{"id":28993,"date":"2004-05-03T00:00:00","date_gmt":"2004-05-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-la-respuesta-neuroendocrina-al-dolor-postoperatorio-tras-la-administracion-de-distintos-opioides-por-via-epidural\/"},"modified":"2004-05-03T00:00:00","modified_gmt":"2004-05-03T00:00:00","slug":"evaluacion-de-la-respuesta-neuroendocrina-al-dolor-postoperatorio-tras-la-administracion-de-distintos-opioides-por-via-epidural","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cadiz\/evaluacion-de-la-respuesta-neuroendocrina-al-dolor-postoperatorio-tras-la-administracion-de-distintos-opioides-por-via-epidural\/","title":{"rendered":"Evaluaci\u00f3n de la respuesta neuroendocrina al dolor postoperatorio tras la administraci\u00f3n de distintos opioides  por via epidural"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Teresa Palomino Jimenez <\/strong><\/h2>\n<p>Objetivos  hemos querido evaluar la respuesta neuroendocrina frente al dolor postoperatorio de mediana-gran intensidad y sus modificaciones tras administrar tres opiodes por v\u00eda epidural. Tambi\u00e9n hemos analizado el grado de analgesia obtenido con m\u00e9todos subjetivos de valoraci\u00f3n del dolor, as\u00ed como la aparici\u00f3n de posibles complicaciones.  material y m\u00e9todos  es un estudio randomizado, prospectivo y a doble ciego sobre cuarenta y cinco pacientes sometidos a intervenciones quir\u00fargicas abdominales electivas (colecistectom\u00edas abiertas e histerectom\u00edas abdominales), distribuidas en tres grupos seg\u00fan el analg\u00e9sico empleado: morfina, alfentanilo y tramadol. medimos las siguientes hormonas: acth, cortisol, gh, prl,adrenalina, noradrenalina y dopamina, en per\u00edodo basal, al inicio del dolor en el postoperatorio inmediato y a las seis horas de iniciado el tratamiento analg\u00e9sico por v\u00eda epidural. Evaluamos cada sies horas par\u00e1metros hemodin\u00e1micos y respiratorio, as\u00ed como escalas de dolor y sedaci\u00f3n, hasta completar las primeras veinticuatro horas. Registramos las complicaciones aparecidas.  resultados y conclusiones  los tres f\u00e1rmacos consiguen modular la respuesta al estr\u00e9s frente al dolor postoperatorio, aunque no la consiguen bloquear completamente. Los tres controlan el dolor, pero aunque no encontremos diferencias significativas entre ellos, cl\u00ednicamente podemos comprobar que la mejor respuesta analg\u00e9sica y menor n\u00famero de complicaciones presenta es la morfina.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n de la respuesta neuroendocrina al dolor postoperatorio tras la administraci\u00f3n de distintos opioides  por via epidural<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n de la respuesta neuroendocrina al dolor postoperatorio tras la administraci\u00f3n de distintos opioides  por via epidural <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Teresa Palomino Jimenez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/03\/2004<\/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>Mar\u00eda Sol Carrasco Jim\u00e9nez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Rivas mart\u00edn <\/li>\n<li>Jos\u00e9 Sueiro fernandez (vocal)<\/li>\n<li>carmen Gomar sancho (vocal)<\/li>\n<li> Marenco de la fuente  m. Luisa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Teresa Palomino Jimenez Objetivos hemos querido evaluar la respuesta neuroendocrina frente al dolor postoperatorio de mediana-gran [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1506],"tags":[11498,1545,7839,82263,20619,1571],"class_list":["post-28993","post","type-post","status-publish","format-standard","hentry","category-cadiz","tag-carmen-gomar-sancho","tag-jose-rivas-martin","tag-jose-sueiro-fernandez","tag-m-teresa-palomino-jimenez","tag-marenco-de-la-fuente-m-luisa","tag-maria-sol-carrasco-jimenez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/28993","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=28993"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/28993\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=28993"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=28993"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=28993"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}