{"id":19234,"date":"2018-03-09T09:08:09","date_gmt":"2018-03-09T09:08:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/pulsioximetria-fetal-valoracion-de-la-hipoxia-fetal-intraparto-estudio-comparativo-con-tecnicas-invasivas-acerca-del-bienestar-fetal\/"},"modified":"2018-03-09T09:08:09","modified_gmt":"2018-03-09T09:08:09","slug":"pulsioximetria-fetal-valoracion-de-la-hipoxia-fetal-intraparto-estudio-comparativo-con-tecnicas-invasivas-acerca-del-bienestar-fetal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/pulsioximetria-fetal-valoracion-de-la-hipoxia-fetal-intraparto-estudio-comparativo-con-tecnicas-invasivas-acerca-del-bienestar-fetal\/","title":{"rendered":"Pulsioximetr\u00eda fetal: valoraci\u00f3n de la hipoxia fetal intraparto. estudio comparativo con t\u00e9cnicas invasivas acerca del bienestar fetal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> I\u00f1igo Fern\u00e1ndez Andr\u00e9s <\/strong><\/h2>\n<p>La pulsioximetr\u00eda, t\u00e9cnica que mide de forma continua la saturaci\u00f3n de ox\u00edgeno en sangre (%spo2), se ha convertido en un m\u00e9todo de monitorizaci\u00f3n est\u00e1ndar en anestesia, cuidados intensivos, neonatolog\u00eda, etc; pudiendo llegar a ser \u00fatil para los obstetras en la monitorizaci\u00f3n del bienestar fetal durante el parto. Tiene la ventaja de ser m\u00ednimamente invasiva y f\u00e1cil de usar. Adem\u00e1s la spo2 es un par\u00e1metro adecuado para medici\u00f3n del contenido de ox\u00edgeno, ya que el 99% del ox\u00edgeno en sangre va unido a la hemoglobina. Una saturaci\u00f3n &lt;30% durante un periodo de tiempo superior a 10 minutos se correlaciona con una phmetr\u00eda de micromuestra de scalp fetal &lt;7.20 y es predictivo de mal pron\u00f3stico neonatal.  objetivos  i,- el uso combinado de las dos t\u00e9cnicas proporciona resultados perinatales equivalentes pero disminuye la tasa de ces\u00e1reas intraparto debidas a sospecha de perdida de bienestar fetal intraparto.  ii,- establecer una correlaci\u00f3n entre los valores de % spo2 (pulsioximetr\u00eda) y los valores de ph, po2 y eb obtenidos por phmetr\u00eda (determinaci\u00f3n del estado \u00e1cido-base).  material y m\u00e9todos  el plan de trabajo se presenta ante dos grupos, gestantes a t\u00e9rmino intraparto con presentaci\u00f3n cef\u00e1lica y sin patolog\u00eda obst\u00e9trica previa documentada, con gr\u00e1fica insatisfactoria o patolog\u00eda. En el primero (a) realizaremos el seguimiento del parto bajo phmetr\u00eda seriada, y adoptando el criterio de extracci\u00f3n fetal si el ph es inferior a 7.20 o por criterio m\u00e9dico. En el otro grupo (b), los controles de los fetos se realizar\u00e1 de forma conjunta con phmetr\u00eda y pulsioximetr\u00eda, adoptando el criterio e extracci\u00f3n fetal si el % de saturaci\u00f3n de hemoglobina fetal oxigenada (% spo2) es inferior al 20% o bien se mantiene por un per\u00edodo de tiempo superior a 10-20 minutos en valores en 20-30%, o tambi\u00e9n por indicaci\u00f3n m\u00e9dica. Adem\u00e1s realizaremos 3 tomas de phmetr\u00eda:  1\u00aa,- en el momento de colocar el pulsiox<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Pulsioximetr\u00eda fetal: valoraci\u00f3n de la hipoxia fetal intraparto. estudio comparativo con t\u00e9cnicas invasivas acerca del bienestar fetal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Pulsioximetr\u00eda fetal: valoraci\u00f3n de la hipoxia fetal intraparto. estudio comparativo con t\u00e9cnicas invasivas acerca del bienestar fetal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 I\u00f1igo Fern\u00e1ndez Andr\u00e9s <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/09\/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>M\u00aa Carmen Laparte Escorza<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Fuente p\u00e9rez pedro de la <\/li>\n<li>Juan  Carlos Martinez escoriza (vocal)<\/li>\n<li>guillermo L\u00f3pez Garc\u00eda (vocal)<\/li>\n<li>Miguel Ezcurdia gurpegui (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de I\u00f1igo Fern\u00e1ndez Andr\u00e9s La pulsioximetr\u00eda, t\u00e9cnica que mide de forma continua la saturaci\u00f3n de ox\u00edgeno en sangre [&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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