<?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>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472019000200100</article-id>
<article-id pub-id-type="doi">10.1097/cj9.0000000000000112</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Management and perioperative outcomes of traumatic brain injury: retrospective study]]></article-title>
<article-title xml:lang="es"><![CDATA[Manejo y desenlaces perioperatorios del traumatismo craneoencefálico: estudio retrospectivo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra Fernández]]></surname>
<given-names><![CDATA[Lina Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Velásquez]]></surname>
<given-names><![CDATA[Luz Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casas-Arroyave]]></surname>
<given-names><![CDATA[Fabian David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica El Rosario  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario San Vicente Fundación  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia Sección de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>47</volume>
<numero>2</numero>
<fpage>100</fpage>
<lpage>106</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472019000200100&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472019000200100&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472019000200100&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Cranioencephalic traumatism (CET) is a cause of mortality and morbidity in the surgical patient. However, the perioperative management of this entity has not been evaluated in the country's health institutions, despite its high disease burden and potential adverse clinical outcomes.  Objective: To evaluate the clinical characteristics of surgical TBI and perioperative outcomes.  Methods: Descriptive study of historical review conducted at the Hospital San Vicente Fundación, Medellín, Colombia. Data were collected from the medical records of patients over 13 years of age diagnosed with moderate-severe TBI between 2011 and 2014. Clinical variables, perioperative management, and clinical outcomes up to discharge were analyzed. An exploratory analysis was performed between perioperative management and postoperative mortality or neurological dysfunction.  Results: CET was most common in the young male population (89.3%). Severe trauma occurred in 71.1% of patients. Perioperative mortality was 16%, and 54% presented neurological disability at discharge. A strong association was found between mortality or neurological dysfunction and severity of injury and perioperative hypotension.  Conclusion: The study found that surgical CET was a high morbidity and perioperative mortality event, highly related to the severity of the injury and the hemodynamic stability of the patient. Despite this, intraoperative hemodynamic and metabolic monitoring remains limited in more than 50% of these patients' surgical procedures.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El traumatismo craneoencefálico (TEC) es una causa de mortalidad y morbilidad en el paciente quirúrgico. No obstante, el manejo perioperatorio de esta entidad no ha sido evaluado en las instituciones de salud del país, a pesar de su alta carga de enfermedad y potenciales desenlaces clínicos adversos.  Objetivo:  Evaluar las características clínicas del TEC quirúrgico y de los desenlaces perioperatorios.  Método:  Estudio descriptivo de revisión histórica realizado en el Hospital San Vicente Fundación, de Medellín, Colombia. Se recolectaron datos a partir de las historias clínicas de los pacientes mayores de 13 años con diagnóstico de TEC moderado-grave entre 2011 y 2014. Se analizaron las variables clínicas, el manejo perioperatorio y los desenlaces clínicos hasta el alta. Se realizó un análisis exploratorio entre el manejo perioperatorio y mortalidad o disfunción neurológica posquirúrgica.  Resultados:  El TEC fue más común en la población masculina joven (89,3%). El traumatismo grave ocurrió en el 71,1% de los pacientes. La mortalidad perioperatoria fue del 16%, y el 54% presentó discapacidad neurológica al alta. Se encontró una asociación fuerte entre mortalidad o disfunción neurológica y gravedad de la lesión e hipotensión perioperatoria.  Conclusión:  El estudio encontró que el TEC quirúrgico fue un evento con alta morbilidad y mortalidad perioperatoria, altamente relacionado con la gravedad de la lesión y la estabilidad hemodinámica del paciente. A pesar de ello, la monitoria intraoperatoria de tipo hemodinámico y metabólico sigue siendo limitada en más del 50% de los procedimientos quirúrgicos de estos pacientes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Craniocerebral Trauma]]></kwd>
<kwd lng="en"><![CDATA[Perioperative Period]]></kwd>
<kwd lng="en"><![CDATA[Hypotension]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Intraoperative Complications]]></kwd>
<kwd lng="es"><![CDATA[Traumatismos Craneocerebrales]]></kwd>
<kwd lng="es"><![CDATA[Periodo Perioperatorio]]></kwd>
<kwd lng="es"><![CDATA[Hipotensión]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones Intraoperatorias]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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