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Aplicaciones de la variabilidad de la frecuencia cardiaca en el triage y valoración de los pacientes traumatizados Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients. Mark L. Ryan, Chad M. Thorson, Christian A. Otero, Thai Vu, and Kenneth G. Proctor Clinical Anesthesiology Research and Practice, vol. 2011 Article ID 416590, 8 pages, 2011. doi:10.1155/2011/416590 Abstract Heart rate variability (HRV) is a method of physiologic assessment which uses fluctuations in the RR intervals to evaluate modulation of the heart rate by the autonomic nervous system (ANS). Decreased variability has been studied as a marker of increased pathology and a predictor of morbidity and mortality in multiple medical disciplines. HRV is potentially useful in trauma as a tool for prehospital triage, initial patient assessment, and continuous monitoring of critically injured patients. However, several technical limitations and a lack of standardized values have inhibited its clinical implementation in trauma. The purpose of this paper is to describe the three analytical methods (time domain, frequency domain, and entropy) and specific clinical populations that have been evaluated in trauma patients and to identify key issues regarding HRV that must be explored if it is to be widely adopted for the assessment of trauma patients. http://downloads.hindawi.com/journals/arp/2011/416590.pdf Triage en los pacientes quirúrgicos de riesgo elevado para terapia intensiva

Aplicaciones de la variabilidad de la frecuencia cardiaca en el triage y valoración de los pacientes traumatizados Applications of Heart...