill children.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A protocol for hemodynamic treatment was tested in 34 critically ill children (medical and surgical patients). Endpoint was considered as normalization of gastric intramucosal pH. Hemodynamic complications were compared with another group of criticially ill patients who received conventional treatment.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Treatment designed to improve tissue oxygenation (hemodynamic stabilization, volume expansion, and dobutamine perfusion) raised pHi values from 7.25 ± 0.04 to 7.32 ± 0.13 (p = 0.014). Seventy-three percent of the children with pHi < 7.30 presented hemodynamic complications. These findings were compared with the results obtained in a control group of 30 critically-ill children given conventional treatment in the pediatric intensive care unit. In this group, 93.8% of the children with a pHi < 7.30 developed hemodynamic complications.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We conclude that gastric intramucosal pHi can be useful as an indicator for the hemodynamic treatment of critically ill children.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Este trabajo ha sido parcialmente financiado por el Fondo de Investigaciones Sanitarias. FIS. Beca: 94/0171.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 3 | 11 | 14 |
| 2024 Octubre | 35 | 51 | 86 |
| 2024 Septiembre | 36 | 44 | 80 |
| 2024 Agosto | 50 | 75 | 125 |
| 2024 Julio | 27 | 37 | 64 |
| 2024 Junio | 52 | 36 | 88 |
| 2024 Mayo | 35 | 34 | 69 |
| 2024 Abril | 26 | 44 | 70 |
| 2024 Marzo | 40 | 41 | 81 |
| 2024 Febrero | 34 | 37 | 71 |
| 2024 Enero | 20 | 35 | 55 |
| 2023 Diciembre | 38 | 25 | 63 |
| 2023 Noviembre | 28 | 22 | 50 |
| 2023 Octubre | 28 | 28 | 56 |
| 2023 Septiembre | 26 | 28 | 54 |
| 2023 Agosto | 19 | 28 | 47 |
| 2023 Julio | 34 | 42 | 76 |
| 2023 Junio | 27 | 28 | 55 |
| 2023 Mayo | 29 | 38 | 67 |
| 2023 Abril | 21 | 27 | 48 |
| 2023 Marzo | 21 | 27 | 48 |
| 2023 Febrero | 18 | 19 | 37 |
| 2023 Enero | 16 | 31 | 47 |
| 2022 Diciembre | 19 | 25 | 44 |
| 2022 Noviembre | 35 | 41 | 76 |
| 2022 Octubre | 24 | 50 | 74 |
| 2022 Septiembre | 23 | 30 | 53 |
| 2022 Agosto | 32 | 50 | 82 |
| 2022 Julio | 21 | 42 | 63 |
| 2022 Junio | 26 | 38 | 64 |
| 2022 Mayo | 24 | 48 | 72 |
| 2022 Abril | 26 | 46 | 72 |
| 2022 Marzo | 31 | 59 | 90 |
| 2022 Febrero | 22 | 45 | 67 |
| 2022 Enero | 26 | 42 | 68 |
| 2021 Diciembre | 23 | 43 | 66 |
| 2021 Noviembre | 26 | 57 | 83 |
| 2021 Octubre | 30 | 55 | 85 |
| 2021 Septiembre | 27 | 62 | 89 |
| 2021 Agosto | 45 | 33 | 78 |
| 2021 Julio | 16 | 38 | 54 |
| 2021 Junio | 48 | 54 | 102 |
| 2021 Mayo | 48 | 34 | 82 |
| 2021 Abril | 86 | 62 | 148 |
| 2021 Marzo | 55 | 43 | 98 |
| 2021 Febrero | 51 | 20 | 71 |
| 2021 Enero | 35 | 20 | 55 |
| 2020 Diciembre | 43 | 16 | 59 |
| 2020 Noviembre | 22 | 11 | 33 |
| 2020 Octubre | 27 | 14 | 41 |
| 2020 Septiembre | 18 | 10 | 28 |
| 2020 Agosto | 17 | 15 | 32 |
| 2020 Julio | 24 | 14 | 38 |
| 2020 Junio | 11 | 11 | 22 |
| 2020 Mayo | 32 | 16 | 48 |
| 2020 Abril | 26 | 20 | 46 |
| 2020 Marzo | 18 | 5 | 23 |
| 2020 Febrero | 19 | 19 | 38 |
| 2020 Enero | 25 | 14 | 39 |
| 2019 Diciembre | 39 | 20 | 59 |
| 2019 Noviembre | 22 | 9 | 31 |
| 2019 Octubre | 13 | 11 | 24 |
| 2019 Septiembre | 10 | 17 | 27 |
| 2019 Agosto | 29 | 15 | 44 |
| 2019 Julio | 26 | 29 | 55 |
| 2019 Junio | 39 | 35 | 74 |
| 2019 Mayo | 50 | 20 | 70 |
| 2019 Abril | 34 | 18 | 52 |
| 2019 Marzo | 16 | 11 | 27 |
| 2019 Febrero | 21 | 12 | 33 |
| 2019 Enero | 17 | 14 | 31 |
| 2018 Diciembre | 15 | 20 | 35 |
| 2018 Noviembre | 18 | 10 | 28 |
| 2018 Octubre | 32 | 13 | 45 |
| 2018 Septiembre | 16 | 4 | 20 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Mayo | 7 | 0 | 7 |
| 2018 Abril | 8 | 0 | 8 |
| 2018 Marzo | 14 | 0 | 14 |
| 2018 Febrero | 6 | 0 | 6 |
| 2018 Enero | 6 | 0 | 6 |
| 2017 Diciembre | 9 | 0 | 9 |
| 2017 Noviembre | 13 | 0 | 13 |
| 2017 Octubre | 14 | 0 | 14 |
| 2017 Septiembre | 12 | 0 | 12 |
| 2017 Agosto | 6 | 0 | 6 |
| 2017 Julio | 13 | 0 | 13 |
| 2017 Junio | 20 | 19 | 39 |
| 2017 Mayo | 23 | 8 | 31 |
| 2017 Abril | 11 | 21 | 32 |
| 2017 Marzo | 13 | 16 | 29 |
| 2017 Febrero | 4 | 8 | 12 |
| 2017 Enero | 8 | 7 | 15 |
| 2016 Diciembre | 15 | 7 | 22 |
| 2016 Noviembre | 36 | 12 | 48 |
| 2016 Octubre | 36 | 10 | 46 |
| 2016 Septiembre | 31 | 7 | 38 |
| 2016 Agosto | 17 | 3 | 20 |
| 2016 Julio | 11 | 4 | 15 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Julio | 7 | 0 | 7 |
| 2015 Junio | 8 | 0 | 8 |
| 2015 Mayo | 20 | 0 | 20 |
| 2015 Abril | 9 | 0 | 9 |
| 2015 Marzo | 13 | 0 | 13 |
| 2015 Febrero | 6 | 0 | 6 |
| 2015 Enero | 8 | 0 | 8 |
| 2014 Diciembre | 16 | 2 | 18 |
| 2014 Noviembre | 10 | 0 | 10 |
| 2014 Octubre | 7 | 0 | 7 |
| 2014 Septiembre | 7 | 1 | 8 |
| 2014 Agosto | 14 | 0 | 14 |
| 2014 Julio | 14 | 0 | 14 |
| 2014 Junio | 15 | 3 | 18 |
| 2014 Mayo | 18 | 0 | 18 |
| 2014 Abril | 20 | 3 | 23 |
| 2014 Marzo | 11 | 11 | 22 |
| 2014 Febrero | 13 | 2 | 15 |
| 2014 Enero | 11 | 3 | 14 |
| 2013 Diciembre | 13 | 8 | 21 |
| 2013 Noviembre | 12 | 8 | 20 |
| 2013 Octubre | 17 | 6 | 23 |
| 2013 Septiembre | 9 | 7 | 16 |
| 2013 Agosto | 6 | 4 | 10 |
| 2013 Julio | 4 | 2 | 6 |
| 2013 Junio | 2 | 1 | 3 |
| 2013 Mayo | 3 | 2 | 5 |
| 2013 Abril | 2 | 0 | 2 |
| 2013 Marzo | 5 | 3 | 8 |
| 2013 Febrero | 17 | 2 | 19 |
| 2013 Enero | 5 | 0 | 5 |
| 2012 Diciembre | 8 | 1 | 9 |
| 2012 Noviembre | 6 | 2 | 8 |
| 2012 Octubre | 2 | 1 | 3 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2012 Julio | 1 | 0 | 1 |
| 2000 Marzo | 655 | 0 | 655 |
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