{"id":144822,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-actividad-del-centro-respiratorio-en-pacientes-ventilados-mecanicamente\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"estudio-de-la-actividad-del-centro-respiratorio-en-pacientes-ventilados-mecanicamente","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-actividad-del-centro-respiratorio-en-pacientes-ventilados-mecanicamente\/","title":{"rendered":"Estudio de la actividad del centro respiratorio en pacientes ventilados mecanicamente"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Fernandez Fernandez <\/strong><\/h2>\n<p>El estudio aborda aspectos del control de la respiracion en pacientes ventilados mecanicamente a traves de 5 protocolos diferenciados. En el primero se analiza la utilidad de medida de la depresion negativa en via aerea necesaria para ciclar el ventilador como estimacion de la po.1 en 11 pacientes y con 3 ventiladores diferentes, se obtiene una concordancia entre ambas medidas suficiente para ser intercambiables en clinica. En el segundo estudio, en 15 pacientes, se estudia la posibilidad de sustituir el aparataje estandar de medida de la po.1 por un monitor de cabecera de ecg, encontrando nuevamente una concordancia suficiente para su empleo en clinica. En el tercer protocolo, se investiga si los falsos negativos de la po.1 para detectar pacientes con severa insuficiencia respiratoria, pudieran ser debidos a debilidad muscular respiratoria. Para ello, se describe un nuevo indice (po.1\/pimax) y se compara con parametros convencionales de autonomia respiratoria, encontrando que la fiabilidad de la po.1 del 80% pasaba a ser del 92% al incorporar la pimax en forma de indice. El cuarto trabajo comprueba que niveles de peep similares a la autopeep existente no provocan mayor hiperinsuflacion pulmonar, por lo que podia realizarse el 5 protocolo, que demuestra que el centro respiratorio responde a la compensacion de la autopeep con peep reduciendo su actividad, asi como el esfuerzo inspiratorio en ventilacion asistida.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la actividad del centro respiratorio en pacientes ventilados mecanicamente<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la actividad del centro respiratorio en pacientes ventilados mecanicamente <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Fernandez Fernandez <\/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>Salvador Benito Vales<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Alberto Oriol Bosch <\/li>\n<li>Alvar Net Castel (vocal)<\/li>\n<li>Daniel Navajas Navarro (vocal)<\/li>\n<li>Pau Romero Colomer (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Fernandez Fernandez El estudio aborda aspectos del control de la respiracion en pacientes ventilados mecanicamente 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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