{"id":112949,"date":"2012-04-07T00:00:00","date_gmt":"2012-04-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/monitorizacion-avanzada-en-el-posoperatorio-de-las-cardiopata%c2%adas-congenitas\/"},"modified":"2012-04-07T00:00:00","modified_gmt":"2012-04-07T00:00:00","slug":"monitorizacion-avanzada-en-el-posoperatorio-de-las-cardiopata%c2%adas-congenitas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cuidados-intensivos\/monitorizacion-avanzada-en-el-posoperatorio-de-las-cardiopata%c2%adas-congenitas\/","title":{"rendered":"Monitorizaci\u00f3n avanzada en el posoperatorio de las cardiopat\u00edas cong\u00e9nitas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Javier Gil Anton <\/strong><\/h2>\n<p>El sometimiento de pacientes pedi\u00e1tricos a  procedimientos quir\u00fargicos bajo cirug\u00eda extracorp\u00f3rea destinados a corregir cardiopat\u00edas cong\u00e9nitas puede producir una situaci\u00f3n de bajo gasto cardiaco (gc) que puede asociar secuelas fundamentalmente neurol\u00f3gicas. Monitorizar adecuadamente el gc permitir\u00eda detectar precozmente su deterioro, valorar  la respuesta al tratamiento y as\u00ed  mejorar el pron\u00f3stico. Dos nuevas tecnolog\u00edas: termodiluci\u00f3n transpulmonar (tdtp)  y espectroscopia cercana al infrarrojo (nirs), nos permiten nuevos abordajes en la monitorizaci\u00f3n hemodin\u00e1mica en las \u00e1reas de cuidados intensivos pedi\u00e1tricos y pudieran ser especialmente \u00fatiles en el manejo posoperatorio de cardiopat\u00edas cong\u00e9nitas.Estudio: prospectivo observacionalresultados: se monitorizaron 35 pacientes  mediante termodiluci\u00f3n (piccor) y 17 de los de peso menor a 10 kg mediante espectroscopia cerebral y som\u00e1tica (invosr) sin complicaciones. Conclusiones: los nuevos dispositivos son aplicables. La tdtp precisa recalibraciones frecuentes. Se establecen valores de tdtp que asocian mejor pron\u00f3stico. Se confirma el valor del nirs respecto a la saturaci\u00f3n venosa central de ox\u00edgeno, adem\u00e1s es capaz de detectar el bajo gasto cardiaco. Se precisan estudios con mayor n\u00famero de pacientes que confirmen estos resultados<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Monitorizaci\u00f3n avanzada en el posoperatorio de las cardiopat\u00edas cong\u00e9nitas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Monitorizaci\u00f3n avanzada en el posoperatorio de las cardiopat\u00edas cong\u00e9nitas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Javier Gil Anton <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/07\/2012<\/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>Juan  Carlos Vitoria Cormenzana<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pablo Sanjurjo crespo <\/li>\n<li>corsino Rey gal\u00e1n (vocal)<\/li>\n<li>Jes\u00fas Lopez-herce cid (vocal)<\/li>\n<li>Juan  Antonio Tovar larrueca (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Javier Gil Anton El sometimiento de pacientes pedi\u00e1tricos a procedimientos quir\u00fargicos bajo cirug\u00eda extracorp\u00f3rea destinados a corregir [&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 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