{"id":144755,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/las-cefaleas-y-las-lumbalgias-post-puncion-dural-su-relacion-con-el-sexo-edad-diametro-de-la-aguja-y-direccion-del-bisel\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"las-cefaleas-y-las-lumbalgias-post-puncion-dural-su-relacion-con-el-sexo-edad-diametro-de-la-aguja-y-direccion-del-bisel","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/las-cefaleas-y-las-lumbalgias-post-puncion-dural-su-relacion-con-el-sexo-edad-diametro-de-la-aguja-y-direccion-del-bisel\/","title":{"rendered":"Las cefaleas y las lumbalgias post-puncion dural: su relacion con el sexo, edad, diametro de la aguja y direccion del bisel."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Benet Casagran Saballs <\/strong><\/h2>\n<p>Se estudiaron de manera prospectiva 628 pacientes, a los que se practico anestesia intradural (a.I), aleatoriamente distribuidos en cuatro grupos segun el calibre de la aguja de puncion utilizada (no. 25 o no.  26, punta quincke) y segun la colocacion del bisel (paralelo o perpendicular a las fibras de la duramadre) con el fin de averiguar la incidencia de fracasos de la a.I, cefaleas post-puncion dural (c.P.P.D ), lumbalgias, parestesias durante la puncion, cefaleas no posturales y nauseas y\/o vomitos. La incidencia de fracasos fue del 0,63%. La incidencia de cppd fue del 10,71% y del 0% con agujas del no.25, bisel perpendicular y bisel paralelo respectivamente (p&lt;0,05) y del 5% y del 0,55% con agujas del no.26 bisel perpendicular y paralelo respectivamente (p&lt;0,05). Globalmente (no.25 y no.26) la incidencia de cppd con el bisel perpendicular fue del 9% y con el bisel paralelo del 0,35% (p&lt;0,001). Observamos un 6,89% de lumbalgias, un 0,47% de cefaleas no posturales, un 1,28% de parestesias y un 3,68% de nauseas y\/o vomitos, sin diferencias significativas entre los distintos grupos.  concluimos que, excluyendo pacientes obstetricas, pacientes ambulatorios y pacientes migra\u00f1osos, y utilizando agujas no.25 y no.26 punta quincke, es fundamental colocar siempre el bisel paralelo a las fibras de la duramadre, para disminuir la incidencia de cppd a menos del 5% en pacientes de cualquier edad y sexo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Las cefaleas y las lumbalgias post-puncion dural: su relacion con el sexo, edad, diametro de la aguja y direccion del bisel.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Las cefaleas y las lumbalgias post-puncion dural: su relacion con el sexo, edad, diametro de la aguja y direccion del bisel. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Benet Casagran Saballs <\/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\/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>Pere Saballs Radresa<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Salva Miquel <\/li>\n<li> Garces Jarque Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>Carmen Gomar Sancho (vocal)<\/li>\n<li>Antonio Gelavert Mas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Benet Casagran Saballs Se estudiaron de manera prospectiva 628 pacientes, a los que se practico anestesia intradural [&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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