Monitoreo de presión intracraneana (PIC) en un canino craniectomizado.

DONATI PABLO; GUILLEMI ELIANA; PIÑEYRO JULIAN ; GUEVARA JUAN MANUEL; MORETTI JULIETA; GARGIULO NOELIA; ZAYAS MACARENA; LAVALLE MARIA DEL CARMEN; JENSEN MARIO; SCORZA PATRICIO; MOULY JAVIER; BELERENIAN GUILLERMO; PABLO OTERO

Journal LAVECC

Journal Latinoamericano de Medicina Veterinaria de Emergencia y Cuidados Intensivos

Año: 2015 vol. 7 p. 3 - 15

1688-6100

Objetive: To describe the method for intracraneal pressure (ICP) measurement and the curve analysis in a canine that suffered a cranealtrauma and underwent a craniectomy surgery.Case description: an exploratory craniotomy was performed on a two month-old mongrel male canine, who has suffered from a post-bitecranial trauma. During surgery the canine experimented profuse bleeding while bone fragments were removed from the skull fracture. Aftersurgery a device was placed for ICP monitoring. During the weaning from Mechanical Ventilation Assistance (MVA) a severe decrease inventilation and a marked increase in ICP were identified. The ICP waves record showed a marked P2 component. ICP values returned tonormal after restoring MVA and Manitol dosification. Twelve hours post-surgery the animal died due to refractory hypotension.Clinical relevance: intracraneal pressure monitoring has been poorly reported in the clinical area. For the autor´s knowledge, changes inthe PIC wave conformation associated to a hypoventilation event has not been previously reported in veterinary medicine.