{"id":25521,"date":"2018-03-09T09:16:57","date_gmt":"2018-03-09T09:16:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/deteccion-y-eliminacion-de-parta%c2%adculas-grasas-en-sangre-recuperada-en-el-drenaje-postoperatorio-de-ciruga%c2%ada-ortopedica-programada\/"},"modified":"2018-03-09T09:16:57","modified_gmt":"2018-03-09T09:16:57","slug":"deteccion-y-eliminacion-de-parta%c2%adculas-grasas-en-sangre-recuperada-en-el-drenaje-postoperatorio-de-ciruga%c2%ada-ortopedica-programada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/malaga\/deteccion-y-eliminacion-de-parta%c2%adculas-grasas-en-sangre-recuperada-en-el-drenaje-postoperatorio-de-ciruga%c2%ada-ortopedica-programada\/","title":{"rendered":"Detecci\u00f3n y eliminaci\u00f3n de part\u00edculas grasas en sangre recuperada en el drenaje postoperatorio de cirugia ortop\u00e9dica programada"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gemma Ramirez Ramirez <\/strong><\/h2>\n<p>La autotransfusi\u00f3n postoperatoria de la sangre recuperada de los drenajes tras cirug\u00eda ortop\u00e9dica programada es una t\u00e9cnica de ahorro en sangre alog\u00e9nica cada vez m\u00e1s extendidas, a la par que discutida. Entre los aspectos m\u00e1s discutidos de esta t\u00e9cnica cabe destacar los concernientes a la calidad hematim\u00e9trica y funcional de la sangre recuperada, los efectos nefrot\u00f3xicos de la hemoglobina libre, la supervivencia de los eritrocitos reinfundidos, la contaminaci\u00f3n bacteriana, la diseminaci\u00f3n de c\u00e9lulas tumorales, o el posible efecto de la reinfusi\u00f3n de part\u00edculas grasas. La mayor\u00eda de estos aspectos ya ha sido tratado en trabajos anteriores, por lo que la atenci\u00f3n de esta tesis se centra en las part\u00edculas de grasa, que hasta ahora se determinaban por t\u00e9cnicas complejas como la citometr\u00eda de flujo o la microsp\u00eda de fluorescencia.  en el presente trabajo se ha desarrollado y validado un m\u00e9todo de determinaci\u00f3n de part\u00edculas grasas en sangre de drenaje basado en la utilizaci\u00f3n de diversos contadores hematol\u00f3gicos dotados de cit\u00f3metro, habituales en los hospitales de nuestro medio.  una vez validado el m\u00e9todo, se ha utilizado para verificar la efectividad de distintos sistemas de filtraci\u00f3n en la eliminaci\u00f3n de dichas part\u00edculas, comprob\u00e1ndose que los filtros de leucocitos, son capaces de eliminar dichas part\u00edculas mientras de los de microagreados no los son. Adem\u00e1s, utilizando diversos modelos experimentales, se ha podido llegar a la conclusi\u00f3n de que dichos filtros son capaces de retener hasta 5 ml de grasa, cantidad que parece superior a la presente en sangre de drenaje cuando se utiliza un sistema con decantador que, de por s\u00ed, ya elimina parte de ellas.  finalmente, el m\u00e9todo pude ser aplicado a la detecci\u00f3n de part\u00edculas de grasa en otras cirug\u00edas y a la verificaci\u00f3n de la presencia de las mismas tras en procesamiento de la sangre con sistemas de lavado.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Detecci\u00f3n y eliminaci\u00f3n de part\u00edculas grasas en sangre recuperada en el drenaje postoperatorio de cirugia ortop\u00e9dica programada<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Detecci\u00f3n y eliminaci\u00f3n de part\u00edculas grasas en sangre recuperada en el drenaje postoperatorio de cirugia ortop\u00e9dica programada <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gemma Ramirez Ramirez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/09\/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 Mu\u00f1oz Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Morell oca\u00f1a <\/li>\n<li>ram\u00f3n Leal Santiago (vocal)<\/li>\n<li>irene Jara l\u00f3pez (vocal)<\/li>\n<li> Garc\u00eda erce Jos\u00e9 Antonio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gemma Ramirez Ramirez La autotransfusi\u00f3n postoperatoria de la sangre recuperada de los drenajes tras cirug\u00eda ortop\u00e9dica programada [&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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