{"id":11440,"date":"2018-03-09T08:56:48","date_gmt":"2018-03-09T08:56:48","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/avances-en-anestesia-total-intravenosa-sistemas-de-infusion-controlados-por-ordenador-tci\/"},"modified":"2018-03-09T08:56:48","modified_gmt":"2018-03-09T08:56:48","slug":"avances-en-anestesia-total-intravenosa-sistemas-de-infusion-controlados-por-ordenador-tci","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/avances-en-anestesia-total-intravenosa-sistemas-de-infusion-controlados-por-ordenador-tci\/","title":{"rendered":"Avances en anestesia total intravenosa: sistemas de infusi\u00f3n controlados por ordenador (tci)"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Herrera Saval Juan  Carlos <\/strong><\/h2>\n<p>Introducci\u00f3n  los sistemas tci (target controlled infusion) son jeringas automatizadas para administraci\u00f3n de propofol, controladas por ordenador, y que pretenden conseguir una concentraci\u00f3n plasm\u00e1tica estimada del f\u00e1rmaco, tratando de evitar episodios de sub o sobre-dosificaciones.  objetivos  tratamos de evaluar los resultados de la t\u00e9cnica anest\u00e9sica de propofol administrado en sistema tci m\u00e1s opi\u00e1ceos a dosis bajas y constatar que los modelos matem\u00e1ticos propuestos de interacci\u00f3n entre propofol y opi\u00e1ceos son aplicables a nuestra poblaci\u00f3n de pacientes.  pacientes y m\u00e9todos  evaluamos los resultados obtenidos en 149 pacientes sometidos a diversas intervenciones de cirug\u00eda general cardio-tor\u00e1cica, anestesiados con el sistema diprifusor y a los que se les administraron distintos opi\u00e1ceos (fentanilo, alfentanilo y remifentanilo) a dosis bajas. Hemos analizado las concentraciones plasm\u00e1ticas estimadas de propofol (cp) requeridas a lo largo de la intervenci\u00f3n, consumos totales de propofol, dosificaci\u00f3n de opi\u00e1ceos, modificaciones hemodin\u00e1micas, tiempos de despertar y la influencia que han podido ejercer factores como el tipo de cirug\u00eda, duraci\u00f3n de la intervenci\u00f3n, obesidad, tiempo de inducci\u00f3n y el tipo de opi\u00e1ceo en los requerimientos de propofol.  resultados  los promedios de las cp de propofol requeridas para la inducci\u00f3n y de las dosificaciones totales de opi\u00e1ceos han sido respectivamente: 3.5 ug\/ml y 0.620 ug\/kg\/min con fentanilo; 3.4 ug\/ml y 0.968 ug\/kg\/min con alfentanilo; y 2.9 ug\/ml y 0.237 ug\/kg\/min con remifentanilo. Las dosis totales de propofol son proporcionalmente menores en los pacientes sometidos a intervenciones m\u00e1s prolongadas, en los intervendios de cirug\u00eda cardio-tor\u00e1cica y cuando el opi\u00e1ceo administrado es remifentanilo, aunque no se ven modificados por el sobrepeso. Los tiempos de inducci\u00f3n no han influido sobre los resultados hemodin\u00e1micos. Los tiempo de despertar reales<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Avances en anestesia total intravenosa: sistemas de infusi\u00f3n controlados por ordenador (tci)<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Avances en anestesia total intravenosa: sistemas de infusi\u00f3n controlados por ordenador (tci) <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Herrera Saval Juan  Carlos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/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>Mar\u00eda no De Las Mulas  Bejar<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Malda felipe Miguel angel <\/li>\n<li>Manuel Otero gonz\u00e1lez (vocal)<\/li>\n<li>enrique Vaz hern\u00e1ndez (vocal)<\/li>\n<li>Manuel P\u00e9rez rodr\u00edguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Herrera Saval Juan Carlos Introducci\u00f3n los sistemas tci (target controlled infusion) son jeringas automatizadas para administraci\u00f3n de [&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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