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Revista Española de Anestesiología y Reanimación Manejo de la presión arterial en pacientes neuroquirúrgicos y neurocríticos
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Vol. 67. Núm. S1.
Suplemento de hipertensión arterial y anestesia
Páginas 1-60 (Mayo 2020)
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Vol. 67. Núm. S1.
Suplemento de hipertensión arterial y anestesia
Páginas 1-60 (Mayo 2020)
CASO CLÍNICO

Manejo de la presión arterial en pacientes neuroquirúrgicos y neurocríticos

Management of blood pressure in neurosurgical and neurocritical patients
Visitas
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F. Iturri Claveroa,
Autor para correspondencia
fic31404@gmail.com

Autor para correspondencia.
, L. Valencia Solab, O. Romero Kräuchic, J. Fernández Candild, P. Doménech Asensie, N. Pérez de Arribaf
a Hospital Universitario Cruces, Baracaldo, Bizkaia, España
b Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Las Palmas, España
c Hospital Universitari Son Espases, Palma, Baleares, España
d Parc de Salut Mar, Barcelona, España
e Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España
f Hospital Universitario Central de Asturias, Oviedo, Asturias, España
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Resumen

Las diferencias etiológicas y fisiopatológicas entre las entidades que pueden requerir una intervención neuroquirúrgica o el establecimiento de cuidados neurocríticos hace imposible hablar del control de la presión arterial en el paciente neurocrítico o neuroquirúrgico de un modo genérico. Con este razonamiento en mente, decidimos revisar por separado el control de la presión arterial en algunas de las entidades patológicas a las que más frecuentemente nos enfrentamos en la práctica clínica. Los temas revisados son: traumatismo craneoencefálico, ictus isquémico agudo, cirugía de los aneurismas intracraneales, cirugía de las malformaciones arteriovenosas cerebrales, cirugía tumoral encefálica, cirugía medular y cuidados de la lesión medular aguda.

Palabras clave:
Presión arterial
Traumatismo craneoencefálico
Aneurisma intracraneal
Malformación arteriovenosa cerebral
Tumor cerebral
Lesión medular aguda
Abstract

The etiological and pathophysiological differences between diseases that may require a neurosurgical intervention or the establishment of neurocritical care make it impossible to talk about the control of blood pressure in the neurocritical or neurosurgical patient in a generic manner. With this reasoning in mind, we decided to review separately the control of blood pressure in some of the pathologies we most frequently faced in clinical practice. The topics reviewed are: cranial brain trauma, acute ischemic stroke, intracranial aneurysm surgery, cerebral arteriovenous malformation surgery, brain tumor surgery, spinal cord surgery and acute spinal cord injury.

Keywords:
Blood pressure
Traumatic brain injury
Intracranial aneurysm
Cerebral arteriovenous malformations
Brain tumor
Acute spinal cord injury

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Bibliografía
[1]
N. Carney, A.M. Totten, C. O’Reilly, J.S. Ullman, G.W. Hawryluk, M.J. Bell, et al.
Guidelines for the management of severe traumatic brain injury, fourth edition.
Neurosurgery., 80 (2017), pp. 6-15
[2]
D. Sharma, M.S. Vavilala.
Perioperative management of adult traumatic brain injury.
Anesthesiol Clin., 30 (2012), pp. 333-346
[3]
M.J. Davis, B.K. Menon, L.B. Baghirzada, C.R. Campos-Herrera, M. Goyal, M.D. Hill, et al.
Anesthetic management and outcome in patients during endovascular therapy for acute stroke.
Anesthesiology., 116 (2012), pp. 396-405
[4]
K.O. Appiah, J.S. Minhas, T.G. Robinson.
Managing high blood pressure during acute ischemic stroke and intracerebral hemorrhage.
Curr Opin Neurol., 31 (2018), pp. 8-13
[5]
K.N. Sheth, J.R. Sims.
Neurocritical care and periprocedural blood pressure management in acute stroke.
Neurology., 79 (2012), pp. S199-S204
[6]
S.B. Ko, B.W. Yoon.
Blood pressure management for acute ischemic and hemorrhagic stroke: The evidence.
Semin Respir Crit Care Med., 38 (2017), pp. 718-725
[7]
J.P. Appleton, N. Sprigg, P.M. Bath.
Blood pressure management in acute stroke.
Stroke Vasc Neurol., 1 (2016), pp. 72-82
[8]
K.S. Hong.
Blood pressure management for stroke prevention and in acute stroke.
J Stroke., 19 (2017), pp. 152-165
[9]
E.A. Mistry, A.M. Mistry, M.O. Nakawah, N.K. Khattar, E.M. Fortuny, A.S. Cruz, et al.
Systolic blood pressure within 24 hours after thrombectomy for acute ischemic stroke correlates with outcome.
J Am Heart Assoc., 6 (2017),
[10]
W.J. Powers, A.A. Rabinstein, T. Ackerson, O.M. Adeoye, N.C. Bambakidis, K. Becker, et al.
2018 Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association.
Stroke., 49 (2018), pp. e46-e110
[11]
P.O. Talke, D. Sharma, E.J. Heyer, S.D. Bergese, K.A. Blackham, R.D. Stevens.
Society for Neuroscience in Anesthesiology and Critical Care Expert consensus statement: Anesthetic management of endovascular treatment for acute ischemic stroke*: Endorsed by the Society of NeuroInterventional Surgery and the Neurocritical Care Society.
J Neurosurg Anesthesiol., 26 (2014), pp. 95-108
[12]
M.T. Froehler, J.T. Fifi, A. Majid, A. Bhatt, M. Ouyang, D.L. McDonagh.
Anesthesia for endovascular treatment of acute ischemic stroke.
Neurology., 79 (2012), pp. S167-S173
[13]
N. Goyal, G. Tsivgoulis, A. Pandhi, J.J. Chang, K. Dillard, M.F. Ishfaq, et al.
Blood pressure levels post mechanical thrombectomy and outcomes in large vessel occlusion strokes.
Neurology., 89 (2017), pp. 540-547
[14]
J. Bösel.
Blood pressure control for acute severe ischemic and hemorrhagic stroke.
Curr Opin Crit Care., 23 (2017), pp. 81-86
[15]
E.C. Jauch, J.L. Saver, H.P. Adams, A. Bruno, J.J. Connors, B.M. Demaerschalk, et al.
Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association.
[16]
L. Manning, T.G. Robinson, C.S. Anderson.
Control of blood pressure in hypertensive neurological emergencies.
Curr Hypertens Rep., 16 (2014), pp. 436
[17]
J.B. Bederson, E.S. Connolly Jr., H.H. Batjer, R.G. Dacey, J.E. Dion, M.N. Diringer, et al.
Guidelines for the management of aneurysmal subarachnoid hemorrhage: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.
Stroke., 40 (2009), pp. 994-1025
[18]
T. Steiner, S. Juvela, A. Unterberg, C. Jung, M. Forsting, G. Rinkel, et al.
European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage.
Cerebrovasc Dis., 35 (2013), pp. 93-112
[19]
E.F. Wijdicks, M. Vermeulen, G.D. Murray, A. Hijdra, J. van Gijn.
The effects of treating hypertension following aneurysmal subarachnoid hemorrhage.
Clin Neurol Neurosurg., 92 (1990), pp. 111-117
[20]
H. Ohkuma, H. Tsurutani, S. Suzuki.
Incidence and significance of early aneurysmal rebleeding before neurosurgical or neurological management.
Stroke., 32 (2001), pp. 1176-1180
[21]
E.M. Grise, O. Adeoye.
Blood pressure control for acute ischemic and hemorrhagic stroke.
Curr Opin Crit Care., 18 (2012), pp. 132-138
[22]
J.C. Rose, S.A. Mayer.
Optimizing blood pressure in neurological emergencies.
Neurocrit Care., 1 (2004), pp. 287-299
[23]
A.A. Abd-Elsayed, A.S. Wehby, E. Farag.
Anesthetic management of patients with intracranial aneurysms.
Ochsner J., 14 (2014), pp. 418-425
[24]
E.R. Hitchcock, S.A. Tsementzis, A.A. Dow.
Short- and long-term prognosis of patients with a subarachnoid haemorrhage in relation to intra-operative period of hypotension.
Acta Neurochir (Wien)., 70 (1984), pp. 235-242
[25]
P. Gomis, P. Rousseaux, D. Jolly, J.P. Graftieaux.
[Initial prognostic factors of aneurysmal subarachnoid hemorrhage] French.
Neurochirurgie., 40 (1994), pp. 18-30
[26]
T. O’Connor, K.K. Fargen, J. Mocco.
Normal perfusion pressure breakthrough following AVM resection: A case report and review of the literature.
Open J Mod Neurosurg, 3 (2013), pp. 66-71
[27]
B.E. Zacharia, S. Bruce, G. Appelboom, E.S. Connolly.
Occlusive hyperemia versus normal perfusion pressure breakthrough after treatment of cranial arteriovenous malformations.
Neurosurg Clin N Am., 23 (2012), pp. 147-151
[28]
C. Miller, M. Mirski.
Anesthesia considerations and intraoperative monitoring during surgery for arteriovenous malformations and dural arteriovenous fistulas.
Neurosurg Clin N Am., 23 (2012), pp. 153-164
[29]
T. Hashimoto, W.L. Young.
Anesthesia-related considerations for cerebral arteriovenous malformations.
Neurosurg Focus., 11 (2001), pp. e5
[30]
L. Rangel-Castilla, R.F. Spetzler, P. Nakaji.
Normal perfusion pressure breakthrough theory: A reappraisal after 35 years.
Neurosurg Rev., 38 (2015), pp. 399-404
[31]
S.G. Deiner, S.G. Kwatra, H.M. Lin, D.J. Weisz.
Patient characteristics and anesthetic technique are additive but not synergistic predictors of successful motor evoked potential monitoring.
Anesth Analg., 111 (2010), pp. 421-425
[32]
W.K. Rogers, M. Todd.
Acute spinal cord injury.
Best Pract Res Clin Anaesthesiol., 30 (2016), pp. 27-39
[33]
Consortium for Spinal Cord Medicine.
Early acute management in adults with spinal cord injury: A clinical practice guideline for health-care professionals.
J Spinal Cord Med., 31 (2008), pp. 403-479
[34]
T.C. Ryken, R.J. Hurlbert, M.N. Hadley, B. Aarabi, S.S. Dhall, D.E. Gelb, et al.
The acute cardiopulmonary management of patients with cervical spinal cord injuries.
Neurosurgery., 72 (2013), pp. 84-92
[35]
B.C. Walters, M.N. Hadley, R.J. Hurlbert, B. Aarabi, S.S. Dhall, D.E. Gelb, et al.
Guidelines for the management of acute cervical spine and spinal cord injuries: 2013 update.
[36]
A. Ploumis, N. Yadlapalli, M.G. Fehlings, B.K. Kwon, A.R. Vaccaro.
A systematic review of the evidence supporting a role for vasopressor support in acute SCI.
Spinal Cord., 48 (2010), pp. 356-362
[37]
Y.S. Saadeh, B.W. Smith, J.R. Joseph, S.Y. Jaffer, M.J. Buckingham, M.E. Oppenlander, et al.
The impact of blood pressure management after spinal cord injury: A systematic review of the literature.
Neurosurg Focus., 43 (2017), pp. E20
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