{"id":113939,"date":"2013-12-03T00:00:00","date_gmt":"2013-12-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-las-variables-derivadas-del-eeg-como-indicadores-de-la-hipnosis-intraoperativa\/"},"modified":"2013-12-03T00:00:00","modified_gmt":"2013-12-03T00:00:00","slug":"evaluacion-de-las-variables-derivadas-del-eeg-como-indicadores-de-la-hipnosis-intraoperativa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/evaluacion-de-las-variables-derivadas-del-eeg-como-indicadores-de-la-hipnosis-intraoperativa\/","title":{"rendered":"Evaluaci\u00f3n de las variables derivadas del eeg como indicadores de la hipnosis intraoperativa"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alberto Martinez Ruiz <\/strong><\/h2>\n<p>Medir la profundidad anest\u00e9sica presenta un gran inter\u00e9s al evitar con ello los casos de despertar intraoperatorio que pueden conducir al s\u00edndrome de estr\u00e9s postraum\u00e1tico.Se ha analizado si los diferentes m\u00e9todosde an\u00e1lisis del eeg disponibles en la actualidad para su utilizaci\u00f3n intraoperatoria,como son el an\u00e1lisis espectral y la entrop\u00eda balanceada en tiempo y frecuencia,permiten la misma exactitud :1-diferenciar entre el estado de consciencia y anestesia de los pacientes 2-mantener la capacidad de discernir el plano anest\u00e9sico durante las diferentes fases del procedimiento quir\u00fargico(inducci\u00f3n,estimulaci\u00f3n nociceptiva,plano anest\u00e9sico quir\u00fargico,educci\u00f3n).Se incluyeron en el estudio todos los pacientes asa i-ii,intervenidos de forma consecutiva en los quir\u00f3fanos  programados de ginecolog\u00eda del hospital  universitario de cruces,con duraci\u00f3n inferior a 90\u00c2\u00bf,en el periodo de junio 2009 a marzo 2010.De entre 18 a 60 a\u00f1os de edad.Se confirma que el an\u00e1lisis espectraldel eeg posee una capacidad de discriminar el grado de consciencia de los pacientes inferior al an\u00e1lisis mediante la entrop\u00eda espectral.Las variables hemodin\u00e1micas no poseen valor en la diferenciaci\u00f3n entre consciencia e inconsciencia,a pesar de haber sido uno de los indicadores m\u00e1s utilizados durante mucho tiempo para profundizar o superficializar el plano anest\u00e9sico.Los par\u00e1metros del an\u00e1lisis espectral corregidos por la tasa de supresi\u00f3n no aportan m\u00e1s fiabilidad,que los par\u00e1metros cl\u00e1sicos.Los cocientes basados en la combinaci\u00f3n de la frecuencia r\u00e1pida y las frecuencias lentas no son mejor par\u00e1metro que la entrop\u00eda o las variables cl\u00e1sicas del an\u00e1lisis espectral para determinar el nivel de concienciaen la fase de despertar.El emg,ha resultado ser un buen par\u00e1metro discriminador del estado de consciencia. Los par\u00e1metros de la entrop\u00eda se y re no predicen de forma fiable los niveles de anest\u00e9sico halogenado utilizado.El uso combinado de par\u00e1metros del an\u00e1lisis espectral y la entrop\u00eda derivados de la se\u00f1al del eeg consiguen predecir correctamente el estado de consciencia e inconsciencia de los pacientesen m\u00e1s del 90% de los casos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n de las variables derivadas del eeg como indicadores de la hipnosis intraoperativa<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n de las variables derivadas del eeg como indicadores de la hipnosis intraoperativa <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alberto Martinez Ruiz <\/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 12\/03\/2013<\/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  Jose Goiriena De Gandarias<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Casis saenz <\/li>\n<li>Jos\u00e9 Antonio Zabala egurrola (vocal)<\/li>\n<li>Manuel Mu\u00f1oz gomez (vocal)<\/li>\n<li>isabel Villar fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alberto Martinez Ruiz Medir la profundidad anest\u00e9sica presenta un gran inter\u00e9s al evitar con ello los casos [&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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