{"id":13348,"date":"2018-03-09T08:59:35","date_gmt":"2018-03-09T08:59:35","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-del-barotrauma-de-oido-medio-en-pacientes-sometidos-a-tratamiento-con-oxigenoterapia-hiperbarica\/"},"modified":"2018-03-09T08:59:35","modified_gmt":"2018-03-09T08:59:35","slug":"estudio-del-barotrauma-de-oido-medio-en-pacientes-sometidos-a-tratamiento-con-oxigenoterapia-hiperbarica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-del-barotrauma-de-oido-medio-en-pacientes-sometidos-a-tratamiento-con-oxigenoterapia-hiperbarica\/","title":{"rendered":"Estudio del barotrauma de oido medio en pacientes sometidos a tratamiento con oxigenoterapia hiperbarica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> F\u00e9lix D\u00edaz Caparros <\/strong><\/h2>\n<p>La oxigenoterapia hiperbarica es una modalidad del tratamiento con numerosas aplicaciones cl\u00ednicas. El aumento de presi\u00f3n atmosf\u00e9rica, la inhalaci\u00f3n de ox\u00edgeno o el efecto combinado producen un incremento considerable del o2 disuelto en plasma; pero ese aumento de presi\u00f3n atmosf\u00e9rica en c\u00e1mara cerrada tiene un efecto secundario muy frecuente: el barotrauma de oido medio.  objetivos  conocer la preValencia y cl\u00ednica del barotrauma de oido medio en pacientes bajo tratamiento con ox\u00edgeno hiperb\u00e1rico. Describir las asociaciones observadas entre s\u00edntomas-signos previos y durante el tratamiento versus los barotraumas que se originan en la poblaci\u00f3n estudiada. Correlacionar signos, s\u00edntomas, test de williams y otoscopia.Analizar la rentabilidad cl\u00ednica de las pruebas.  material y m\u00e9todo  estudio prospectivo en pacientes de la c\u00e1mara hiperb\u00e1rica del santo y real hospital de caridad de cartagena. La muestra son 84 oidos. Se realiza anamnesis y estudio mediante test de williams, con impedianci\u00f3metro auidiotest 426 modelos az26. Las mediciones se realizan primero, s\u00e9ptimo y decimoquinto d\u00eda, diagnostic\u00e1ndose el barotrauma por otoscopia y clasific\u00e1ndose seg\u00fan la escala de tedd modificada.  resultados  de los 84 oidos evaluados, 61(72,61%) sufrieron alg\u00fan tipo de barotrauma . En 8 oidos (13,11%) fue necesario la realizaci\u00f3n de miringotom\u00eda y tubos de ventilaci\u00f3n y 53 oidos (86,88%) recibieron tratamiento m\u00e9dico.La incidencia del barotrauma fue mayor en el segundo control, lo que coincide con un empeoramiento de la funcion turb\u00e1rica. Se detecta un alta asociaci\u00f3n entre otoscopia y prueba de la funci\u00f3n tub\u00e1rica de williams.El an\u00e1lisis de los resultados mediante el c\u00e1lculo coste-efectividad diagn\u00f3stico-terap\u00e9utico medio y el incremental de pacientes tratados con ox\u00edgeno hiperg\u00e1rico y sometidos al screening \u00abotoscopia-test de williams\u00bb evidencia muy rentable la alternativa a, consistente en excluir inicialment<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio del barotrauma de oido medio en pacientes sometidos a tratamiento con oxigenoterapia hiperbarica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio del barotrauma de oido medio en pacientes sometidos a tratamiento con oxigenoterapia hiperbarica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 F\u00e9lix D\u00edaz Caparros <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/10\/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>Francisco Rodr\u00edguez Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jorge Basterra alegria <\/li>\n<li>enrique Viviente rodriguez (vocal)<\/li>\n<li>Miguel Armengot carceller (vocal)<\/li>\n<li>Juan  Antonio Cavas moreno (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de F\u00e9lix D\u00edaz Caparros La oxigenoterapia hiperbarica es una modalidad del tratamiento con numerosas aplicaciones cl\u00ednicas. El aumento [&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":[155,9,8235,1226],"tags":[43364,43363,30900,27159,43366,43365],"class_list":["post-13348","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-murcia","category-otorrinolaringologia","tag-enrique-viviente-rodriguez","tag-felix-diaz-caparros","tag-francisco-rodriguez-garcia","tag-jorge-basterra-alegria","tag-juan-antonio-cavas-moreno","tag-miguel-armengot-carceller"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/13348","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=13348"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/13348\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=13348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=13348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=13348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}