{"id":135743,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-ventilacion-no-invasiva-nocturna-via-mascara-nasal-en-cifoescolioticos-con-insuficiencia-respiratoria-cronica-grave\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"utilidad-de-la-ventilacion-no-invasiva-nocturna-via-mascara-nasal-en-cifoescolioticos-con-insuficiencia-respiratoria-cronica-grave","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-de-la-ventilacion-no-invasiva-nocturna-via-mascara-nasal-en-cifoescolioticos-con-insuficiencia-respiratoria-cronica-grave\/","title":{"rendered":"Utilidad de la ventilacion no invasiva nocturna via mascara nasal en cifoescolioticos con insuficiencia respiratoria cronica grave."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gloria Ferris Gil <\/strong><\/h2>\n<p>Los pacientes cifoescolioticos presentan una serie de alteraciones mecanicas y biologicas en vigilia, a las que se a\u00f1aden alteraciones respiratorias y de la arquitectura del sue\u00f1o. Nuestra hipotesis es que la ventilacion mecanica no invasiva, en su modalidad ventilacion con presion positiva intermitente via mascara nasal (nippv), de aplicacion nocturna se puede mejorar los problemas mecanicos y de alteracion de los centros disminuyendo el trabajo de los musculos respiratorios, y tambien puede disminuir las alteraciones durante el sue\u00f1o, mejorando la ventilacion nocturna.  para ello, valoramos en un grupo de 16 pacientes cifoescolioticos (8 hombres y 8 mujeres, sin grupo control aleatorio), con insuficiencia respiratoria hipercapnica y un grado de afectacion funcional de moderado-severo, los cambios obtenidos, nippv en la situacion gasometrica de vigilia, situacion mecanica y clinica, y estructura y alteraciones respiratorias durante el sue\u00f1o, utilizando para ello una serie de parametros funcionales, polisomnograficos, y para los diferentes sintomas escalas analogico-visuales, realizandose dos determinaciones en el tiempo, una primera pre-ventilacion y la segunda, tras seis meses de ventilacion con nippv.  los resultados obtenidos, muestran una clara mejoria en la situacion gasometrica en vigilia (disminucion de la pac02 y aumento de la pa02) que se mantiene a los seis meses, una mejoria de las condiciones mecanicas respiratorias (ligero aumento de los volumenes pulmonares dinamicos, incremento de la fuerza de los musculos ventilatorios, y disminucion de la p01, con mejoria de los llamados indices de \u00abdificultad mecanica\u00bb) y una mejoria en la situacion clinica con disminucion de la disnea, la cefalea matutina, la fatigabilidad al despertar y la somnolencia diurna, y por ultimo, y a pesar de la mejoria obtenida en la oxigenacion nocturna (reduccion del numero de desaturaciones nocturnas, del tiempo del sue\u00f1o permanecido con<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de la ventilacion no invasiva nocturna via mascara nasal en cifoescolioticos con insuficiencia respiratoria cronica grave.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de la ventilacion no invasiva nocturna via mascara nasal en cifoescolioticos con insuficiencia respiratoria cronica grave. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gloria Ferris Gil <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/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>Emilio Servera Pieras<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jose Vi\u00f1a <\/li>\n<li>Victor Sobradillo Pe\u00f1a (vocal)<\/li>\n<li>Fernando S\u00e1nchez Gasc\u00f3n (vocal)<\/li>\n<li>Roberto Garcia Civera (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gloria Ferris Gil Los pacientes cifoescolioticos presentan una serie de alteraciones mecanicas y biologicas en vigilia, a [&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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