{"id":133019,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/modelo-predictivo-de-la-desaturacion-de-oxigeno-en-el-postoperatorio-inmediato-ulitilizando-la-pulsioximetria\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"modelo-predictivo-de-la-desaturacion-de-oxigeno-en-el-postoperatorio-inmediato-ulitilizando-la-pulsioximetria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/modelo-predictivo-de-la-desaturacion-de-oxigeno-en-el-postoperatorio-inmediato-ulitilizando-la-pulsioximetria\/","title":{"rendered":"Modelo predictivo de la desaturacion de oxigeno en el postoperatorio inmediato ulitilizando la pulsioximetria."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Forcano Lloveras <\/strong><\/h2>\n<p>La elevada incidencia de errores humanos y mecanicos, en los que se implican factores cardio-respiratorios que desencadenan alteraciones hipoxicas graves, nos ha llevado al desarrollo de la monitorizacion de la oxigenacion. La pulsioximetria, la mas extendida entre ellas, es una tecnica simple incruenta continua y fiable de monitorizacion, y figura entre las recomendaciones de la sedar (standard ii).  partiendo del perfil clinico y de la intervencion propuesta podemos elaborar una prediccion matematica del comportamiento del enfermo en la primera hora del postoperatorio.  se estudian 309 pacientes distribuidos en dos grupos: uno de control con 178 pacientes, que no recibe oxigenoterapia; y otro de estudio con 131 pacientes, que recibe oxigenoterapia (fio2 28% 4 lxmin) hasta los 45 minutos del postoperatorio. Ambos grupos se controlan cada 5 minutos, y hasta los 60 minutos para observar los efectos de la retirada del oxigeno. Durante el traslado a la sala de reanimacion no se administra oxigenoterapia.  se admiten pacientes intervenidos con anestesia general balanceada, de cualquier edad, sin limite de tiempo operatorio, tanto urgentes como programados, con y sin cicatriz cutanea. Excluimos cirugias toracica y cardiaca, pacientes con hiperbilirrubinemias, crisis asmaticas postoperatorias y cambios de grupo por necesidad de oxigenoterapia. Se codifican las variables recogidas, calculamos la variable desa=desaturacion respecto de la basal preoperatoria y desapat=sat o2 menor o igual que 92% y el porcentaje de sobrepeso. Aplicamos el modelo de regresion logistica multiple (setwise) para elaborar el modelo predictivo con la formula:  p = pr(y=1\/x1 x2 &#8230; Xp) probabilidad de que un individuo con el perfil x1,x2,&#8230;,Xp no desature.  los momentos de maxima desaturacion se presentan en los primeros 10 minutos del postoperatorio inmediato y en el momento del traslado a la sala de reanimacion.  las variables predictivas de riesgo son<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Modelo predictivo de la desaturacion de oxigeno en el postoperatorio inmediato ulitilizando la pulsioximetria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Modelo predictivo de la desaturacion de oxigeno en el postoperatorio inmediato ulitilizando la pulsioximetria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Forcano Lloveras <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/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>Mauricio Pacheco Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Angel Nalda Felipe <\/li>\n<li> Gonzalez Machado Juan  J. (vocal)<\/li>\n<li>Carmen Gomar Sancho (vocal)<\/li>\n<li>Antonio Montero Matamala (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Forcano Lloveras La elevada incidencia de errores humanos y mecanicos, en los que se implican factores [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1569,951,9,141],"tags":[246954,68753,11498,246955,100406,1093],"class_list":["post-133019","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-barcelona","category-ciencias-medicas","category-cirugia","tag-antonio-forcano-lloveras","tag-antonio-montero-matamala","tag-carmen-gomar-sancho","tag-gonzalez-machado-juan-j","tag-mauricio-pacheco-garcia","tag-miguel-angel-nalda-felipe"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/133019","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=133019"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/133019\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=133019"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=133019"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=133019"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}