{"id":23295,"date":"2003-04-06T00:00:00","date_gmt":"2003-04-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/autotransfusion-preoperatoria-y-postoperatoria-en-ciruga%c2%ada-de-columna-lumbar-instrumentada-efectividad-rendimiento-calidad-de-sangre-e-impacto-en-los-parametros-hematicos-del-paciente\/"},"modified":"2003-04-06T00:00:00","modified_gmt":"2003-04-06T00:00:00","slug":"autotransfusion-preoperatoria-y-postoperatoria-en-ciruga%c2%ada-de-columna-lumbar-instrumentada-efectividad-rendimiento-calidad-de-sangre-e-impacto-en-los-parametros-hematicos-del-paciente","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/malaga\/autotransfusion-preoperatoria-y-postoperatoria-en-ciruga%c2%ada-de-columna-lumbar-instrumentada-efectividad-rendimiento-calidad-de-sangre-e-impacto-en-los-parametros-hematicos-del-paciente\/","title":{"rendered":"Autotransfusi\u00f3n preoperatoria y postoperatoria en cirugia de columna lumbar instrumentada. efectividad, rendimiento, calidad de sangre e impacto en los par\u00e1metros hem\u00e1ticos del paciente"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eduardo Olalla Real <\/strong><\/h2>\n<p>Se han incluido en este estudio 122 pacientes sometidos a artrodesis lumbar instrumentada que fueron divididos en 4 grupos de acuerdo con la estrategia transfusional empleada:  a, contro, sangre hom\u00f3loga (tsh)  b, recuperaci\u00f3n postoperatoria (atp)  c, donaci\u00f3n preoperatoria de sangre aut\u00f3loga (dpsa)  d,- dpsa+atp.  los pacientes de grupos control (37) recibieron 1,92+-0,2 u\/pte de  c (24) solo dos pacientes necesitarion tsh (efectividad 93%), mientras que fue necesaria en 7 pacientes del grupo d (32, cirug\u00eda m\u00e1s complicada) (efectividad 78%). No hubo diferencias significativas en las hb al alta, la duraci\u00f3n de la hospitalizaci\u00f3n o la aparici\u00f3n de complicaciones postoperatorias. tampoco se registraron efectos adversos durante la realizaci\u00f3n del dpsa o la atp.  las caracter\u00edsticas funcionales de la sangre atp fueron normales y su reinfusi\u00f3n no aumento los tiempos de coagulaci\u00f3n ni los niveles circulantes de mediadores inflamatorios, aunque si los de diversos enzimas (got, ldh, ck), la mayor\u00eda de los cuales volvieron a los valores normales al alta.  en conclusi\u00f3n, la dpsa a corto plazo se ha mostrado como un procedimiento seguro y efectivos para reducir las tsh en esta cirug\u00eda, mientras que la asociaci\u00f3n de atp a la dpsa podr\u00eda ser \u00fatil en aquellos casos en los que no pueden donarse el n\u00famero de unidades requeridas o se espera un sangrado postoperatorio abundante.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Autotransfusi\u00f3n preoperatoria y postoperatoria en cirugia de columna lumbar instrumentada. efectividad, rendimiento, calidad de sangre e impacto en los par\u00e1metros hem\u00e1ticos del paciente<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Autotransfusi\u00f3n preoperatoria y postoperatoria en cirugia de columna lumbar instrumentada. efectividad, rendimiento, calidad de sangre e impacto en los par\u00e1metros hem\u00e1ticos del paciente <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eduardo Olalla Real <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/06\/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>Manuel Mu\u00f1oz Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Maldonado eloy-Garc\u00eda <\/li>\n<li> Garc\u00eda erce Jos\u00e9 Antonio (vocal)<\/li>\n<li>Jos\u00e9 Davila molina (vocal)<\/li>\n<li>irene Jara l\u00f3pez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eduardo Olalla Real Se han incluido en este estudio 122 pacientes sometidos a artrodesis lumbar instrumentada que [&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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