{"id":21439,"date":"2018-03-09T09:11:13","date_gmt":"2018-03-09T09:11:13","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-predictivo-de-la-tonometria-frente-a-otros-a%c2%adndices-pronosticos-en-la-evolucion-de-los-enfermos-quirurgicos-de-alto-riesgo\/"},"modified":"2018-03-09T09:11:13","modified_gmt":"2018-03-09T09:11:13","slug":"valor-predictivo-de-la-tonometria-frente-a-otros-a%c2%adndices-pronosticos-en-la-evolucion-de-los-enfermos-quirurgicos-de-alto-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-predictivo-de-la-tonometria-frente-a-otros-a%c2%adndices-pronosticos-en-la-evolucion-de-los-enfermos-quirurgicos-de-alto-riesgo\/","title":{"rendered":"Valor predictivo de la tonometr\u00eda frente a otros \u00edndices pron\u00f3sticos en la evoluci\u00f3n de los enfermos quir\u00fargicos de alto riesgo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Ramos Carrasco <\/strong><\/h2>\n<p>En situaciones de normalidad, en funci\u00f3n de las necesidades, el flujo capilar del organismo va a estar regulado por la armon\u00eda existente entre macro y microcirculaci\u00f3n aunque ambos sistemas responden a mecanismos diferentes.  en situaciones patol\u00f3gicas, en las que existe desequilibrio entre las necesidades y la oferta circulatoria, hay una redistribuci\u00f3n de la sangre con mayor aporte hacia \u00f3rganos vitales en detrimento de otros que toleran mejor la hipoxia (piel, ri\u00f1\u00f3n, \u00f3rganos esplacnicos, etc.).  mediante la obtenci\u00f3n del phi (ph intramucoso), por tonometr\u00eda, puede ser valorada la perfusi\u00f3n de la mucosa g\u00e1strica.  se han utilizado multitud de m\u00e9todos para evaluar e intentar conocer el pron\u00f3stico del paciente cr\u00edtico mientras est\u00e1 ingresado en la uciq. todos est\u00e1n basados en la experiencia cl\u00ednica o en datos de los pacientes observados y registrados en funci\u00f3n de su evoluci\u00f3n, gravedad, etc.  han sido estudiados 65 pacientes, intervenidos de patolog\u00edas digestivas, e ingresados en la uciq. En todos los casos se realizaron, durante un m\u00e1ximo de 7 d\u00edas, una determinaci\u00f3n diaria de apache, sss y phi. Se han valorado los tres \u00edndices, independientemente y en estudio multivariado, como predictores de complicaci\u00f3n y\/o mortalidad en el curso evolutivo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor predictivo de la tonometr\u00eda frente a otros \u00edndices pron\u00f3sticos en la evoluci\u00f3n de los enfermos quir\u00fargicos de alto riesgo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor predictivo de la tonometr\u00eda frente a otros \u00edndices pron\u00f3sticos en la evoluci\u00f3n de los enfermos quir\u00fargicos de alto riesgo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Ramos Carrasco <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/01\/2003<\/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>represa \u00e1lvarez Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: hip\u00f3lito Duran sacristan <\/li>\n<li>Fernando Gonzalez hermoso (vocal)<\/li>\n<li>Miguel angel Dapena crespo (vocal)<\/li>\n<li>Rafael Vara-thorbeck (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Ramos Carrasco En situaciones de normalidad, en funci\u00f3n de las necesidades, el flujo capilar del organismo [&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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