{"id":140716,"date":"2026-01-12T17:56:57","date_gmt":"2026-01-12T17:56:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-sobre-la-acinesia-y-la-disminucion-de-la-presion-ocular-la-farmacocinetica-y-la-topografia-en-la-anestesia-peribulbar\/"},"modified":"2026-01-12T17:56:57","modified_gmt":"2026-01-12T17:56:57","slug":"estudio-sobre-la-acinesia-y-la-disminucion-de-la-presion-ocular-la-farmacocinetica-y-la-topografia-en-la-anestesia-peribulbar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-sobre-la-acinesia-y-la-disminucion-de-la-presion-ocular-la-farmacocinetica-y-la-topografia-en-la-anestesia-peribulbar\/","title":{"rendered":"Estudio sobre la acinesia y la disminucion de la presion ocular, la farmacocinetica y la topografia en la anestesia peribulbar."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Montserrat Ortiz Soler <\/strong><\/h2>\n<p>Objetivos. Determinar un volumen adecuado y el efecto de la tiomucasa para conseguir acinesia y una presion ocular satisfactoria en la anestesia peribulbar. Estudiar la farmacocinetica de la bupivacaina en el espacio peribulbar y valorar el riesgo de complicaciones mediante tomografia computarizada. Pacientes y metodos. Se trata de un estudio aleatorio en 120 pacientes divididos en 4 grupos, que difieren en el volumen de bupivacaina al 0,75% y en la adicion de tiomucasa. Se ha medido la presion ocular antes, inmediatamente despues y a los 15 min del bloqueo, y se ha valorado la acinesia mediante una escala de movilidad a los 15 min. En 48 pacientes se realizo una extraccion venosa a los 5,10,15,20,30,60,120,y 150 min para determinar los niveles plasmaticos. En el cadaver humano se valoro la insercion de las agujas y la difusion del contraste, con la tecnica que hemos utilizado y con variaciones de la misma. Conclusiones. Se obtiene la misma acinesia con un volumen de 5 ml con tiomucasa, que con 9ml con o sin tiomucasa. La presion ocular disminuye en todos los grupos sin diferencias. Hay gran variabilidad en los niveles plasmaticos y la vida media plasmatica es superior en los grupos que se administro 9 ml. No hay riesgo de perforacion ocular con la tecnica aqui utilizada.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio sobre la acinesia y la disminucion de la presion ocular, la farmacocinetica y la topografia en la anestesia peribulbar.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio sobre la acinesia y la disminucion de la presion ocular, la farmacocinetica y la topografia en la anestesia peribulbar. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Montserrat Ortiz Soler <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/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>Pau Salva Lacombe<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Josep Salva Miquel <\/li>\n<li>Antonio Montero Matamala (vocal)<\/li>\n<li>Carmen Gomar Sancho (vocal)<\/li>\n<li>Roser Garc\u00eda Guasch (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Montserrat Ortiz Soler Objetivos. Determinar un volumen adecuado y el efecto de la tiomucasa para conseguir acinesia [&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":[1569,9,141,957],"tags":[68753,11498,90404,255371,10700,19957],"class_list":["post-140716","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-ciencias-medicas","category-cirugia","category-farmacologia","tag-antonio-montero-matamala","tag-carmen-gomar-sancho","tag-josep-salva-miquel","tag-montserrat-ortiz-soler","tag-pau-salva-lacombe","tag-roser-garcia-guasch"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/140716","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=140716"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/140716\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=140716"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=140716"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=140716"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}