{"id":13880,"date":"2018-03-09T09:00:20","date_gmt":"2018-03-09T09:00:20","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/nutricion-enteral-transpilorica-en-el-nino-cra%c2%adticamente-enfermo\/"},"modified":"2018-03-09T09:00:20","modified_gmt":"2018-03-09T09:00:20","slug":"nutricion-enteral-transpilorica-en-el-nino-cra%c2%adticamente-enfermo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/nutricion-enteral-transpilorica-en-el-nino-cra%c2%adticamente-enfermo\/","title":{"rendered":"Nutrici\u00f3n enteral transpil\u00f3rica en el ni\u00f1o cr\u00edticamente enfermo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Cesar S\u00e1nchez S\u00e1nchez <\/strong><\/h2>\n<p>Objetivos  estudio global: valorar la utilidad de la nutrici\u00f3n enteral transpil\u00f3rica (net) como m\u00e9todo de alimentaci\u00f3n en el ni\u00f1o cr\u00edticamente enfermo, determinar las complicaciones, y analizar los factores que influyen en la tolerancia digestiva.  estudio nutricional: valorar el estado nutricional del ni\u00f1o cr\u00edticamente enfermo, y analizar las modificaciones que la alimentaci\u00f3n produce a corto plazo.  estudio de eficiencia de la net: comparar las complicaciones y el coste econ\u00f3mico de la net y la nutrici\u00f3n parental (np).  pacientes, material y m\u00e9todos  estudio global: an\u00e1lisis prospectivo de los pacientes con net desde marzo de 1994 hasta febrero de 2001.  estudio nutricional: an\u00e1lisis prospectivo, entre marzo de 1998 y febrero de 2001, de los pacientes con net de al menos 4 d\u00edas, realizando valoraci\u00f3n nutricional antropom\u00e9trica y bioqu\u00edmica, al inicio, durante y al finalizar la net.  estudio de la eficiencia de net: an\u00e1lisis retrospectivo y prospectivo de los pacientes con net y\/o np entre enero de 1993 y diciembre de 1996, comparando las complicaciones y el coste econ\u00f3mico estimado.  resultados  estudio global: de los 210 ni\u00f1os, 70% recibieron net exclusiva. El tiempo desde el ingreso hasta el inicio de net fue de 5,7+-6,5 d\u00edas, y el aporte cal\u00f3rico de 91,5+-28 cal\/kg\/d\u00eda. Un 70% de los ni\u00f1os recibieron drogas vasoactivas, un 75% sedantes, y un 40% relajantes musuculares. Un 14% present\u00f3 infecci\u00f3n pulmonar, y un 9,5% shock. Un 37% presentaron hipokaliermia, un 17% hipocalcemia y un 5% hipofosfatemia. Un 9% de los pacientes presentaron, digesti\u00f3n abdominal y\/o excesivos restos g\u00e1stricos, y un 7% diarrea. En un 2,8% de los ni\u00f1os, las complicaciones digestivas obligaron a la suspensi\u00f3n de la net. La mortalidad fue del 14%.  estudio nutricional: de los 42 pacientes, 24 recibieron net durante 2 semanas, y 14 durante 21 d\u00edas. Entre un 33 y 69% de los pacientes presentaban malnutrici\u00f3n al inicio d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Nutrici\u00f3n enteral transpil\u00f3rica en el ni\u00f1o cr\u00edticamente enfermo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Nutrici\u00f3n enteral transpil\u00f3rica en el ni\u00f1o cr\u00edticamente enfermo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Cesar S\u00e1nchez S\u00e1nchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/11\/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>herce Cid L\u00f3pez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: gerardo Prieto bozano <\/li>\n<li>angel Carrino \u00e1lvarez (vocal)<\/li>\n<li>paloma Dorao mart\u00ednez-romero (vocal)<\/li>\n<li>Antonio Rodriguez n\u00fa\u00f1ez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cesar S\u00e1nchez S\u00e1nchez Objetivos estudio global: valorar la utilidad de la nutrici\u00f3n enteral transpil\u00f3rica (net) como m\u00e9todo [&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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