{"id":11492,"date":"2018-03-09T08:56:53","date_gmt":"2018-03-09T08:56:53","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-del-indice-biespectral-en-la-monotorizacion-de-la-conciencia-durante-la-anestesia-general\/"},"modified":"2018-03-09T08:56:53","modified_gmt":"2018-03-09T08:56:53","slug":"utilidad-del-indice-biespectral-en-la-monotorizacion-de-la-conciencia-durante-la-anestesia-general","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-del-indice-biespectral-en-la-monotorizacion-de-la-conciencia-durante-la-anestesia-general\/","title":{"rendered":"Utilidad del indice biespectral en la monotorizaci\u00f3n de la conciencia durante la anestesia general"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Rubio Romero <\/strong><\/h2>\n<p>La monitorizaci\u00f3n de la profundidad de hipnosis durante la anestesia general se emplea para reducir los episodios de despertar intraoperatorio y ajustar la dosificaci\u00f3n de hipn\u00f3ticos durante el intraoperatorio. Un monitor de profundidad de hipnosis basado en variables procesadas del eeg, indice biespectral (bis), es objeto de estudio.  objetivos  1\u00c2\u00ba evaluar el grado de acuerdo observado durante la anestesia general entre dos sistemas de monitorizaci\u00f3n de la conciencia, signos cl\u00ednicos frente a \u00edndice biespectral.  2\u00c2\u00ba comparar el consumo de agentes anest\u00e9sicos, propofol o sevoflurano, seg\u00fan el m\u00e9todo de monitorizaci\u00f3n de la conciencia empleado durante el mantenimiento de la anestesia, signos cl\u00ednicos o bis.  3\u00c2\u00ba comparar los tiempos de recuperaci\u00f3n anest\u00e9sica y de alta de la unidad de reanimaci\u00f3n postanest\u00e9sica, seg\u00fan el m\u00e9todo de monitorizaci\u00f3n de la conciencia utilizado en la anestesia.  material y m\u00e9todos  estudio prospectivo en 80 pacientes para cirug\u00eda de c.Cervical y lumbar. en los grupos i y ii, se monitoriz\u00f3 el nivel conciencia con los signos cl\u00ednicos habituales, y se dosificaron los hipn\u00f3ticos seg\u00fan cl\u00ednica, adem\u00e1s los pacientes fueron monitorizados con bis, cuyos valores desconoc\u00eda el anestesi\u00f3logo responsable. En los grupos iii y iv, se monitoriz\u00f3 la conciencia con bis, y se dosificaron los hipn\u00f3ticos para mantener el bis entre 45-55. la inducci\u00f3n fue igual en todos los grupos: atropina, fentanilo, propofol y succinilcolina. El mantenimiento anest\u00e9sico se hizo con propofol en perfusi\u00f3n, t.C.I a 3 + &#8211; 0,2 ug\/ml en los g-i-iii, y sevolflurano, 0,8-2% + &#8211; 0,25% en los g.Ii-iv. Se utiliz\u00f3 monitorizaci\u00f3n est\u00e1ndar y para el \u00edndice biespectral se emple\u00f3 el monitor a-2000 de aspect medical. Se registraron los episodios de anestesia insuficiente observados seg\u00fan el m\u00e9todo de monitorizaci\u00f3n, los consumos de f\u00e1rmacos y los tiempos de recuperaci\u00f3n anest\u00e9sica en quir\u00f3fano y al alta de la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad del indice biespectral en la monotorizaci\u00f3n de la conciencia durante la anestesia general<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad del indice biespectral en la monotorizaci\u00f3n de la conciencia durante la anestesia general <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Rubio Romero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/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: Mar\u00eda sol Carrasco jim\u00e9nez <\/li>\n<li> Marienco de la fuente Mar\u00eda  Luisa (vocal)<\/li>\n<li>arnau d\u00edaz G\u00f3mez (vocal)<\/li>\n<li>Fernando Caba barrientos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Rubio Romero La monitorizaci\u00f3n de la profundidad de hipnosis durante la anestesia general se emplea para [&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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