{"id":133446,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efectos-hemodinamicos-del-isoflurano-tras-la-induccion-anestesica-en-enfermos-con-hipertension-pulmonar-por-estenosis-mitral\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"efectos-hemodinamicos-del-isoflurano-tras-la-induccion-anestesica-en-enfermos-con-hipertension-pulmonar-por-estenosis-mitral","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efectos-hemodinamicos-del-isoflurano-tras-la-induccion-anestesica-en-enfermos-con-hipertension-pulmonar-por-estenosis-mitral\/","title":{"rendered":"Efectos hemodinamicos del isoflurano tras la induccion anestesica en enfermos con hipertension pulmonar por estenosis mitral."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Julio Corti\u00f1as Diaz <\/strong><\/h2>\n<p>Introduccion: es muy escasa la informacion acerca de los efectos hemodinamicos del isoflurano en pacientes con hipertension pulmonar cronica por estenosis mitral.Material y metodo: estudiamos cincuenta pacientes con estenosis mitral y papm   30 mm hg. Aleatoriamente se seleccionaron veinticinco para administrar isoflurano (grupo iso) a una concentracion teleespiratoria del 1%; los restantes fueron grupo control (grupo con). Todos recibian ademas anestesia intravenosa. Se valoro frecuencia cardiaca (fc). Presiones medias en arteria pulmonar (papm) y radial (pam), venosa central (pvc) y de enclavamiento (peap). Indices sistolico (is), cardiaco (ic) y de trabajo sistolico ventricular derecho (itsvd) e izquierdo (itsvi) resistencias vasculares pulmonares (rvp), pulmonares totales (rpt) y sistemicas (rvs).  fracciones rvp\/rvs (rr) y itsvd\/itsvi (wr). Presion arterial de oxigeno (pao2) y saturacion venosa mixta (svo2) en los siguientes momentos: tras inducir la anestesia (basal); con y sin isoflurano (dec); y tras aumento y descenso de precarga (tren y a-tren).  resultados: el isoflurano no afecto fc, pvc ni peap. El ic disminuyo discretamente; en \u00abtren\u00bb aumento menos; en \u00aba tren\u00bb fue similar. Las rvp disminuyeron discretamente y proporcionalmente menos que las rvs. La papm descendio levemente y la pam considerablemente. Los itsvd e itsvi disminuyeron y proporcionalmente mas en el ventriculo izquierdo.  conclusiones: el isoflurano se comporta como discreto vasodilatador pulmonar e importante vasodilatador sistemico. Disminuye el ic pero menos con precargas bajas. Mantiene atenuada la respuesta barorrefleja. No parece un farmaco ideal para la anestesia de estos pacientes aunque con estos resultados su uso no esta formalmente contraindicado.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efectos hemodinamicos del isoflurano tras la induccion anestesica en enfermos con hipertension pulmonar por estenosis mitral.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efectos hemodinamicos del isoflurano tras la induccion anestesica en enfermos con hipertension pulmonar por estenosis mitral. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Julio Corti\u00f1as Diaz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Santiago de compostela<\/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>Jos\u00e9 Benito Garcia Bengoechea Gonzalez Moro<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Angel Ca\u00ednzos Fern\u00e1ndez <\/li>\n<li>Francisco Gonz\u00e1lez Ru\u00edz (vocal)<\/li>\n<li>Francisco Lopez Timoneda (vocal)<\/li>\n<li>C. Ponte J. (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Julio Corti\u00f1as Diaz Introduccion: es muy escasa la informacion acerca de los efectos hemodinamicos del isoflurano en [&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":[1569,9,141,2189,977],"tags":[247431,2776,5896,2976,247430,9753],"class_list":["post-133446","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","category-santiago-de-compostela","tag-c-ponte-j","tag-francisco-gonzalez-ruiz","tag-francisco-lopez-timoneda","tag-jose-benito-garcia-bengoechea-gonzalez-moro","tag-julio-cortinas-diaz","tag-miguel-angel-cainzos-fernandez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/133446","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=133446"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/133446\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=133446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=133446"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=133446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}