{"id":23617,"date":"2018-03-09T09:14:14","date_gmt":"2018-03-09T09:14:14","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analgesia-epidural-obstetrica-organizacion-y-aspectos-cla%c2%adnicos-en-un-hospital-general\/"},"modified":"2018-03-09T09:14:14","modified_gmt":"2018-03-09T09:14:14","slug":"analgesia-epidural-obstetrica-organizacion-y-aspectos-cla%c2%adnicos-en-un-hospital-general","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analgesia-epidural-obstetrica-organizacion-y-aspectos-cla%c2%adnicos-en-un-hospital-general\/","title":{"rendered":"Analgesia epidural obst\u00e9trica. organizaci\u00f3n y aspectos cl\u00ednicos en un hospital general"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jaime Fern\u00e1ndez-guisasola Mascias <\/strong><\/h2>\n<p>Hoy en d\u00eda se acepta un\u00e1nimemente en el bloqueo epidural es el m\u00e9todo m\u00e1s eficaz y seguro de analgesia para el trabajo de parto. El presente trabajo de tesis es un estudio retrospectivo, descriptivo, observacional que analiza aspectos organizativos y cl\u00ednicos de un sistema de analgesia epidural obst\u00e9trica durante los 3 primeros a\u00f1os de actividad asistencial en un hospital general de nueva creaci\u00f3n.  la organizaci\u00f3n y desarrollo de un sistema de analgesia epidural obst\u00e9trica antes de iniciar la actividad asistencial permiti\u00f3 garantizar su administraci\u00f3n a un amplio porcentaje de gestantes. Los aspectos organizativos m\u00e1s destacables fueron la coordinaci\u00f3n y participaci\u00f3n interdisciplinaria de todo el personal involucrado en el cuidado de la gestante, la asignaci\u00f3n precisa de tareas, el dise\u00f1o de sistemas fiables de registro, la utilizaci\u00f3n sistem\u00e1tica de protocolos y la comunicaci\u00f3n de incidentes cr\u00edticos como herramienta de mejora de la calidad. La administraci\u00f3n sistem\u00e1tica de analgesia epidural result\u00f3 una pr\u00e1ctica eficaz y segura. La tasa de complicaciones leves fue comparable a la de otros centros no docentes y no hubo ning\u00fan caso de morbilidad grave o de mortalidad materna o fetal atribuible al tratamiento anest\u00e9sico.  el porcentaje de inducciones, nul\u00edparas, parto estimulados con oxitocina y gestantes con peso mayor de 4000 g e inferior a 2500 g fue superior entre las mujeres a las que se administr\u00f3 analgesia epidural. La edad de las mujeres que recibieron analgesia epidural fue significativamente menor. la duraci\u00f3n de los periodos de dilataci\u00f3n y expulsivo fue m\u00e1s larga en mujeres con analgesia epidrual. \u00e9Sta tambi\u00e9n se asoci\u00f3 a un mayor riesgo de parto instrumental y ces\u00e1rea, aunque la magnitud de esta asociaci\u00f3n pudo estar influida por factors no considerados en el presente estudio. el incremento significativo en la administraci\u00f3n de analgesia espidural a lo largo de los 3 a\u00f1os del estudio no<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analgesia epidural obst\u00e9trica. organizaci\u00f3n y aspectos cl\u00ednicos en un hospital general<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analgesia epidural obst\u00e9trica. organizaci\u00f3n y aspectos cl\u00ednicos en un hospital general <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jaime Fern\u00e1ndez-guisasola Mascias <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/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>arnau Diaz Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Escudero fern\u00e1dnez <\/li>\n<li>Antonio L\u00f3pez salv\u00e1 (vocal)<\/li>\n<li> Mulas b\u00e9jar Mar\u00eda no de las (vocal)<\/li>\n<li>Antonio Planas roca (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jaime Fern\u00e1ndez-guisasola Mascias Hoy en d\u00eda se acepta un\u00e1nimemente en el bloqueo epidural es el m\u00e9todo m\u00e1s [&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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