{"id":29247,"date":"2018-03-09T09:22:18","date_gmt":"2018-03-09T09:22:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/consecuencias-hemodinamicas-de-la-intubacion-traqueal-en-el-enfermo-cra%c2%adtico-estudio-comparativo-entre-etomidato-y-midazolam\/"},"modified":"2018-03-09T09:22:18","modified_gmt":"2018-03-09T09:22:18","slug":"consecuencias-hemodinamicas-de-la-intubacion-traqueal-en-el-enfermo-cra%c2%adtico-estudio-comparativo-entre-etomidato-y-midazolam","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cadiz\/consecuencias-hemodinamicas-de-la-intubacion-traqueal-en-el-enfermo-cra%c2%adtico-estudio-comparativo-entre-etomidato-y-midazolam\/","title":{"rendered":"Consecuencias hemodin\u00e1micas de la intubaci\u00f3n traqueal en el enfermo cr\u00edtico: estudio comparativo entre etomidato y midazolam"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Carrizosa Carmona Francisco Jos\u00e9 <\/strong><\/h2>\n<p>Introducci\u00f3n  la intubaci\u00f3n orotraqueal (iot) es una t\u00e9cnica habitual en las unidades de cuidados intensivos. Dicho procedimiento difiere significativamente del realizado de forma electiva en enfermos estables en la zona de quir\u00f3fanos, en los que la respuesta hemodin\u00e1mica a la maniobra de laringoscopia e intubaci\u00f3n, caracterizada por taquicardia e hipertensi\u00f3n arterial, es la complicaci\u00f3n m\u00e1s frecuente. En el enfermo cr\u00edtico las consecuencias hemodin\u00e1micas de la iot no han sido bien estudiadas; sin embargo, algunas referencias de la literatura y nuestra propia experiencia, nos sugieren que pueden ser distintas a las observadas en los enfermos estables, caracteriz\u00e1ndose por una cierta incidencia de hipotensi\u00f3n arterial e inestabilidad hemodin\u00e1mica tras la iot y conexi\u00f3n a ventilaci\u00f3n m\u00e9dica. Por ello creo que se impone la investigaci\u00f3n y utilizaci\u00f3n en la cl\u00ednica diaria de f\u00e1rmacos inductores anest\u00e9sicos con un perfil hemodin\u00e1mico favorable. En este contexto, la utilizaci\u00f3n de etomidato, f\u00e1rmaco inductor de acci\u00f3n ultracorta, puede ser una alternativa \u00fatil. En base a todo esto he dise\u00f1ado un estudio cl\u00ednico, prospectivo y aleatorio, para profundizar en el conocimiento de los cambios hemodin\u00e1micos provocados por la intubaci\u00f3n traqueal en el enfermo cr\u00edtico, y evaluar el impacto de dos f\u00e1rmacos anest\u00e9sicos con perfiels hemodin\u00e1micos favorables: midazolam y etomidato.  objetivos  investigar la respuesta hemodin\u00e1mica a la iot de urgencia en el enfermo cr\u00edtico y comprobar si dicha respuesta puede variar seg\u00fan el inductor anest\u00e9sico utilizado (etomidato o midazolam). Otro objetivo fue conocer la eficacia de etomidato y midazolam para inducir la sedaci\u00f3n y facilitar la iot.  material y m\u00e9todos  de forma prospectiva y aleatoria administramos etomidato (0.3 mg\/kg a un ritmo de 1.5 mg\/seg seguidos por una infusi\u00f3n de 0.01 mg\/kg\/min durante los siguientes 10 mintuos) o midazolam (0.15 mg\/kg a un ritmo de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Consecuencias hemodin\u00e1micas de la intubaci\u00f3n traqueal en el enfermo cr\u00edtico: estudio comparativo entre etomidato y midazolam<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Consecuencias hemodin\u00e1micas de la intubaci\u00f3n traqueal en el enfermo cr\u00edtico: estudio comparativo entre etomidato y midazolam <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Carrizosa Carmona Francisco Jos\u00e9 <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/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>Francisco Gomez Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Fajardo galvez <\/li>\n<li> Garc\u00eda de on\u00eds montero Jos\u00e9 Luis (vocal)<\/li>\n<li>Juli\u00e1n Gil cebri\u00e1n (vocal)<\/li>\n<li>pedro Navarrete navarro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carrizosa Carmona Francisco Jos\u00e9 Introducci\u00f3n la intubaci\u00f3n orotraqueal (iot) es una t\u00e9cnica habitual en las unidades de [&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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