{"id":1920,"date":"2010-09-16T12:26:00","date_gmt":"2010-09-16T17:26:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/09\/16\/criterios-neurologicos-para-la-determinacion-de-muerte-cerebral-u-s-guidelines"},"modified":"2010-09-16T12:26:00","modified_gmt":"2010-09-16T17:26:00","slug":"criterios-neurologicos-para-la-determinacion-de-muerte-cerebral-u-s-guidelines","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=1920","title":{"rendered":"Criterios neurol\u00f3gicos para la determinaci\u00f3n de muerte cerebral (U.S. Guidelines)."},"content":{"rendered":"<h5>\u00a0<\/h5>\n<table border=\"1\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"99%\">\n<p>1. Cese de todas las funciones cerebrales valorables cl\u00ednicamente.  <\/p>\n<ul>\n<li>Coma profundo\n<li>Ausencia de los siguientes reflejos cerebrales:\n<ul>\n<li>Reacci\u00f3n pupilar a la luz\n<li>Reflejos oculocef\u00e1licos\n<li>Reflejos oculovestibulares\n<li>Reflejo corneal\n<li>Reflejos orofaringeos\n<li>Reflejos respiratorios: test de apnea<\/li>\n<\/ul>\n<li>Test de confirmaci\u00f3n en caso de duda<\/li>\n<\/ul>\n<p>2. Cese irreversible de todas las funciones cerebrales  <\/p>\n<ul>\n<li>Se conoce la causa del coma y es suficiente para que se pierdan las funciones cerebrales\n<li>Exclusi\u00f3n de posibilidades de recuperaci\u00f3n de las funciones cerebrales, descartar:\n<ul>\n<li>Intoxicaci\u00f3n metab\u00f3lica o por drogas\n<li>Hipotermia\n<li>Shock<\/li>\n<\/ul>\n<li>El cese de las funciones persiste tras un adecuado per\u00edodo de observaci\u00f3n\n<ul>\n<li>El per\u00edodo de observaci\u00f3n depende del juicio cl\u00ednico\n<li>Cuando el EEG es plano: observaci\u00f3n cl\u00ednica durante 6 horas\n<li>Cuando no se cuenta con EEG: observaci\u00f3n cl\u00ednica durante 12 horas\n<li>En la anoxia cerebral: observaci\u00f3n cl\u00ednica durante 12 horas (menos si se hace alguna otra prueba)<\/li>\n<\/ul>\n<li>Pruebas de confirmaci\u00f3n:\n<ul>\n<li>EEG\n<li>Diagn\u00f3stico del cese del flujo cerebral\n<ul>\n<li>Angiograf\u00eda\n<li>Gammagraf\u00eda\n<li>Doppler<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Fuente: Defining death: medical, legal, and ethical issues in the determination of death. President\u00b4s Commission for the study of ethical problems in Medicine and Biomedical and Behavioral Research, US Government Printing Office, 1981.<\/p>\n<div class=\"blogger-post-footer\"><img width='1' height='1' src='https:\/\/blogger.googleusercontent.com\/tracker\/3335219593278186444-8884180993359825602?l=www.medinterna.com.mx' alt='' \/><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 1. Cese de todas las funciones cerebrales valorables cl\u00ednicamente. Coma profundo Ausencia de los siguientes reflejos cerebrales: Reacci\u00f3n pupilar a la luz Reflejos oculocef\u00e1licos Reflejos oculovestibulares Reflejo corneal Reflejos orofaringeos Reflejos respiratorios: test de apnea Test de confirmaci\u00f3n en caso de duda 2. Cese irreversible de todas las funciones cerebrales Se conoce la causa &hellip; <a href=\"https:\/\/medicinainterna.com.mx\/?p=1920\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Criterios neurol\u00f3gicos para la determinaci\u00f3n de muerte cerebral (U.S. Guidelines).&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1920","post","type-post","status-publish","format-standard","hentry","category-neurologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1920"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1920\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1920"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1920"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}