{"id":15686,"date":"2018-03-09T09:02:57","date_gmt":"2018-03-09T09:02:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hipotension-arterial-en-gestantes-a-termino-bajo-anestesia-intradural-para-la-intervencion-cesarea-estudio-de-factores-de-riesgo\/"},"modified":"2018-03-09T09:02:57","modified_gmt":"2018-03-09T09:02:57","slug":"hipotension-arterial-en-gestantes-a-termino-bajo-anestesia-intradural-para-la-intervencion-cesarea-estudio-de-factores-de-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/hipotension-arterial-en-gestantes-a-termino-bajo-anestesia-intradural-para-la-intervencion-cesarea-estudio-de-factores-de-riesgo\/","title":{"rendered":"Hipotensi\u00f3n arterial en gestantes a t\u00e9rmino bajo anestesia intradural para la intervenci\u00f3n ces\u00e1rea. estudio de factores de riesgo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Martinez Navas <\/strong><\/h2>\n<p>La hipotensi\u00f3n arterial es la complicaci\u00f3n m\u00e1s frecuente e importante de la anestesia intradural en las gestantes a t\u00e9rmino intervenidas de ces\u00e1rea, potencialmente peligrosa para la madre y el feto. Su incidencia en gestantes a t\u00e9rmino, cuando se adoptan medidas preventivas, se ha cifrado en 40-60%, frente a un 82-92% cuando no se adoptan medidas preventivas. Las medidas preventivas (m\u00e9todos mec\u00e1nicos, prehidrataci\u00f3n y vasoconstrictores) no evitan la hipotensi\u00f3n arterial, pero minimizan su severidad hasta el punto de considerarse la anestesia intradural segura en este grupo de pacientes.  el objetivo que nos planteamos fue analizar las variables que pudiesen constituirse como factores de riesgo de hipotensi\u00f3n arterial tras anestesia intradural en gestantes a t\u00e9rmino con trabajo de parto presente o no, que tuvieron indicaci\u00f3n de ces\u00e1rea. Realizamos un estudio prospectivo en el que analizamos variables obst\u00e9tricas, maternas y neonatales que pudiesen influir en la presencia de hipotensi\u00f3n arterial. Se incluyeron gestantes a t\u00e9rminos asa i-ii programadas para ces\u00e1rea de electiva por las siguientes causas: falta de progresi\u00f3n del parto, presentaci\u00f3n fetal an\u00f3mala, desproporci\u00f3n materno-fetal, sospecha de p\u00e9rdida del bienestar fetal, antecedentes de feto muerto y antecedentes de ces\u00e1rea. Se exluyeron aquellas que presentaban; hta o preeclampsia, oligoaminios, sospecha de p\u00e9rdida del binestar fetal aguda, altura &lt; 150 cm, obesidad extrema (imc&gt;45), contraindicaciones de la t\u00e9cnica y patolog\u00eda materna que conlleve una modificaci\u00f3n de la t\u00e9cnica anest\u00e9sica. Despu\u00e9s de una prehidrataci\u00f3n y monitorizaci\u00f3n se realiz\u00f3 una punci\u00f3n intradural en l2-l3 y se administr\u00f3 bupivaca\u00edna 0,5% hiperb\u00e1rica m\u00e1s fentanilo 12,5 mcg. Se registraron las siguientes variables:  relacionadas con las gestante: edad, peso y talla. Obst\u00e9tricas: semana de gestaci\u00f3n, paridad, bolsa amini\u00f3tica \u00edntegra, tiempo de trabajo de parto,<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hipotensi\u00f3n arterial en gestantes a t\u00e9rmino bajo anestesia intradural para la intervenci\u00f3n ces\u00e1rea. estudio de factores de riesgo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hipotensi\u00f3n arterial en gestantes a t\u00e9rmino bajo anestesia intradural para la intervenci\u00f3n ces\u00e1rea. estudio de factores de riesgo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Martinez Navas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/02\/2002<\/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>Mar\u00eda no De Las Mulas  Bejar<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rogelio Garrido trevel <\/li>\n<li>enrique Vaz hernandez (vocal)<\/li>\n<li>Jes\u00fas Ambrosiani fern\u00e1ndez (vocal)<\/li>\n<li>arturo Ontanilla lopez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Martinez Navas La hipotensi\u00f3n arterial es la complicaci\u00f3n m\u00e1s frecuente e importante de la 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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