<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092024000800636</article-id>
<article-id pub-id-type="doi">10.35366/120009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso del Doppler transcraneal en la titulación de la presión de perfusión cerebral en pacientes con traumatismo craneoencefálico severo]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of transcranial Doppler in the titration of cerebral perfusion pressure in patients with severe traumatic brain injury]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uso do Doppler transcraniano na titulação da pressão de perfusão cerebral em pacientes com traumatismo cranioencefálico grave]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez Gutiérrez]]></surname>
<given-names><![CDATA[Olga Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Aguilar]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Pérez]]></surname>
<given-names><![CDATA[Abad Quetzalcóatl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarmiento Castillo]]></surname>
<given-names><![CDATA[Víctor Alfonzo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaona Valle]]></surname>
<given-names><![CDATA[Laura Soraya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Negrete Peña]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Lic. Adolfo López Mateos Servicios Públicos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>8</numero>
<fpage>636</fpage>
<lpage>643</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000800636&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000800636&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000800636&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el Doppler transcraneal (DTC), permite obtener información sobre la hemodinamia cerebral, existe poca información de supervivencia y uso de DTC en TCE severo.  Material y métodos:  estudio observacional, retrospectivo, descriptivo y analítico. Con diagnóstico de traumatismo craneoencefálico (TCE) severo, se analizó el uso del DTC durante el tratamiento, registrando las velocidades de flujo de arteria cerebral media (ACM), índice de pulsatilidad (IP), presión de perfusión cerebral (PPC), presión intracraneana (PIC) estimada por vaina de nervio óptico (VNO), ajustando tratamiento. Se utilizó U de Mann-Whitney para comprobar la diferencia entre dos grupos.  Resultados:  se analizaron 97 pacientes, con criterios de inclusión 64, excluyendo 9 y reclutando 55. La evolución vivos vs muertos a 120 horas por prueba U de Mann-Whitney, PPC 68.3 vs 63.4 mmHg, IC95%, p = 0.024. Velocidad de ACM 45.2 vs 18.99 cm/seg, IC95%, p &lt; 0.001. IP 1.074 vs 2.1 cm/seg, IC95%, p = 0.007. VNO 0.49 vs 0.55 mm, IC95%, p &lt; 0.001. PIC 20.1 vs 23.1 mmHg, IC95%, p &lt; 0.001.  Conclusiones:  en el comparativo final entre vivos vs muertos, el grupo de fallecidos presentó menor PPC, menor IP y velocidad de ACM; mayor PIC y diámetros de VNO.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  transcranial Doppler (TCD) provides information on cerebral hemodynamics. There is little information on survival and use of TCD in severe TBI.  Material and methods:  observational, retrospective, descriptive and analytical study. With a diagnosis of severe TBI, the use of TCD during treatment was analyzed, recording middle cerebral artery (MCA) flow velocities, pulsatility index (PI), cerebral perfusion pressure (CPP), intracranial pressure (ICP) estimated by optic nerve sheath (ONS), adjusting treatment. The Mann-Whitney U test was used to check the difference between two groups.  Results:  97 patients were analyzed, with 64 inclusion criteria, excluding 9 and recruiting 55. The evolution alive vs dead at 120 hours by Mann-Whitney U test, CPP 68.3 vs 63.4 mmHg, 95% CI, p = 0.024. MCA velocity 45.2 vs 18.99 cm/sec, 95% CI, p &lt; 0.001. IP 1.074 vs 2.1cm/sec, 95% CI, p = 0.007. VNO 0.49 vs 0.55 mm, 95% CI, p &lt; 0.001. ICP 20.1 vs 23.1 mmHg, 95% CI, p &lt; 0.001.  Conclusions:  in the final comparative outcome between alive vs dead, the group that died had lower CPP, lower IP and MCA velocity; higher ICP and VNO diameters.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o Doppler transcraniano (DTC) permite obter informações sobre a hemodinâmica cerebral; há poucas informações sobre sobrevida e utilização do DTC no TCE grave.  Material e métodos:  estudo observacional, retrospectivo, descritivo e analítico. Com diagnóstico de TCE grave, foi analisado o uso do DTC durante o tratamento, registrando-se velocidades de fluxo da artéria cerebral média (ACM), índice de pulsatilidade (IP), pressão de perfusão cerebral (PPC), pressão intracraniana (PIC) estimada pela bainha do nervo óptico (BNO), ajustando o tratamento. Mann Whitney U foi usado para testar a diferença entre 2 grupos.  Resultados:  foram analisados 97 pacientes, com critérios de inclusão 64, excluindo 9 e recrutando 55. A evolução vivos vs mortos às 120 horas pelo teste U de Mann Whitney, PPC 68.3 vs 63.4 mmHg, IC95%, p = 0.024. Velocidade da ACM 45.2 vs 18.99 cm/seg, IC95%, p &lt; 0.001. IP 1.074 vs 2.1 cm/seg, IC95%, p = 0.007. VNO 0.49 vs 0.55 mm, IC95%, p &lt; 0.001. PIC 20.1 vs 23.1 mmHg, IC95%, p &lt; 0.001.  Conclusões:  no resultado final comparativo entre vivos e mortos, o grupo que faleceu apresentou menor PPC, menor IP e velocidade de ACM; diâmetros maiores de PIC e VNO.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[TCE severo]]></kwd>
<kwd lng="es"><![CDATA[Doppler transcraneal]]></kwd>
<kwd lng="es"><![CDATA[presión de perfusión cerebral]]></kwd>
<kwd lng="es"><![CDATA[presión intracraneana]]></kwd>
<kwd lng="es"><![CDATA[índice de pulsatilidad]]></kwd>
<kwd lng="en"><![CDATA[severe TBI]]></kwd>
<kwd lng="en"><![CDATA[transcranial doppler]]></kwd>
<kwd lng="en"><![CDATA[cerebral perfusion pressure]]></kwd>
<kwd lng="en"><![CDATA[intracranial pressure]]></kwd>
<kwd lng="en"><![CDATA[pulsatility index]]></kwd>
<kwd lng="pt"><![CDATA[TCE grave]]></kwd>
<kwd lng="pt"><![CDATA[Doppler transcraniano]]></kwd>
<kwd lng="pt"><![CDATA[pressão de perfusão cerebral]]></kwd>
<kwd lng="pt"><![CDATA[pressão intracraniana]]></kwd>
<kwd lng="pt"><![CDATA[índice de pulsatilidade]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tsivgoulis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Alexandrov]]></surname>
<given-names><![CDATA[AV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasound in neurology]]></article-title>
<source><![CDATA[Continuum (Minneap Minn)]]></source>
<year>2016</year>
<volume>22</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1655-77</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kristiansson]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Nissborg]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bartek]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Andresen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Reinstrup]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Romner]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Measuring elevated intracranial pressure through noninvasive methods: a review of the literature]]></article-title>
<source><![CDATA[J Neurosurg Anesthesiol]]></source>
<year>2013</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>372-85</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cook]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Morgan Jones]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Hawryluk]]></surname>
<given-names><![CDATA[GWJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mailloux]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[McLaughlin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Papangelou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines for the acute treatment of cerebral edema in neurocritical care patients]]></article-title>
<source><![CDATA[Neurocrit Care]]></source>
<year>2020</year>
<volume>32</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>647-66</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robba]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Goffi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Geeraerts]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Cardim]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Via]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Czosnyka]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review]]></article-title>
<source><![CDATA[Intensive Care Med]]></source>
<year>2019</year>
<volume>45</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>913-27</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chacón-Lozsán]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Torres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neuromonitorización hemodinámica por ultrasonido en el paciente crítico: ultrasonido transcranial]]></article-title>
<source><![CDATA[Acta Colombiana de Cuidado Intensivo]]></source>
<year>2018</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>164-74</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[VI]]></given-names>
</name>
<name>
<surname><![CDATA[Arntfield]]></surname>
<given-names><![CDATA[RT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Point-of-care transcranial Doppler by intensivists]]></article-title>
<source><![CDATA[Crit Ultrasound J]]></source>
<year>2017</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>21</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rasulo]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Bertuetti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transcranial doppler and optic nerve sonography]]></article-title>
<source><![CDATA[J Cardiothorac Vasc Anesth]]></source>
<year>2019</year>
<volume>33</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>S38-52</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[SMA]]></given-names>
</name>
<name>
<surname><![CDATA[Murillo]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera]]></surname>
<given-names><![CDATA[FMV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rendimiento de un diagrama de correlación entre patrones ecográficos y hemodinámicas cerebrales]]></article-title>
<source><![CDATA[Revista de Neurología]]></source>
<year>2004</year>
<volume>38</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>411-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pan]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Wan]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Xiang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Guan]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transcranial doppler ultrasonography as a diagnostic tool for cerebrovascular disorders]]></article-title>
<source><![CDATA[Front Hum Neurosci]]></source>
<year>2022</year>
<volume>16</volume>
<page-range>841809</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hossain]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Rostami]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Marklund]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The management of severe traumatic brain injury in the initial postinjury hours-current evidence and controversies]]></article-title>
<source><![CDATA[Curr Opin Crit Care]]></source>
<year>2023</year>
<volume>29</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>650-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Jiang]]></surname>
<given-names><![CDATA[XH]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[YZ]]></given-names>
</name>
<name>
<surname><![CDATA[Xing]]></surname>
<given-names><![CDATA[YQ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasonic measurement of optic nerve sheath diameter: a non-invasive surrogate approach for dynamic, real-time evaluation of intracranial pressure]]></article-title>
<source><![CDATA[Br J Ophthalmol]]></source>
<year>2019</year>
<volume>103</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>437-41</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blanco]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Abdo-Cuza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transcranial Doppler ultrasound in neurocritical care]]></article-title>
<source><![CDATA[J Ultrasound]]></source>
<year>2018</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-16</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kirkman]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multimodality neuromonitoring]]></article-title>
<source><![CDATA[Anesthesiol Clin]]></source>
<year>2016</year>
<volume>34</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>511-23</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rasulo]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Togni]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Romagnoli]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Essential noninvasive multimodality neuromonitoring for the critically ill patient]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2020</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>100</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
