{"id":26937,"date":"2018-03-09T09:18:59","date_gmt":"2018-03-09T09:18:59","guid":{"rendered":""},"modified":"2018-03-09T09:18:59","modified_gmt":"2018-03-09T09:18:59","slug":"valor-predictivo-del-clampaje-de-la-vena-cava-inferior-y-de-las-suprahepaticas-en-el-sa%c2%adndrome-postreperfusion-del-trasplante-hepatico-realizado-con-la-tecnica-de-preservacion-de-la-cava-inferior","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-predictivo-del-clampaje-de-la-vena-cava-inferior-y-de-las-suprahepaticas-en-el-sa%c2%adndrome-postreperfusion-del-trasplante-hepatico-realizado-con-la-tecnica-de-preservacion-de-la-cava-inferior\/","title":{"rendered":"Valor predictivo del clampaje de la vena cava inferior y de las suprahep\u00e1ticas en el s\u00edndrome postreperfusi\u00f3n del trasplante hep\u00e1tico realizado con la t\u00e9cnica de preservaci\u00f3n de la cava inferior"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Desamparados Lopez Maldonado <\/strong><\/h2>\n<p>Las t\u00e9cnicas quir\u00fargicas del trasplante hep\u00e1tico son: la cl\u00e1sica o clampaje total de la vena cava inferior y la preservaci\u00f3n de cava o piggy-back. el s\u00edndrome postreperfusi\u00f3n del trasplante hep\u00e1tico es la ca\u00edda de la presi\u00f3n arterial media mayor del 30% de la basal durante al menos un minuto en los cinco primero sminutos de la repersufi\u00f3n del injerto. La hiptesis fue que la respuesta de las resistencias vasculares sist\u00e9micas al clampaje de la vena inferior y de las suprahep\u00e1ticas era diferente en los pacientes que presentaban el s\u00edndrome postreperfusi\u00f3n de los pacientes que no lo presentaban: el objetivo del estudio fue valorar si las alteraciones en las resistencias vaculares sist\u00e9micas ante estos clampajes ten\u00edan un valor predictivo en la aparici\u00f3n del s\u00edndrome postreperfusi\u00f3n, utilizando la t\u00e9cnica de piggy-back y valorar los factores que m\u00e1s peso tienen en la aparici\u00f3n del s\u00edndrome postreperfusi\u00f3n. Las respuestas hemdin\u00e1micas al clampaje de la vena cava inferior no tienen en nuestro estudio valor predictivo con respecto a la aparici\u00f3n del sindrome postreperfusi\u00f3n utilizando la t\u00e9cnica quir\u00fargica del piggy-back. Las resistencia vasculares sist\u00e9micas tras el clampaje de las venas suprahep\u00e1ticas es la variable que presenta mayor sensibilidad y especificidad para predecir la aparici\u00f3n del s\u00edndrome post-reperfusi\u00f3n. La disfunci\u00f3n autom\u00e1tica y la miocardiopat\u00eda cirr\u00f3tica alteran las respuestas vasculares al clampaje dela vena cava inferior y de las suprahep\u00e1ticas limitando la utilidad de un solo valor predictivo. los factores que m\u00e1s peso tienen en la aparici\u00f3n del s\u00edndrome postreperfusi\u00f3n son la resistencia vascular sist\u00e9mica tras el clamp de las suprahep\u00e1ticas (rvspsh) el potasio basal (kbasal), el ph previo al clamp de las venas suprahep\u00e1ticas (phpresh) y la variaci\u00f3n de la temperatura tras el clampaje de las venas suprahep\u00e1ticas (t00). La ecuaci\u00f3n con porcentaje medio de valor predictivo d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor predictivo del clampaje de la vena cava inferior y de las suprahep\u00e1ticas en el s\u00edndrome postreperfusi\u00f3n del trasplante hep\u00e1tico realizado con la t\u00e9cnica de preservaci\u00f3n de la cava inferior<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor predictivo del clampaje de la vena cava inferior y de las suprahep\u00e1ticas en el s\u00edndrome postreperfusi\u00f3n del trasplante hep\u00e1tico realizado con la t\u00e9cnica de preservaci\u00f3n de la cava inferior <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Desamparados Lopez Maldonado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/11\/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>Rafael Montero Benzo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Palanca san Francisco <\/li>\n<li>julio Cortijo gimeno (vocal)<\/li>\n<li>Francisco Sanchez bueno (vocal)<\/li>\n<li> Gillem salazar Mar\u00eda  isabel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Desamparados Lopez Maldonado Las t\u00e9cnicas quir\u00fargicas del trasplante hep\u00e1tico son: la cl\u00e1sica o clampaje total de 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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