{"id":10234,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/valor-de-la-monitorizacion-de-oximetria-y-del-trazado-electrocardiografico-en-la-endoscopia-digestiva\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"valor-de-la-monitorizacion-de-oximetria-y-del-trazado-electrocardiografico-en-la-endoscopia-digestiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-de-la-monitorizacion-de-oximetria-y-del-trazado-electrocardiografico-en-la-endoscopia-digestiva\/","title":{"rendered":"Valor de la monitorizacion de oximetria y del trazado electrocardiografico en la endoscopia digestiva."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Guillermo Alcain Martinez <\/strong><\/h2>\n<p>La hipoxemia en la endoscopia es un efecto indeseable frecuente cuyas consecuencias inmediatas o tardias son dificiles de cuantificar. La desaturacion de o2 medida con pulsioximetria puede afectar al 80% de los sujetos sedados y al 9-41% de los no sedados. En espa\u00f1a la mayoria de las exploraciones se realizan sin sedacion farmacologica. Es razonable pensar que la monitorizacion estrecha de los parametros cardiorrespiratorios mediante pulsioximetria ayude a identificar y tratar precozmente las complicaciones de esta indole. Numerosos estudios han buscado factores relacionados con la hipoxemia en la endoscopia, pero la mayoria de estos se han realizado con pacientes sedados. Los objetivos del presente estudio han sido: 1.- Determinar los episodios de hipoxemia durante la endoscopia oral sin sedacion farmacologica. 2.- estudiar la frecuencia y gravedad de los episodios de hipoxemia detectados. 3.- Identificar los factores relacionados con la hipoxemia. 4.- Desarrollar un modelo multivariante que permita predecir que pacientes desarrollaran hipoxemia durante la gastroscopia sin sedacion. 5.- Evaluar las posibles relaciones de algunos factores de indole psicologica con diferentes parametros de monitorizacion y tolerancia. Material y metodos: 481 pacientes sometidos a endoscopia oral fueron monitorizados con pulsioximetria durante la exploracion.  se recogieron datos referentes a variables demograficas, caracteristicas clinicas y patologicas de los sujetos, asi como a la exploracion endoscopica y monitorizacion. A 52 pacientes se les realizaron cuestionarios psicologicos referentes a ansiedad, autoconfianza y personalidad.  resultados. El 69.9% de los sujetos presentaron una sao2 minima =95%, el 23.7% entre el 90 y 94% y el 6.4% &lt; 90%. Las variables que se relacionaron significativamente con la desaturacion fueron: procedencia hospitalaria, edad, talla, indice de masa corporal, patolog\u00eda respiratoria, cirrosis hepatica, cardiopati<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor de la monitorizacion de oximetria y del trazado electrocardiografico en la endoscopia digestiva.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor de la monitorizacion de oximetria y del trazado electrocardiografico en la endoscopia digestiva. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Guillermo Alcain Martinez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Alipio Mangas Rojas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Eduardo Zamora Mudaria <\/li>\n<li>Raul Jes\u00fas Andrade Bellido (vocal)<\/li>\n<li>Jes\u00fas Millan Nu\u00f1ez Cortes (vocal)<\/li>\n<li>Pablo Roman Rodriguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Guillermo Alcain Martinez La hipoxemia en la endoscopia es un efecto indeseable frecuente cuyas consecuencias inmediatas o [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1506,9,491,139],"tags":[1882,34415,34414,1552,10996,4063],"class_list":["post-10234","post","type-post","status-publish","format-standard","hentry","category-cadiz","category-ciencias-medicas","category-gastroenterologia","category-medicina-interna","tag-alipio-mangas-rojas","tag-eduardo-zamora-mudaria","tag-guillermo-alcain-Martinez","tag-jesus-millan-nunez-cortes","tag-pablo-roman-rodriguez","tag-raul-jesus-andrade-bellido"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10234","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=10234"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/10234\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=10234"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=10234"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=10234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}