{"id":135360,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ventilacion-nasal-nocturna-con-bipaps-en-la-enfermedad-pulmonar-obstructiva-cronica-severa-en-fase-estable\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"ventilacion-nasal-nocturna-con-bipaps-en-la-enfermedad-pulmonar-obstructiva-cronica-severa-en-fase-estable","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ventilacion-nasal-nocturna-con-bipaps-en-la-enfermedad-pulmonar-obstructiva-cronica-severa-en-fase-estable\/","title":{"rendered":"Ventilacion nasal nocturna con bipaps en la enfermedad pulmonar obstructiva cronica severa en fase estable."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ciro Casanova Macario <\/strong><\/h2>\n<p>Introduccion: los estudios prospectivos, controlados y a largo plazo, de la ventilacion nasal (vn), en la epoc severa en fase estable son escasos y contradictorios, por lo que la utilidad de esta opcion terapeutica permanece en discusion.Objetivo: valorar la eficacia de la vn nocturna con ventiladores de presion positiva (nnppv) tipo bipap en modo espontaneo (bipaps: dp-90) a los tres y seis meses en la epoc severa en fase estable.Material y metodo: evaluamos 49 pacientes con epoc severa (fevi&lt;45%; fev1\/fvc&lt;70%), estables clinicamente (3 meses), sin sindrome de apnea del sue\u00f1o y sin cardiopatia izquierda.  se randomizaron en dos grupos: 24 siguieron su tratamiento standard y a los otros 25 se les a\u00f1adio nnppv con bipaps (5 rechazaron el tratamiento en las primeras semanas), usando unas presiones medias de 12 ipap\/4 epap cm de h2o. Se realizo una valoracion inicial, y a los tres y seis meses, de parametros respiratorios (disnea, gasometria, espirometria, pletismografia, transferencia de co1, p0,1 co2 y presiones inspiratorias-espiratorias maximas pim-pem), hemodinamicos (tension arterial; presion arterial pulmonar y cavidades cardiacas derechas por ecocardiografia-doppler), psicometricos (20 parametros), hematologicos (hematocrito) y el curso clinico (mediante entrevista personal y contacto telefonico). Excluimos aquellos pacientes con reagudizacion grave (ingreso hospitalario) y suspendimos los controles si existia una reagudizacion leve en las tres semanas previas al registro. Se utilizaron los siguientes test estadisticos (spss):t-student, u de mann whitney, la chi2 y el analisis de la varianza de dos vias con muestras repetidas.  resultados: solo observamos mejoria significativa en los siguientes parametros: disnea mrc (*p&lt;0.05;3 meses), disnea borg (*p&lt;0.05; 3 y 6 meses), p (,1 (*p&lt;0.05; 3 meses), gradiente ventriculo-auricula derecha (*p&lt;0.01; 3 meses; muestra de pacientes reducida) y en una de las prueb<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ventilacion nasal nocturna con bipaps en la enfermedad pulmonar obstructiva cronica severa en fase estable.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ventilacion nasal nocturna con bipaps en la enfermedad pulmonar obstructiva cronica severa en fase estable. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ciro Casanova Macario <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 La laguna<\/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>Juan Abreu Gonz\u00e1lez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Hernandez Nieto <\/li>\n<li>Esteban Perez Rodriguez (vocal)<\/li>\n<li>Jes\u00fas Villar Hernandez (vocal)<\/li>\n<li> De Lucas Ramos Pilar (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ciro Casanova Macario Introduccion: los estudios prospectivos, controlados y a largo plazo, de la ventilacion nasal (vn), [&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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