{"id":144070,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/fallo-respiratorio-agudo-y-sepsis-modificaciones-hemodinamicas-y-del-intercambio-gaseoso-durante-la-hipo-normo-e-hipercapmia\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"fallo-respiratorio-agudo-y-sepsis-modificaciones-hemodinamicas-y-del-intercambio-gaseoso-durante-la-hipo-normo-e-hipercapmia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/fallo-respiratorio-agudo-y-sepsis-modificaciones-hemodinamicas-y-del-intercambio-gaseoso-durante-la-hipo-normo-e-hipercapmia\/","title":{"rendered":"Fallo respiratorio agudo y sepsis: modificaciones hemodinamicas y del intercambio gaseoso durante la hipo, normo e hipercapmia."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Boix Ruiz Jes\u00fas Hector <\/strong><\/h2>\n<p>Se estudian prospectiva y aleatoriamente 21 pacientes afectos de fra (fallo respiratorio agudo\/ y sepsis, dentro de las primeras 48 horas de evolucion en uci.  todos ellos intubados y ventilados mecanicamente. Se delimitan 3 estadios: i) a los 30 min. De iniciar la anestesia; ii) a los 30 min. De a\u00f1adir 30 cm. De vd (espacio muerto); iii) a los 30 min. De haber sustituido el vd anterior por otro de 60 cm. Todos los parametros ventilatorios y fio2 se mantuvieron estables durante el estudio.  inicialmente presentan en el equilibrio acido-base una alcalosis respiratoria pura y hemodinamicamente una situacion hiperdinamica; en el estadio ii el equilibrio acido-base se normalizo permaneciendo estable la situacion hiperdinamica, coexiste mejoria de la oxigenacion arterial (pa02 p&lt;0.01 y qsp\/qt p&lt;0.05), incremento de la papm (p&lt;0.05) y de los indices de oxigenacion tisular (pv02 y sv02 p&lt;0.001). El estadio iii se caracterizo por una acidosis hipercapnica pura sin nuevas variaciones en la oxigenacion arterial, pero con una importante hipertension pulmonar (mpap p&lt;0.001, rvpart p&lt;0.05 y dpap-pcw p&lt;0.05), exacerbacion del estado hiperdinamico (elevacion del gc (p&lt;0.001) y simultanea reduccion de svr (p&lt;0.01) y elevacion patologica de pvc (p&lt;0.001) y pcw (p&lt;0.05); la pv02 (p&lt;0.001), sv02 (p&lt;0.001) y d02 (p&lt;0.001) tambien se elevaron, pero junto a ellas ce descendio (p&lt;0.01).  los resultados obtenidos permiten suponer que la ausencia de mejoria de la oxigenacion arterial, por una adicion de vd, que previamente hubiera normalizado el equilibrio acido-base, podria predecir las posibilidades de modificar el desequilibrio va\/q por modificaciones de la reactividad pulmonar. Las variaciones de la pv02 y sv02 son consecuencia muy precoz de la inadecuada relacion d02\/v02. La respuesta hemodinamica a la normo e hipercapnia moderada tras la adicion de vd, podria ayudar a valorar la reserva miocardica va<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Fallo respiratorio agudo y sepsis: modificaciones hemodinamicas y del intercambio gaseoso durante la hipo, normo e hipercapmia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Fallo respiratorio agudo y sepsis: modificaciones hemodinamicas y del intercambio gaseoso durante la hipo, normo e hipercapmia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Boix Ruiz Jes\u00fas Hector <\/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\/1993<\/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>Jos\u00e9 Vi\u00f1a Ribes<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jose Estrela Ariguel <\/li>\n<li>Jos\u00e9 Castillo G\u00f3mez (vocal)<\/li>\n<li>Emilio Servera Pieras (vocal)<\/li>\n<li>Ricardo Bolinches Bolinches (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Boix Ruiz Jes\u00fas Hector Se estudian prospectiva y aleatoriamente 21 pacientes afectos de fra (fallo respiratorio agudo\/ 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