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2 results on '"Cristina Muñoz-Esteban"'

1. Sobresedación Zero como herramienta de confort, seguridad y gestión en la unidades de cuidados intensivos

Author

J. Caballero, M. García-Sánchez, E. Palencia-Herrejón, T. Muñoz-Martínez, J.M. Gómez-García, I. Ceniceros-Rozalén, Roser Anglés Coll, José Antonio Acosta Escribano, Miguel Ángel Alcalá Llorente, Rafael Barrientos Vega, Ana Bejar Delgado, Antonio Luis Blesa Malpica, Alfonso Bonet Saris, David Cabestrero Alonso, Mª Isabel Ceniceros Rozalén, Carlos Chamorro Jambrina, Isabel Cherta Vivien, Frutos del Nogal Sáez, José Luis Escalante Cobo, Claudio García Alfaro, Francisco Javier Gil Sánchez, Carolina Giménez-Esparza Vich, Víctor González Sanz, Paloma González Arenas, Teodoro Grau Carmona, José Eugenio Guerrero Sanz, Jorge Ibáñez Juvé, Antonio Jareño Chaumel, Manuel Jiménez Lendínez, María José Jiménez Martín, Antonio Lesmes Serrano, José Ángel Lorente Balanza, José Luis Martínez Melgar, Juan Carlos Montejo González, Tomás Muñoz Martínez, Eduardo Palencia Herrejón, Mercedes Palomar Martínez, Cándido Pardo Rey, Hipólito Pérez Moltó, Ferran Roche Campo, Miguel Ángel Romera Ortega, Rafael Ruiz de Luna González, José Ángel Sánchez-Izquierdo Riera, Alberto Sandiumenge Camps, José Alberto Silva Obregón, Herminia Torrado Santos, Pedro Galdos Anuncibay, Ana María Del Saz Ortiz, Jesús Caballero López, Manuela García Sánchez, Mª Belén Estébanez Montiel, Inmaculada Alcalde Mayayo, Luis Yuste Domínguez, José Manuel Gómez García, Susana Temprano Vázquez, Aaron Blandino Ortiz, María Antonia Estecha Foncea, Lucía López Amor, Itziar Hurlé Peláez, Amélie Marie Solange Le Gall, Mariana Isabel Jorge De Almeida e Silva, Elena Bisbal Andrés, Lourdes Fisac Cuadrado, Cristina Ferri Riera, Lorenzo López Pérez, Gabriel Jesús Moreno González, Vanesa Arauzo Rojo, Elena Ruiz-Escribano Taravilla, Chiara Raffaella Caciano Reátegui, Miguel Ángel González Gallego, Sara Rossich Andreu, Ana María Navas Pérez, Federico Minaya González, Miguel Ángel Rodríguez Yago, María Barber Ansón, Amaia Martiarena Orce, José Lorenzo Labarta Monzón, Rocío Almaraz Velarde, Cristina Muñoz Esteban, Ana Vallejo de la Cueva, Joana Domingo Marco, Tatiana García Rodríguez San Miguel, Sara Alcántara Carmona, Oriol Plans Galván, Juan Diego Jiménez Delgado, Mónica García Simón, Amparo Cabanillas Carrillo, Francisco José Guerrero Gómez, María Riera Sagrera, Laura Bellver Bosch, Helena Dominguez Aguado, Dacil María Parrilla Toribio, Alejandra Virgós Pedreira, David Mosquera Rodríguez, Manuela Fernández Arroyo, Susana González Prado, Laura Sayagués Moreira, Luis Alfonso Marcos Prieto, Jesús Priego Sanz, Aída Fernández Ferreira, Mercedes Ibarz Villamayor, Marcela Patricia Hómez Guzman, Ana Abella Álvarez, Federico Gordo Vidal, Vanessa Blazquez Alcaide, Carolina Fuertes Schott, María Aranda Pérez, Gloria María Valle Fernández, Lorena Zoila Peiró Ferrando, Francisca Inmaculada Pino Sánchez, Sulamita Carvalho Brugger, Africa Carmen Lores Obradors, and Inmaculada de Dios Chacón

Subjects
business.industry, Zero (complex analysis), MEDLINE, 030208 emergency & critical care medicine, Critical Care and Intensive Care Medicine, medicine.disease, Intensive care unit, law.invention, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, law, Medicine, Medical emergency, business
Published
2020
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2. The observation period after clinical brain death diagnosis according to ancillary tests: differences between supratentorial and infratentorial brain injury

Author

José L. Hernández, Enrique Marco de Lucas, Cristina Muñoz-Esteban, José L. Fernández-Torre, and Miguel A. Hernández-Hernández

Subjects
Adult, Male, medicine.medical_specialty, Brain Death, Neurology, Computed Tomography Angiography, Ultrasonography, Doppler, Transcranial, Observation period, Neurological examination, Physical examination, Electroencephalography, Lesion, 03 medical and health sciences, 0302 clinical medicine, Medicine, Humans, 030212 general & internal medicine, Neuroradiology, Aged, Retrospective Studies, medicine.diagnostic_test, business.industry, Brain, Middle Aged, Brain Injuries, Angiography, Female, Neurology (clinical), Radiology, medicine.symptom, business, 030217 neurology & neurosurgery
Abstract

To determine the optimal observation period (OBP) in adults with a clinical diagnosis of brain death (BD) using electroencephalography (EEG) or computerized tomography angiography (CTA). We conducted a retrospective observational analysis of adult patients with a diagnosis of BD from January 2000 to February 2017. The optimal OBP was defined as the minimum time interval from the first complete clinical neurological examination (CNE) that ensures that neither a second CNE nor any ancillary test (AT) performed after this period would fail to confirm BD. The study sample included 447 patients. In the supratentorial group, the first AT confirmed BD in 389 cases (98%), but in 8 (2%) cases the complementary test was incongruent. In this group, 8 of 245 patients in whom the first AT was carried out within the first 2 h after a complete CNE had a non-confirmatory test of BD versus none of 152 in whom the first AT was delayed more than 2 h (3.0% vs 0.0%; p = 0.026). In the infratentorial group, we found a higher probability of obtaining a first non-confirmatory AT of BD (34% vs 2%; p = 0.0001) and an OBP greater than 32.5 h was necessary to confirm a BD diagnosis. We found important differences in the confirmation of BD diagnosis between primary supratentorial and infratentorial lesion, and identified an optimal OBP of 2 h in patients with supratentorial lesions. By contrast, in primary posterior fossa/infratentorial lesions, the determination of an optimal OPB remains less accurate and hence more challenging.

Published
2019

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