{"id":12897,"date":"2018-03-09T08:58:58","date_gmt":"2018-03-09T08:58:58","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/comparacion-de-la-eficacia-de-las-tecnicas-de-analgesia-epidrual-y-pautada-en-ciruga%c2%ada-pediatrica\/"},"modified":"2018-03-09T08:58:58","modified_gmt":"2018-03-09T08:58:58","slug":"comparacion-de-la-eficacia-de-las-tecnicas-de-analgesia-epidrual-y-pautada-en-ciruga%c2%ada-pediatrica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/comparacion-de-la-eficacia-de-las-tecnicas-de-analgesia-epidrual-y-pautada-en-ciruga%c2%ada-pediatrica\/","title":{"rendered":"Comparaci\u00f3n de la eficacia de las tecnicas de analgesia epidrual y pautada en cirugia pediatrica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Cruz L\u00f3pez Garc\u00eda <\/strong><\/h2>\n<p>En el presente estudio se realiza un an\u00e1lisis sobre la eficacia analg\u00e9sica de las t\u00e9cnicas pautada y epidural, as\u00ed como una comparaci\u00f3n de la eficacia de ambas t\u00e9cnicas, en ni\u00f1os de edades comprendidas entre 1 y 19 a\u00f1os, atendidos en el servicio de cirug\u00eda infantil del hospital virgen de la nieves de granada.  se establecen dos grupos experimentales: pautado al que se analgesia con metamizol magn\u00e9sico intravenoso durante 24 horas (20 mg\/kg\/8 horas) y el grupo epidural sometido a uan inyecci\u00f3n epidural durante 24 horas de una mezcla de tramadol (1 mg\/ml) y bupivacaina al 0,125% (0,3 ml\/kg\/h.).  en ambos grupos experimentales se realizaron tres extracciones de sangre en el momento preoperatorio, a la hora y a las 24 horas de intervenci\u00f3n quir\u00fargica, determinando en los tres momentos experimentales los niveles plasm\u00e1ticos de acth, cortisol, noradrenalina y beta-endorfina. Asimismo se registr\u00f3 en cada momento experimental el valor de la tensi\u00f3n arterial sist\u00f3lica y diast\u00f3lica y la frecuencia cardiaca. El dolor experimentado por el paciente se cuantific\u00f3 mediante la escala analogico-visual (test autorreferido) y mediante el test de hanallah (test observacional).  ambas t\u00e9cnicas analg\u00e9sicas reducen de forma estad\u00edsticamente significativa el dolor experimentado por los pacientes, manteniendolo en niveles de pr\u00e1ctica ausencia del mismo a lo largo del periodo experimental. No obstante la reducci\u00f3n es de mayor entidad y el nviel de dolor es m\u00e1s bajo en el grupo epidural que en el grupo pautado.  en el grupo pautado se produce una elevaci\u00f3n estadisticamente significativa de los niveles plasm\u00e1ticos de las hormonas considerads, mientras que en el grupo epidural no hay variaci\u00f3n de los niveles plasm\u00e1ticos de las hormonas durante todo el periodo experimental.  los datos de valoraci\u00f3n del dolor as\u00ed como la respuesta hormonal permiten concluir que el estr\u00e9s asociado a la intervenci\u00f3n quir\u00fargica esta ausente en el gru<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Comparaci\u00f3n de la eficacia de las tecnicas de analgesia epidrual y pautada en cirugia pediatrica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Comparaci\u00f3n de la eficacia de las tecnicas de analgesia epidrual y pautada en cirugia pediatrica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Cruz L\u00f3pez Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/09\/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>Miguel Moreno Prieto<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Baeyens cabrera <\/li>\n<li>Jos\u00e9 Manuel Llamas elvira (vocal)<\/li>\n<li>Santiago SanJuan  rodr\u00edguez (vocal)<\/li>\n<li>Rafael Galvez mateos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Cruz L\u00f3pez Garc\u00eda En el presente estudio se realiza un an\u00e1lisis sobre la eficacia analg\u00e9sica 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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