{"id":24256,"date":"2003-03-07T00:00:00","date_gmt":"2003-03-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-cla%c2%adnica-de-la-monitorizacion-continua-de-la-eficacia-de-la-hemodialisis\/"},"modified":"2003-03-07T00:00:00","modified_gmt":"2003-03-07T00:00:00","slug":"evaluacion-cla%c2%adnica-de-la-monitorizacion-continua-de-la-eficacia-de-la-hemodialisis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evaluacion-cla%c2%adnica-de-la-monitorizacion-continua-de-la-eficacia-de-la-hemodialisis\/","title":{"rendered":"Evaluaci\u00f3n cl\u00ednica de la monitorizaci\u00f3n continua de la eficacia de la hemodi\u00e1lisis"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Germ\u00e1n Hern\u00e1ndez Herrera <\/strong><\/h2>\n<p>Introducci\u00f3n  la adecuaci\u00f3n de la di\u00e1lisis es uno de los factores modificables de importancia pron\u00f3stica. Se ha observado gran discrepancia entre la dosis de di\u00e1lisis prescrita y la real administrada. La falta de consideraci\u00f3n del rebote postdi\u00e1lisis de la urea y el asumir que una sesi\u00f3n analizada es reflejo de las restantes son las principales causas de dicha discrepancia.  objetivos  evaluar la utilidad de la monitorizaci\u00f3n continua de la di\u00e1lisis. Determinar la duraci\u00f3n \u00f3ptima de la di\u00e1lisis, o tiempo necesario para alcanzar la dosis prescrita. Desarrollar un m\u00e9todo \u00fatil y pr\u00e1ctico para estimar adecuadamente el rebote postdi\u00e1lisis  de la urea. Dise\u00f1ar un nuevo \u00edndice de adecuaci\u00f3n que refleje el volumen de distribuci\u00f3n realmente aclarado de urea.  material y m\u00e9todos  se estudiaron 116 pacientes estables en di\u00e1lisis cr\u00f3nica. El monitor de la urea eliminada en el l\u00edquido de di\u00e1lisis (mue) y el monitor de la urea en el ultrafiltrado plasm\u00e1tico (mup) fueron analizados, valorando posteriormente su aplicaci\u00f3n cl\u00ednica:  a,- determinaci\u00f3n de la duraci\u00f3n \u00f3ptima de la di\u00e1lisis: mediante el mue cada sesi\u00f3n fue prolongada hasta alcanzar la dosis prescrita, permitiendo estudiar la variabilidad en el tiempo necesario.  b,- mediante el mup se determin\u00f3 en que momento antes del final de la di\u00e1lisis la urea s\u00e9rica era igual al valor del rebote postdi\u00e1lisis. Se dise\u00f1\u00f3 tambi\u00e9n un modelo matem\u00e1tico para estimar dicho valor, evaluando posteriormente ambos m\u00e9todos en un amplio grupo de pacientes.  c,- mediante el mue se midi\u00f3 el volumen real aclarado, aclaramiento real y un nuevo \u00edndice de adecuaci\u00f3n, el kt\/v corporal total, comparando los valores obtenidos con los estimados con muestras sangu\u00edneas pre y postdi\u00e1lisis.  resultados  se observ\u00f3 una amplia variabilidad en el tiempo necesario, volumen de sangre dializada y aclaramiento entre las diferentes sesiones a pesar de obtener la misma dosis de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n cl\u00ednica de la monitorizaci\u00f3n continua de la eficacia de la hemodi\u00e1lisis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n cl\u00ednica de la monitorizaci\u00f3n continua de la eficacia de la hemodi\u00e1lisis <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Germ\u00e1n Hern\u00e1ndez Herrera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/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>Pedro Aljama Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Torres g\u00f3mez <\/li>\n<li>Juan Garcia-valdecasas valverde (vocal)<\/li>\n<li>evaristo Fern\u00e1ndez ruiz (vocal)<\/li>\n<li>mario Espinosa hernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Germ\u00e1n Hern\u00e1ndez Herrera Introducci\u00f3n la adecuaci\u00f3n de la di\u00e1lisis es uno de los factores modificables de importancia [&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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