{"id":11332,"date":"2018-03-09T08:56:37","date_gmt":"2018-03-09T08:56:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-del-tratamiento-preoperatorio-con-lanreotida-en-la-disminucion-del-riesgo-anestesico-de-los-pacientes-acromegalicos-sometidos-a-ciruga%c2%ada-transesfenoidal\/"},"modified":"2018-03-09T08:56:37","modified_gmt":"2018-03-09T08:56:37","slug":"eficacia-del-tratamiento-preoperatorio-con-lanreotida-en-la-disminucion-del-riesgo-anestesico-de-los-pacientes-acromegalicos-sometidos-a-ciruga%c2%ada-transesfenoidal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/eficacia-del-tratamiento-preoperatorio-con-lanreotida-en-la-disminucion-del-riesgo-anestesico-de-los-pacientes-acromegalicos-sometidos-a-ciruga%c2%ada-transesfenoidal\/","title":{"rendered":"Eficacia del tratamiento preoperatorio con lanreotida en la disminuci\u00f3n del riesgo, anest\u00e9sico de los pacientes acromeg\u00e1licos sometidos a cirugia transesfenoidal"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Peral Garc\u00eda Ana Isabel <\/strong><\/h2>\n<p>El objetivo de la tesis fue evaluar la eficacia del tratamiento preoperatorio con lanre\u00f3tida en la disminuci\u00f3n del riesgo anest\u00e9sico de los pacientes acromag\u00e1licos sometidos a cirug\u00eda transesfenoidal. Para ello se realiz\u00f3 un estudio observacional, longuitud y prospectivo, en una serie de 17 pacientes portadores de un tumor hipofisario secretor de gh, con indicaci\u00f3n de cirug\u00eda transesfenoidal. A todos ellos se les administraron 3 dosis de lanre\u00f3tida, 30 mg im en el preoperatorio, y se les intervino posteriormente. Se evaluaron las alteraciones respiratorias y cardiovasculares asociadas a la acromegalia y sus cambios con dicho tratamiento, mediante las siguientes exploraciones: estudio morfol\u00f3gico de la v\u00eda a\u00e9rea superior por nasofibroscopia: estudio de las alteraciones respiratorias del sue\u00f1o, pruebas de funci\u00f3n respiratoria, medida de presi\u00f3n arterial, y ecocardiograma. Todas ellas fueron realizadas antes y despu\u00e9s del tratamiento con lanre\u00f3tida. Por \u00faltimo, durante la anestesia, se recogieron los datos referentes al manejo de la v\u00eda a\u00e9rea.  entre los resultados obtenidos destacan: una regresi\u00f3n significativa del crecimiento de partes blandas a nivel de la v\u00eda a\u00e9rea superior: una mejor\u00eda importante en las alteraciones respiratorias del sue\u00f1o; y una incidencia de laringoscopia e intubaci\u00f3n dif\u00edciles inferior a la publicada en series de acromeg\u00e1licos anestesiados sin tratamiento preoperatorio.  por todo ello se concluye que el tratamiento preoperatorio con an\u00e1logos de la somatostatina mejora el estado f\u00edsico de estos pacientes y estar\u00eda indicado, al menos en los acsos con s\u00edndrome de apnea obstructiva del sue\u00f1o y en los que se prevea dificultad de intubaci\u00f3n.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia del tratamiento preoperatorio con lanreotida en la disminuci\u00f3n del riesgo, anest\u00e9sico de los pacientes acromeg\u00e1licos sometidos a cirugia transesfenoidal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia del tratamiento preoperatorio con lanreotida en la disminuci\u00f3n del riesgo, anest\u00e9sico de los pacientes acromeg\u00e1licos sometidos a cirugia transesfenoidal <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Peral Garc\u00eda Ana Isabel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/06\/2001<\/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>Tom\u00e1s Lucas Morante<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: valent\u00edn Cuervas-mons mart\u00ednez <\/li>\n<li>aniceto Luis Charro salgado (vocal)<\/li>\n<li>balbino Barcelo lucerna (vocal)<\/li>\n<li> Casta\u00f1edo casado fco. Javier (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Peral Garc\u00eda Ana Isabel El objetivo de la tesis fue evaluar la eficacia del tratamiento preoperatorio con [&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":[9,141],"tags":[6462,14459,37249,37247,37248,29649],"class_list":["post-11332","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","tag-aniceto-luis-charro-salgado","tag-balbino-barcelo-lucerna","tag-castanedo-casado-fco-javier","tag-peral-garcia-ana-isabel","tag-tomas-lucas-morante","tag-valentin-cuervas-mons-Martinez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/11332","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=11332"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/11332\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=11332"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=11332"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=11332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}