{"id":24097,"date":"2018-03-09T09:14:54","date_gmt":"2018-03-09T09:14:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-aleatorio-y-doble-ciego-de-ropivacaina-ropivacaina-fentanilo-o-bupivacaina-fentanilo-por-via-epidural-toracica-en-analgesia-postoracotoma%c2%ada\/"},"modified":"2018-03-09T09:14:54","modified_gmt":"2018-03-09T09:14:54","slug":"estudio-comparativo-aleatorio-y-doble-ciego-de-ropivacaina-ropivacaina-fentanilo-o-bupivacaina-fentanilo-por-via-epidural-toracica-en-analgesia-postoracotoma%c2%ada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/navarra\/estudio-comparativo-aleatorio-y-doble-ciego-de-ropivacaina-ropivacaina-fentanilo-o-bupivacaina-fentanilo-por-via-epidural-toracica-en-analgesia-postoracotoma%c2%ada\/","title":{"rendered":"Estudio comparativo, aleatorio y doble ciego de ropivacaina, ropivacaina\/fentanilo o bupivacaina\/fentanilo por via epidural toracica en analgesia postoracotom\u00eda"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Mac\u00edas Mellado Antonio  Ignacio <\/strong><\/h2>\n<p>Ropivacaina epidural no ha sido comparada con bupivacaina para analgesia postoracotom\u00eda. Ochenta pacientes programados para cirug\u00eda pulmonar electiva fueron distribuidos de forma aleatoria, y doble ciego, recibieron una de tres soluciones para analgesia epidural tor\u00e1cica alta. Al ingresar en uci se inici\u00f3 una soluci\u00f3n continua a 0,1 ml kg-1h-1: de ropivacaina 0,2%, ropivacaina 0,15% &#8211; 5 ug\/ml de fentanilo, o bupivacaina 0,1% &#8211; 5 ug\/ml de fentanilo. Se recogieron durante 48h los niveles de dolor (en reposo y con espirometr\u00eda), consumo de morfina iv, espirometr\u00eda, dinamometr\u00eda en manos, paco2, frecuencia cardiaca, tensi\u00f3n arterial, frecuencia respiratoria, y efectos secundarios (sedaci\u00f3n, nauseas, v\u00f3mitos y prurito). La administraci\u00f3n epidrual tor\u00e1cica de ropivacaina\/fentanilo produjo un control adecuado del dolor similar a bupivacaina\/fentanilo durante los dos primeros d\u00edas del postoperatorio de toracotom\u00edas posterolaterales. El uso de ropivacaina al 0,2% se asoci\u00f3 con un peor control del dolor durante la espirometr\u00eda, alto consumo de morfina iv, y un incremento de la incidencia de n\u00e1useas y v\u00f3mitos postoperatorios. Los requerimientos de morfina fueron mayores en el grupo ropivacaina pero no hubo diferencias entre los grupos bupivacaina\/fentanilo y ropivacaina fentanilo. Los pacientes del grupo ropivacaina experimentaron diferencias significativas en cuanto a bloqueo motor. Concluimos que ropivacaina\/fentanilo epidural no ofrece ventajas cl\u00ednicas comparada en bupivacaina\/fentanilo para analgesia postoracotom\u00eda.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo, aleatorio y doble ciego de ropivacaina, ropivacaina\/fentanilo o bupivacaina\/fentanilo por via epidural toracica en analgesia postoracotom\u00eda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo, aleatorio y doble ciego de ropivacaina, ropivacaina\/fentanilo o bupivacaina\/fentanilo por via epidural toracica en analgesia postoracotom\u00eda<\/li>\n<li><strong>Autor:<\/strong>\u00a0  Mac\u00edas Mellado Antonio  Ignacio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/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>Pablo Monedero Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: raimundo Carlos garcia <\/li>\n<li>Jos\u00e9 Azanza perea (vocal)<\/li>\n<li>irene Rovira canudas (vocal)<\/li>\n<li> Ort\u00edz g\u00f3mez Jos\u00e9 ram\u00f3n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mac\u00edas Mellado Antonio Ignacio Ropivacaina epidural no ha sido comparada con bupivacaina para analgesia postoracotom\u00eda. Ochenta pacientes [&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":[17749],"tags":[1092,71034,71032,63485,71033,3583],"class_list":["post-24097","post","type-post","status-publish","format-standard","hentry","category-navarra","tag-irene-rovira-canudas","tag-jose-azanza-perea","tag-macias-mellado-antonio-ignacio","tag-ortiz-gomez-jose-ramon","tag-pablo-monedero-rodriguez","tag-raimundo-carlos-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24097","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=24097"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24097\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=24097"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=24097"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=24097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}