{"id":15969,"date":"2002-08-03T00:00:00","date_gmt":"2002-08-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tonometria-intragastrica-en-el-nino-grave-utilidad-pronostica-y-terapeutica\/"},"modified":"2002-08-03T00:00:00","modified_gmt":"2002-08-03T00:00:00","slug":"tonometria-intragastrica-en-el-nino-grave-utilidad-pronostica-y-terapeutica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tonometria-intragastrica-en-el-nino-grave-utilidad-pronostica-y-terapeutica\/","title":{"rendered":"Tonometr\u00eda intrag\u00e1strica en el ni\u00f1o grave: utilidad pron\u00f3stica y terap\u00e9utica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Santiago Menc\u00eda Bartolom\u00e9 <\/strong><\/h2>\n<p>Introducci\u00f3n  la tonometr\u00eda intrag\u00e1strica es una t\u00e9cnica de monitorizaci\u00f3n m\u00ednimamente invasiva de gran utilidad en el paciente cr\u00edtico.  objetivo  investigar si la utilizaci\u00f3n de la tonometr\u00eda intrag\u00e1strica, como gu\u00eda para la aplicaci\u00f3n de una terapia de reanimaci\u00f3n cardiopulmonar mejora la morbimortalidad de los pacientes pedi\u00e1tricos graves.  material y m\u00e9todos  estudio prospectivo, intervencionista y randomizado realizado en la uci pedi\u00e1trica del hospital ni\u00f1o jes\u00fas de Madrid. Participaron en el estudio 92 ni\u00f1os cr\u00edticos. La media de edad fue 4,9+-4,4 a\u00f1os (rango desde recien nacidos hasta 18 a\u00f1os). El diagn\u00f3stico al ingreso fue de 63 casos (68,5%) con patolog\u00eda m\u00e9dica y de 29 casos (31,5%) con patolog\u00eda postquir\u00fargica. se insert\u00f3 al ingreso un ton\u00f3metro intrag\u00e1strico y aquellos pacientes que presentaban un phi menor de 7,30 entraban en el estudio. De forma aleatoria se asignaban a uno de los 2 grupos; uno terape\u00fatico (a) y otro de control (b), siendo tratados ambos bajo las condiciones habituales de los protocolos establecidos en la ucip. Adem\u00e1s, en los pacientes del grupo a con phi &lt; 7,30: expansi\u00f3n con ssf (20 ml\/kg) y dobutamina (5 mcg\/kg\/min primera expansi\u00f3n, 10 mcg\/kg\/min en segunda y tercera).  resultados  tras comparar las variables estudiadas de ambos grupos se observ\u00f3 una disminuci\u00f3n significativa en el grupo terap\u00e9utico en relaci\u00f3n con el porcentaje de aparici\u00f3n sdmo, el n\u00famero de \u00f3rganos fracasados, las alteraciones hemodin\u00e1micas y el n\u00famero de d\u00edas de estancia en la ucip. No existieron diferencias significativas en lo referente a la mortalidad.  conclusiones  la aplicaci\u00f3n de una terapia de reanimaci\u00f3n cardiovascular guiada por el phi intrag\u00e1strico mediante tonometr\u00eda en pacientes pedi\u00e1tricos fue \u00fatil para disminuir la morbilidad (mods y d\u00edas de ingreso), sin embargo, no existieron diferencias en relaci\u00f3n a la incidencia de mortalidad. Tambi\u00e9n se demostr<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tonometr\u00eda intrag\u00e1strica en el ni\u00f1o grave: utilidad pron\u00f3stica y terap\u00e9utica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tonometr\u00eda intrag\u00e1strica en el ni\u00f1o grave: utilidad pron\u00f3stica y terap\u00e9utica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Santiago Menc\u00eda Bartolom\u00e9 <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/03\/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>Juan Casado Flores<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Hern\u00e1ndez rodr\u00edguez <\/li>\n<li>Fernando Mar molinero (vocal)<\/li>\n<li>Juan  Luis Perez navero (vocal)<\/li>\n<li>Jos\u00e9 Jimenez Martinez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Santiago Menc\u00eda Bartolom\u00e9 Introducci\u00f3n la tonometr\u00eda intrag\u00e1strica es una t\u00e9cnica de monitorizaci\u00f3n m\u00ednimamente invasiva de gran utilidad [&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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