{"id":24549,"date":"2003-10-07T00:00:00","date_gmt":"2003-10-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tonometria-gastrica-y-angiotensina-ii-en-ciruga%c2%ada-cardiaca-con-circulacion-extracorporea\/"},"modified":"2003-10-07T00:00:00","modified_gmt":"2003-10-07T00:00:00","slug":"tonometria-gastrica-y-angiotensina-ii-en-ciruga%c2%ada-cardiaca-con-circulacion-extracorporea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tonometria-gastrica-y-angiotensina-ii-en-ciruga%c2%ada-cardiaca-con-circulacion-extracorporea\/","title":{"rendered":"Tonometr\u00eda g\u00e1strica y angiotensina ii en cirugia cardiaca con circulaci\u00f3n extracorp\u00f3rea"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Martinez P\u00e9rez Juan  Manuel <\/strong><\/h2>\n<p>Fundamentos  la circulaci\u00f3n extracorp\u00f3rea (cec) es una situaci\u00f3n fisiopatol\u00f3gica que afecta a la perfusi\u00f3n digestiva y a la concentraci\u00f3n plasm\u00e1tica de angiotensina ii.  objetivo  estudiar tonometr\u00eda g\u00e1strica y concentraci\u00f3n plasm\u00e1tica de angiotensina ii en pacientes operados de cirug\u00eda cardiaca con cec.  material y m\u00e9todos  43 pacientes intervenidos de cirug\u00eda cardiaca con cec hipot\u00e9rmica y no puls\u00e1til. Se miden: phi y diferencia mucoso-arterial de co2 (dif.M-a co2) antes y durante la cec, y a las 2,4,6 y 24 horas tras la cec, y concentraci\u00f3n plasm\u00e1tica de angiotensina ii mediante ria antes de cec y a las 2,6 y 24 horas de psotoperatorio. Se recogen datos antropom\u00e9tricos, funcionalidad cardiaca y duraci\u00f3n de la cec. La inestabilidad hemodin\u00e1mica (en primeras 24 horas) y la mortalidad (en primeras 72 horas) son eventos a controlar.  resultados  los valores medios de tonometr\u00eda g\u00e1strica durante el postoperatorio est\u00e1n en rango de normalidad (phi 7,421-7,370 y dif.M-a co2 4,649-7,133 mmhg).  la angiotensina ii se incrementa a las 2 horas de postoperatorio (42,790+-44,374 pg\/ml).  principales relaciones: a las 2 horas de finalizar la cec el phi (r=-0,7381, p&lt;0,001) y la dif.M-a co2 (r=0,6147, p&lt;0,001) con la fase normot\u00e9rmica de la cec; a las 24 horas la angiotensina ii basal con dif.M-a co2 (r=0,5071, p=0,002) y phi (r=0,5804, p&lt;0,001); a las 6 horas angiotensina ii (r=0,5446, p&lt;0,001) con la fase hipot\u00e9rmica no puls\u00e1til. A las 2 horas de finalizar la cec se diferencian pacientes estables de inestables en phi (p&lt;0,001), dif.M-a co2 (p=0,018) y angiotensina ii (p=0,002). A las 6 horas de finalizar la cec supervivientes y fallecidos se diferencian para phi (p&lt;0,001), dif.M-a co2 (p=0,004) y angiotensina ii (p&lt;0,001).  conclusiones  la tonometr\u00eda g\u00e1strica en el postoperatorio de cirug\u00eda cardiaca con cec est\u00e1 influida en las fases m\u00e1s tard\u00edas por la angiotensina ii basal. las<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tonometr\u00eda g\u00e1strica y angiotensina ii en cirugia cardiaca con circulaci\u00f3n extracorp\u00f3rea<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tonometr\u00eda g\u00e1strica y angiotensina ii en cirugia cardiaca con circulaci\u00f3n extracorp\u00f3rea <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Martinez P\u00e9rez Juan  Manuel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/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> P\u00e9rez De Oteiza Carlos<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Enr\u00edquez de salamanca <\/li>\n<li>pl\u00e1cido L\u00f3pez encinar (vocal)<\/li>\n<li>Fernando Gilsanz rodr\u00edguez (vocal)<\/li>\n<li>julio De la morena fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Martinez P\u00e9rez Juan Manuel Fundamentos la circulaci\u00f3n extracorp\u00f3rea (cec) es una situaci\u00f3n fisiopatol\u00f3gica que afecta a la [&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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