{"id":4351,"date":"2020-02-10T03:20:03","date_gmt":"2020-02-10T03:20:03","guid":{"rendered":"https:\/\/neuroandcriticalcare.com\/?page_id=4351"},"modified":"2021-05-21T17:05:36","modified_gmt":"2021-05-21T22:05:36","slug":"servicios","status":"publish","type":"page","link":"https:\/\/www.neuroandcriticalcare.com\/en\/servicios\/","title":{"rendered":"Services"},"content":{"rendered":"
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t\t\t\t
Oxigenaci\u00f3n por Membrana (ECMO o Pulm\u00f3n Artificial)<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Internal Medicine<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Post Cardiac Arrest Service<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Neurocritical Care<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Treatment of Patients with Stroke<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Trauma y Accidentes<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Infection and Sepsis<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Postoperative Care of Cardiovascular Neurosurgery<\/a><\/div>\n\t\t\t\t\t\t\t\t\t
Post Operatorio de Cirug\u00edas no Neurol\u00f3gicas<\/a><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t\t\t\t\t\t
Oxigenaci\u00f3n por Membrana (ECMO o Pulm\u00f3n Artificial)<\/div>\n\t\t\t\t\t

La\u00a0oxigenaci\u00f3n por membrana extracorp\u00f3rea\u00a0(OMEC), tambi\u00e9n conocida como\u00a0ECMO\u00a0por sus siglas en\u00a0ingl\u00e9s\u00a0(ExtraCorporeal Membrane Oxygenation<\/em>), es una t\u00e9cnica extracorp\u00f3rea para proporcionar soporte\u00a0card\u00edaco\u00a0y\u00a0respiratorio\u00a0a pacientes cuyos\u00a0pulmones\u00a0y\u00a0coraz\u00f3n\u00a0est\u00e1n gravemente da\u00f1ados y no pueden desarrollar su funci\u00f3n normal.\"\"<\/p>

La implementaci\u00f3n de la terapia de circulaci\u00f3n extracorp\u00f3rea requiere de un equipo multidisciplinario. Nuestro equipo m\u00e9dico, adem\u00e1s de haber colocado el primer paciente en ECMO con personal 100% paname\u00f1o, han recibido entrenamiento en los centros de ECMO mas prestigiosos de Europa: Diplomado Europeo del Centro la Petit Salpetrier de ECMO en Paris, Estados Unidos, y certificaciones internacionales actualizadas que garanticen la calidad de atenci\u00f3n del paciente en estos momentos tan cr\u00edticos.<\/p>

Se requiere una atenci\u00f3n constante las 24 horas \/ 7 d\u00edas a la semana durante el tratamiento con ECMO por m\u00e9dicos intensivistas y personal en cuidados intensivos que tengan este entrenamiento.<\/p>

El tratamiento ECMO puede asegurar durante d\u00edas o semanas la\u00a0oxigenaci\u00f3n\u00a0de la\u00a0sangre, sustituyendo completamente la funci\u00f3n de los pulmones y el coraz\u00f3n. Sin embargo, debido a los altos requerimientos t\u00e9cnicos y de personal, su elevado costo y al riesgo de numerosas complicaciones, el tratamiento ECMO suele ser la \u00faltima opci\u00f3n de tratamiento, es decir, el \u00faltimo recurso considerado cuando fallan otros tratamientos convencionales como los farmacol\u00f3gicos.<\/p>

\u00bfC\u00f3mo funciona?<\/strong><\/p>

Un cirujano cardiovascular coloca un acceso venoso para sacar del cuerpo la sangre con pobre ox\u00edgeno, una bomba impulsa la sangre (coraz\u00f3n artificial) hacia una membrana especial que oxigena la sangre y elimina el bi\u00f3xido de carbono (Pulm\u00f3n artificial) y otra c\u00e1nula o acceso para regresar la sangre oxigenada a una arteria de gran calibre hacia el coraz\u00f3n (ECMO Veno-arterial) o a otra vena de gran calibre (ECMO Veno-venoso).<\/p>

Puesto que el proceso es delicado y complejo, es necesario monitorear una gran cantidad de informaci\u00f3n. Esto permite evaluar la funcionalidad de ECMO y sus efectos en el paciente. El sistema de monitoreo incluye, entre otros aspectos:<\/p>

  • Oxigenaci\u00f3n cerebral<\/li>
  • Ondas cerebrales<\/li>
  • Oxigenaci\u00f3n sangu\u00ednea<\/li>
  • Presi\u00f3n sangu\u00ednea antes y despu\u00e9s de pasar por el sistema<\/li>
  • Temperatura de la sangre<\/li>
  • Presi\u00f3n de bombeo<\/li>
  • Cantidad de sangre que se bombea<\/li>
  • Monitoreo de la funci\u00f3n pulmonar<\/li>
  • Monitoreo de la funci\u00f3n cardiaca<\/li><\/ul>

    \u00bfQu\u00e9 hace la oxigenaci\u00f3n por membrana extracorp\u00f3rea?<\/strong><\/p>

    ECMO est\u00e1 dise\u00f1ado para apoyar la funci\u00f3n cardiaca y\/o pulmonar cuando la funci\u00f3n cardiaca y\/o pulmonar del paciente es inadecuada. ECMO no cura la enfermedad del pulm\u00f3n; solamente apoya al paciente para permitir que sus pulmones o coraz\u00f3n descansen.<\/p>

    \u00bfCu\u00e1nto tiempo debe permanecer una persona en ECMO?<\/strong><\/p>

    ECMO generalmente continua de tres a 21 d\u00edas dependiendo de la severidad de la condici\u00f3n del paciente. La decisi\u00f3n de suspender la oxigenaci\u00f3n por membrana extracorp\u00f3rea la toman todos los m\u00e9dicos involucrados en el cuidado del paciente despu\u00e9s de cuidadosa evaluaci\u00f3n de la funci\u00f3n de su pulm\u00f3n y coraz\u00f3n.<\/p>

    \u00bfCu\u00e1les son las posibilidades de supervivencia de una persona despu\u00e9s de oxigenaci\u00f3n por membrana extracorp\u00f3rea?<\/strong><\/p>

    No es posible se\u00f1alar espec\u00edficamente las posibilidades de supervivencia, deben ser individualizadas con la consideraci\u00f3n cuidadosa de la causa de enfermedad del pulm\u00f3n o coraz\u00f3n, los pasos a tomar del hospital antes del apoyo de ECMO y los pasos a tomar bajo ECMO. Recuerde que ECMO s\u00f3lo se ofrece a ni\u00f1os que tienen un potencial de supervivencia sana. Actualmente durante la Pandemia del COVID-19 en pacientes con da\u00f1o pulmonar es considerado una \u00faltima herramienta para que descansen los pulmones o sirve de terapia de puente para trasplante cardiaco y trasplante pulmonar.<\/p>

    \u00bfQu\u00e9 posibilidades hay de una vida normal despu\u00e9s de ECMO?<\/strong><\/p>

    Oxigenaci\u00f3n por membrana extracorp\u00f3rea se ofrece a ni\u00f1os que tienen una oportunidad de supervivencia sana, pero hay varios posibles problemas que pueden ocurrir a largo plazo. Estos incluyen enfermedad pulmonar cr\u00f3nica y problemas neurol\u00f3gicos.<\/p>

    \u00bfEl paciente necesitar\u00e1 atenci\u00f3n de seguimiento?<\/strong><\/p>

    S\u00ed. Aunque la enfermedad del coraz\u00f3n o pulm\u00f3n est\u00e1 mejor ahora, el paciente puede haber estado expuesto a bajos niveles de ox\u00edgeno significativos antes de ECMO. Esto coloca a el paciente en mayor riesgo de problemas de desarrollo.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t

    Internal Medicine<\/div>\n\t\t\t\t\t

    Comprehensive services for inpatients and outpatients are provided in most medical specialties.<\/p>

    \"\"<\/p>

    Internal Medicine doctors are certified general internists who specialize in the care of adult patients with various medical symptoms and problems.<\/p>

    • Attention to patients with symptoms and indefinite complaints, such as shortness of breath, chest pain and new episodes of pain, to help with diagnosis and treatment recommendations.<\/li>
    • Coordination of patient care provided by surgeons and other specialists in the hospital.<\/li>
    • Preventive screening services for health maintenance, for example, mammograms, Pap tests, routine colon cancer screening, cholesterol screening and blood pressure screening.<\/li>
    • Collaborative care of patients with chronic medical diseases, including high blood pressure, diabetes, heart disease and emphysema, throughout the various stages of their disease.<\/li>
    • Comprehensive management of medical needs for hospitalized patients.<\/li>
    • Preoperative evaluation of medical risks before surgery.<\/li>
    • Patients are treated for general health exams, as well as for inquiries about complex medical problems.<\/li><\/ul><\/div>\n\t\t\t\t\t\t\t\t\t
      Post Cardiac Arrest Service<\/div>\n\t\t\t\t\t

      NCC is dedicated to providing specialized care to these patients and studying resuscitation and treating patients who survive resuscitation. \"\"cardiopulmonary (CPR). A dedicated medical team helps coordinate prehospital care, the emergency department, the intensive care unit, cardiology, neurology, interventionists, cardiology and rehabilitation providers, to ensure a unique continuity of care for the patient and their families. Advanced neuroimaging and continuous electroencephalography help guide the neurocritical care of these patients.<\/p>

      A variety of physiological changes occur after cardiac arrest. Individual patients may experience none, some or all of these changes. Mortality is most often related to a brain injury or multiple organ failure. Aggressive neurocritical care, including the use of therapeutic hypothermia, usually begins immediately when the team receives the patient.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t

      Neurocritical Care<\/div>\n\t\t\t\t\t

      Neurocritical Care is a unique discipline that provides critical care to patients with a wide range of neurological disorders, including stroke, subarachnoid hemorrhage, brain trauma, coma, intracerebral hemorrhage, seizures, spinal cord trauma, epileptic state, encephalitis, myasthenia gravis, guillain- Barre syndrome and neuromuscular disease.\u00a0<\/p>

      A focus on recognizing altered brain and spinal cord function and immediate intervention to prevent secondary injuries improves outcomes and reduces hospitalization costs.<\/p>

      \"\"<\/p>

      The teamwork of a cutting-edge doctor in neurosurgical \/ neurological intensive care (ICU) led by a neurointensivist.<\/p>

      An elite team of neuroscience nurses, respiratory technologists, EEG technologists and nursing managers provides minute-by-minute care at the ICU.<\/p>

      Multimodal nervous system monitoring includes electroencephalography (EEG), evoked potentials (PD), transcranial doppler (TCD), cerebral blood flow, intracranial pressure monitoring, cerebral oxygen, cerebral microdialysis and positron emission tomography (PET), diffusion by MRI \/ Perfusion.<\/p>

      Continuous monitoring of EEG (cEEG) in the ICU detects silent seizures, which occur in 20 percent of patients with traumatic brain injury in a coma and worsen intracranial pressure.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t

      Treatment of Patients with Stroke<\/div>\n\t\t\t\t\t

      Up to 10% of strokes can occur in relatively young people (under 45 years old) and represent a challenge in terms of diagnosis and treatment. Patients generally undergo a \"\"detailed evaluation that includes images of the brain, vascular studies, cardiac evaluations and hematological evaluation using the most advanced diagnostic techniques. The Neuro & Critical Care cerebrovascular team has experience in the diagnosis and management of a variety of rare conditions that can occur in young adults, such as arterial dissection, vasculitis, cerebral vein thrombosis and moya-moya syndrome.<\/p>

      Endovascular therapy is changing the way that heart attacks, strokes and vascular conditions that once required invasive surgery can now be repaired by minimally invasive procedures. Because endovascular procedures are less invasive, patients spend less time in the hospital and less time to recover. Some diseases in which we offer neuroendovascular procedure are:<\/p>

      • Acute Ischemic and Hemorrhagic Stroke<\/li>
      • Brain aneurysm<\/li>
      • Angioplasty and stenting in the carotid artery<\/li>
      • Stent-assisted coil embolization (for wide neck aneurysms)<\/li>
      • Cerebral angioplasty and stent placement<\/li>
      • Treatment of arteriovenous malformations.<\/li>
      • Spine Interventions<\/li>
      • Vertebroplasty<\/li>
      • Tumor embolization<\/li><\/ul>

        Our surgical and endovascular services include:<\/p>

        • Medical treatment options for acute ischemic stroke, including administration of TPA, intraarterial thrombolysis and mechanical revascularization through the use of Merci and Penumbra devices<\/li>
        • Treatment options based on procedures for acute hemorrhagic stroke, including open surgical clipping, endovascular wrap using a wide range of commercially available embolic materials, endovascular liquid embolization through the use of Onyx\u00ae HD-500 and stent and balloon devices for Help in endovascular therapy.<\/li>
        • Stents (flexible wire tube used to hold open vessels from within) for the treatment of intracranial atherosclerosis, carotid stenosis or cerebrovascular dissections, including Wingspan \u2122, Enterprise \u2122, Neuroform \u2122 and Acculink \u2122 stents.<\/li>
        • Multimodal AVM therapy, which includes open microsurgery, stereotactic radiosurgery and endovascular embolization.<\/li><\/ul><\/div>\n\t\t\t\t\t\t\t\t\t
          Trauma y Accidentes<\/div>\n\t\t\t\t\t

          The critical trauma care unit is an interdisciplinary team of experts in the management of critically ill and injured patients. Available 24 hours a day, these intensivists offer consultation and referral services to community doctors who require support in the treatment of patients during a serious illness.<\/p>

          \"\"<\/p>

          Patients who require a high level of monitoring and intervention after trauma or during a critical illness can benefit from critical care providers of trauma care. The critical care unit has immediate access to a wide range of sophisticated diagnostic and therapeutic equipment. The patient care areas have nurses with specialized training in critical care.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t

          Infection and Sepsis<\/div>\n\t\t\t\t\t

          Sepsis is a life-threatening complication of an infection that could affect all vital signs quickly (Toxemia). Sepsis triggers inflammation throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems and cause them to fail.<\/p>

          If sepsis progresses to septic shock, blood pressure drops dramatically, this can lead to death.<\/p>

          \"\"<\/p>

          Anyone can develop sepsis and early treatment, usually with antibiotics and large amounts of intravenous fluids for the recovery of blood pressure, improves the chances of survival.<\/p>

          A rapid diagnosis and intervention for severe sepsis or septic shock will improve the patient, it can represent an important opportunity for the recognition and care of sepsis.<\/p>

          In the most severe situation, the patient should be monitored in the intensive care unit, with an experienced doctor for early diagnosis and rapid aggressive treatment directed with antibiotics. The infection leads to a potentially fatal drop in blood pressure, called septic shock. This can quickly lead to the failure of several organs (lungs, kidneys and liver) and cause death.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t

          Postoperative Care of Cardiovascular Neurosurgery<\/div>\n\t\t\t\t\t

          The goal of postoperative neurocritical care is to prevent or minimize secondary neuronal damage and improve the functional recovery of the central nervous system (CNS) and the patient's quality of life.<\/p>

          \"\"<\/p>

          • Provide a gentle exit from anesthesia.<\/li>
          • Optimize hemodynamic, volume and postoperative electrolytic state<\/li>
          • Treat homeostatic disorders (temperature, glucose)<\/li>
          • Identify and manage postoperative complications and deregulations.<\/li><\/ul>

            After brain surgery, it will take a while for the patient to return to their usual energy level. Healing requires extra rest.<\/p>

            The amount of time required to recover after brain surgery is different for each person and depends on:<\/p>

            • The procedure used to remove the brain tumor.<\/li>
            • The location of the tumor inside the brain.<\/li>
            • Areas of the brain affected by surgery.<\/li>
            • The patient's age and his general state of health.<\/li><\/ul>

              The patient will be able to see family members once the doctors and nurses have completed their evaluations and the patient is stable. This usually takes about an hour.<\/p>

              After surgery, the patient may need help from recovery and rehabilitation specialists.\u00a0<\/p><\/div>\n\t\t\t\t\t\t\t\t\t

              Post Operatorio de Cirug\u00edas no Neurol\u00f3gicas<\/div>\n\t\t\t\t\t

              Patients go through surgeries to correct problems that affect their daily lives. But sometimes the procedures present some difficulties and, in some scenarios, special monitoring is necessary for patient recovery. Complex surgeries in gynecology, cardiovascular, neurosurgery, air and thoracic; for example, it will require very close monitoring. \"\"<\/p>

              We create a safe ring around our postoperative patient and try to help surgeons succeed with their main goals: patient safety and early recovery.<\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

              Oxigenaci\u00f3n por Membrana (ECMO o Pulm\u00f3n Artificial) Medicina Interna Servicio de Post Paro Cardiaco Cuidado Neurocr\u00edtico Tratamiento a Pacientes con Derrame Cerebrovascular Trauma y Accidentes Infecci\u00f3n y Sepsis Cuidado Postoperatorio de Neurocirug\u00eda Cardiovascular Post Operatorio de Cirug\u00edas no Neurol\u00f3gicas Oxigenaci\u00f3n por Membrana (ECMO o Pulm\u00f3n Artificial) La\u00a0oxigenaci\u00f3n por membrana extracorp\u00f3rea\u00a0(OMEC), tambi\u00e9n conocida como\u00a0ECMO\u00a0por sus siglas […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template\/template-page.php","meta":[],"yoast_head":"\nServicios de atenci\u00f3n neurointensiva en Panam\u00e1<\/title>\n<meta name=\"description\" content=\"Se brindan servicios integrales para pacientes hospitalizados y ambulatorios en la mayor\u00eda de las especialidades m\u00e9dicas...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neuroandcriticalcare.com\/en\/servicios\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Servicios de atenci\u00f3n neurointensiva en Panam\u00e1\" \/>\n<meta property=\"og:description\" content=\"Se brindan servicios integrales para pacientes hospitalizados y ambulatorios en la mayor\u00eda de las especialidades m\u00e9dicas...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.neuroandcriticalcare.com\/en\/servicios\/\" \/>\n<meta property=\"og:site_name\" content=\"Neuro and Critical Care\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-21T22:05:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/neuroandcriticalcare.com\/wp-content\/uploads\/2020\/02\/medint-1024x683.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"12 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.neuroandcriticalcare.com\/servicios\/\",\"url\":\"https:\/\/www.neuroandcriticalcare.com\/servicios\/\",\"name\":\"Servicios de atenci\u00f3n neurointensiva en Panam\u00e1\",\"isPartOf\":{\"@id\":\"https:\/\/www.neuroandcriticalcare.com\/#website\"},\"datePublished\":\"2020-02-10T03:20:03+00:00\",\"dateModified\":\"2021-05-21T22:05:36+00:00\",\"description\":\"Se brindan servicios integrales para pacientes hospitalizados y ambulatorios en la mayor\u00eda de las especialidades m\u00e9dicas...\",\"breadcrumb\":{\"@id\":\"https:\/\/www.neuroandcriticalcare.com\/servicios\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.neuroandcriticalcare.com\/servicios\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.neuroandcriticalcare.com\/servicios\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.neuroandcriticalcare.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Servicios\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.neuroandcriticalcare.com\/#website\",\"url\":\"https:\/\/www.neuroandcriticalcare.com\/\",\"name\":\"Neuro and Critical Care\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.neuroandcriticalcare.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Servicios de atenci\u00f3n neurointensiva en Panam\u00e1","description":"Se brindan servicios integrales para pacientes hospitalizados y ambulatorios en la mayor\u00eda de las especialidades m\u00e9dicas...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.neuroandcriticalcare.com\/en\/servicios\/","og_locale":"en_US","og_type":"article","og_title":"Servicios de atenci\u00f3n neurointensiva en Panam\u00e1","og_description":"Se brindan servicios integrales para pacientes hospitalizados y ambulatorios en la mayor\u00eda de las especialidades m\u00e9dicas...","og_url":"https:\/\/www.neuroandcriticalcare.com\/en\/servicios\/","og_site_name":"Neuro and Critical Care","article_modified_time":"2021-05-21T22:05:36+00:00","og_image":[{"url":"https:\/\/neuroandcriticalcare.com\/wp-content\/uploads\/2020\/02\/medint-1024x683.jpg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"12 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.neuroandcriticalcare.com\/servicios\/","url":"https:\/\/www.neuroandcriticalcare.com\/servicios\/","name":"Servicios de atenci\u00f3n neurointensiva en Panam\u00e1","isPartOf":{"@id":"https:\/\/www.neuroandcriticalcare.com\/#website"},"datePublished":"2020-02-10T03:20:03+00:00","dateModified":"2021-05-21T22:05:36+00:00","description":"Se brindan servicios integrales para pacientes hospitalizados y ambulatorios en la mayor\u00eda de las especialidades m\u00e9dicas...","breadcrumb":{"@id":"https:\/\/www.neuroandcriticalcare.com\/servicios\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.neuroandcriticalcare.com\/servicios\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.neuroandcriticalcare.com\/servicios\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.neuroandcriticalcare.com\/"},{"@type":"ListItem","position":2,"name":"Servicios"}]},{"@type":"WebSite","@id":"https:\/\/www.neuroandcriticalcare.com\/#website","url":"https:\/\/www.neuroandcriticalcare.com\/","name":"Neuro and Critical Care","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.neuroandcriticalcare.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/pages\/4351"}],"collection":[{"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/comments?post=4351"}],"version-history":[{"count":48,"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/pages\/4351\/revisions"}],"predecessor-version":[{"id":6039,"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/pages\/4351\/revisions\/6039"}],"wp:attachment":[{"href":"https:\/\/www.neuroandcriticalcare.com\/en\/wp-json\/wp\/v2\/media?parent=4351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}