{"id":18120,"date":"2002-05-07T00:00:00","date_gmt":"2002-05-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-respuesta-al-estres-quirurgico-bajo-dos-tecnicas-anestesicas-en-la-ciruga%c2%ada-oncologica-colo-rectal\/"},"modified":"2002-05-07T00:00:00","modified_gmt":"2002-05-07T00:00:00","slug":"estudio-de-la-respuesta-al-estres-quirurgico-bajo-dos-tecnicas-anestesicas-en-la-ciruga%c2%ada-oncologica-colo-rectal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-respuesta-al-estres-quirurgico-bajo-dos-tecnicas-anestesicas-en-la-ciruga%c2%ada-oncologica-colo-rectal\/","title":{"rendered":"Estudio de la respuesta al estr\u00e9s quir\u00fargico bajo dos t\u00e9cnicas anestesicas en la cirugia oncologica colo-rectal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Victoria Acedo Diaz Pache <\/strong><\/h2>\n<p>Se realiza un estudio con 30 pacientes intervenidos de cirug\u00eda oncol\u00f3gica de colon y el recto bajo dos t\u00e9cnicas anest\u00e9sicas diferentes: anestesia general y anestesia combinada. Se establecieron dos grupos de forma aleatoria y homog\u00e9neos entre s\u00ed (14 a.Combinada\/ 16 a.General).  todos los enfermos fueron premedicados con midazolam y fentanilo de forma estandar, inducidos con tiopental, y mantenidos con isoflurano\/no2, fentanilo y atracurio. A los pacientes del grupo de a.Combinada se les coloca un cat\u00e9ter epidrual antes de la cirug\u00eda, y durante la intervenci\u00f3n se administra bupivacaina al 0,25%\/0,125% para control de analgesia intraoperatoria. este cat\u00e9ter se mantiene para analgesia postoperatoria con bupivacaina y morfina. En el grupo de a. General se utiliza una t\u00e9cnica balanceada est\u00e1ndar y se controla el dolor postoperatorio con aines y meperidina.  se registran durante el intraoperatorio las constantes hemodin\u00e1micas, la fluidoterapia, la diuresis y las necesidades transfusionales. Se realizan determinaciones hormonales durante el periodo perioperatorio de: gh, prolactina, acth y cortisol. Y para determinar se evalu\u00f3, el dolor postoperatorio, el ileo paral\u00edtico, la estancia media en reanimaci\u00f3n y hospitalizaci\u00f3n y el coste medio por proceso.  el estudio demuestra que los pacientes de c\u00e1ncer colo-rectal que son intervenidos bajo anestesia combinada no solo presentan una mayor estabilidad hemodin\u00e1mica intraoperatoria y una menor respuesta al estr\u00e9s quir\u00fargico sino que adem\u00e1s tienen un mejor control del dolor postoperatorio que aquellos que fueron intervenidos bajo anestesia general.  como consecuencia, los pacientes intervenidos bajo anestesia combinada presentan un postoperatorio mas corto, con estancias media de hospitalizaci\u00f3n m\u00e1s peque\u00f1as con lo que la calidad asistencial es mejor y el coste m\u00e1s reducido. Revisando las complicaciones postoperatorias en ambos grupos no hemos encontrado diferencias signific<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la respuesta al estr\u00e9s quir\u00fargico bajo dos t\u00e9cnicas anestesicas en la cirugia oncologica colo-rectal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la respuesta al estr\u00e9s quir\u00fargico bajo dos t\u00e9cnicas anestesicas en la cirugia oncologica colo-rectal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Victoria Acedo Diaz Pache <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/07\/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>Francisco Lopez Timoneda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Lorenzo fern\u00e1ndez <\/li>\n<li> Puig riera de conias margarita m. (vocal)<\/li>\n<li>raimundo Carlos garcia (vocal)<\/li>\n<li> De las mulas bejar Mar\u00eda no (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Victoria Acedo Diaz Pache Se realiza un estudio con 30 pacientes intervenidos de cirug\u00eda oncol\u00f3gica de [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1569,9,141,387],"tags":[20585,5896,56377,898,19392,3583],"class_list":["post-18120","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","tag-de-las-mulas-bejar-maria-no","tag-francisco-lopez-timoneda","tag-maria-victoria-acedo-diaz-pache","tag-pedro-lorenzo-fernandez","tag-puig-riera-de-conias-margarita-m","tag-raimundo-carlos-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/18120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=18120"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/18120\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=18120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=18120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=18120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}