{"id":24240,"date":"2003-02-07T00:00:00","date_gmt":"2003-02-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-del-suero-salino-hipertonico-al-72-sobre-la-hemodinamica-cerebral-y-sistemica-en-pacientes-con-traumatismo-craneoencefalico-y-presion-intracraneal-elevada\/"},"modified":"2003-02-07T00:00:00","modified_gmt":"2003-02-07T00:00:00","slug":"efecto-del-suero-salino-hipertonico-al-72-sobre-la-hemodinamica-cerebral-y-sistemica-en-pacientes-con-traumatismo-craneoencefalico-y-presion-intracraneal-elevada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-del-suero-salino-hipertonico-al-72-sobre-la-hemodinamica-cerebral-y-sistemica-en-pacientes-con-traumatismo-craneoencefalico-y-presion-intracraneal-elevada\/","title":{"rendered":"Efecto del suero salino hipert\u00f3nico al 7,2% sobre la hemodin\u00e1mica cerebral y sist\u00e9mica en pacientes con traumatismo craneoencef\u00e1lico y presi\u00f3n intracraneal elevada"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisca Munar Bauz\u00e1 <\/strong><\/h2>\n<p>El traumatismo craneoencef\u00e1lico (tce) representa hoy en d\u00eda uno de los mayores problemas de salud p\u00fablica, al ser, en los pa\u00edses desarrollados, la primera causa de muerte y discapacidad en la poblaci\u00f3n menor de 45 a\u00f1os. la hipertensi\u00f3n intracraneal (hic) es un fen\u00f3meno frecuente en los pacientes con un tce grave. La morbi-mortalidad de estos pacientes est\u00e1 \u00edntimamente relacionada con los episodios de hic y de hipotensi\u00f3n arterial ocurridos durante la fase aguda del traumatismo. Uno de los pilares fundamentales en el tratamiento de la hic es la osmoterapia. Actualmente, el manitol sigue siendo el agente osm\u00f3tico de elecci\u00f3n para el tratamiento de la hic, aunque no simpre resulta eficaz y su administraci\u00f3n no est\u00e1 exenta de efectos secundarios. Recientemente, ha despertado un gran inter\u00e9s el uso de soluciones salinas hipert\u00f3nicas (ssh) en el tratamiento de la hic, donde han demostrado ser efectivas incluso en casos de hic refractaria al tratamiento convencional.  la hip\u00f3tesis principal de esta tesis es que la administraci\u00f3n endovenosa durante 15 minutos de 1,5 ml\/kg de ssh al 7,2% reduce la presi\u00f3n intracraneal (pic) a trav\u00e9s de un mecanismo osm\u00f3tico y aumenta el flujo sangu\u00edneo cerebral (fsc) sin disminuir la presi\u00f3n arterial media (pam) ni el volumen intravascular en un grupo homog\u00e9neo de 20 pacientes con un tce grave o moderado y una pic mayor o igual a 15 mmhg mantenida m\u00e1s de 10 minutos durante las primeras 72 horas tras el accidente.  la pic disminuy\u00f3 de forma significativa (p=0,001) durante m\u00e1s de 2 horas, mientras que la pam no se modific\u00f3 de forma significativa (p=0,29). Ello condicion\u00f3 un aumento significativo de la presi\u00f3n de perfusi\u00f3n cerebral (p=0,01). Los cambios producidos en la pic no se correlacionaron de forma significativa (p=0,05) con los cambios producidos en la osmolalidad s\u00e9rica ni en el sodio s\u00e9rico. No se produjeron modificaciones significativas en los cambios porcentuales del fsc e<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto del suero salino hipert\u00f3nico al 7,2% sobre la hemodin\u00e1mica cerebral y sist\u00e9mica en pacientes con traumatismo craneoencef\u00e1lico y presi\u00f3n intracraneal elevada<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto del suero salino hipert\u00f3nico al 7,2% sobre la hemodin\u00e1mica cerebral y sist\u00e9mica en pacientes con traumatismo craneoencef\u00e1lico y presi\u00f3n intracraneal elevada <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisca Munar Bauz\u00e1 <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/07\/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 Armengol Carrasco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Quesada marin <\/li>\n<li> Poca pastor Mar\u00eda antonia (vocal)<\/li>\n<li>vicent Fonollosa pl\u00e1 (vocal)<\/li>\n<li>Carlos Herv\u00ed\u00a0s puyal (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisca Munar Bauz\u00e1 El traumatismo craneoencef\u00e1lico (tce) representa hoy en d\u00eda uno de los mayores problemas de [&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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