{"id":11347,"date":"2018-03-09T08:56:38","date_gmt":"2018-03-09T08:56:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ventilacion-liquida-parcial-con-perfluorocarbono-en-el-sindromo-de-distres-respiratorio-tras-el-traumatismo-termico\/"},"modified":"2018-03-09T08:56:38","modified_gmt":"2018-03-09T08:56:38","slug":"ventilacion-liquida-parcial-con-perfluorocarbono-en-el-sindromo-de-distres-respiratorio-tras-el-traumatismo-termico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ventilacion-liquida-parcial-con-perfluorocarbono-en-el-sindromo-de-distres-respiratorio-tras-el-traumatismo-termico\/","title":{"rendered":"Ventilacion liquida parcial con perfluorocarbono en el sindromo de distres respiratorio tras el traumatismo termico"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Lozano Orella Jos\u00e9 Angel <\/strong><\/h2>\n<p>Introduccion:en la actualidad, los factores pron\u00f3sticos m\u00e1s importantes de la mortalidad tras el traumatismo t\u00e9rmico son la extensi\u00f3n y severidad de la quemadura, la edad y la presencia de lesiones pulmonares. Las complicaciones respiratorias emergen como primer determinante de la morbi-mortalidad en pacientes quemados.  material y metodos: estudio prospectivo, randomizado, casos-control sobre 45 conejos neozelandeses en los que se provoca una quemadura por escaldadura del 40% de espesor total. A la media hora se induce distr\u00e9s respiratorio de forma experimental mediante lavados broncoalveolares con suero salino(pao2&lt;50 mmhg). Se instaura ventilaci\u00f3n mecanica convencional(vol tidal 12ml\/kg, frec. Resp. 30 c\/min, peep 6 cmh2o). Quince conejos mantienen dichos par\u00e1metros en la totalidad de la experiencia. A los 30 restantes se instila endotraquealmente diferentes dosis de perfluorocarbono (9,15 ml\/kg).  resultados: en los grupos tratados con perfluorocarbono la pao2 se increment\u00f3 de forma significativa (p&lt;0,05) de una forma dosis dependiente. As\u00ed mismo mejoro la distensibilidad pulmonar y se redujeron las presiones de via respiratoria (p&lt;0,05). Hemodin\u00e1micamente no existen alteraciones significativas en ning\u00fan grupo en la frec. Cardiaca y p. Arterial media. La histolog\u00eda revel\u00f3 un menor grado de hemorragia intraalveolar y edema intersticial en los grupos tratados con perfluorocarbono.  discusion: la ventilaci\u00f3n liquida parcial con perfluorocarbono se ha mostrado como una alternativa terap\u00e9utica importante para mejorar el distres respiratorio agudo.  conclusiones: este estudio demuestra 4 puntos de interes en relaci\u00f3n al soporte ventilatorio del paciente quemado. Primero, sugiere la mejoria de intercambio gaseoso con la instilaci\u00f3n endotraqueal de perfluorocarbono. segundo, la distensibilidad pulmonar aumenta y las presiones de via respiratoria disminuyen. Tercero, la hemodin\u00e1mica sistemica no se encuentra afect<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ventilacion liquida parcial con perfluorocarbono en el sindromo de distres respiratorio tras el traumatismo termico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ventilacion liquida parcial con perfluorocarbono en el sindromo de distres respiratorio tras el traumatismo termico <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Lozano Orella Jos\u00e9 Angel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/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>Antonio  Luis Bazan Alvarez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Herreros gonzalez <\/li>\n<li>Francisco Jos\u00e9 Martelo villar (vocal)<\/li>\n<li>c\u00e9sar Casado p\u00e9rez (vocal)<\/li>\n<li>jokin de Irala estevez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lozano Orella Jos\u00e9 Angel Introduccion:en la actualidad, los factores pron\u00f3sticos m\u00e1s importantes de la mortalidad tras el [&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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