{"id":30951,"date":"2018-03-09T09:24:47","date_gmt":"2018-03-09T09:24:47","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prevencion-de-la-hiperglucemia-postoperatoria-en-pacientes-sometidos-a-ciruga%c2%ada-carda%c2%adaca-con-circulacion-extracorporea\/"},"modified":"2018-03-09T09:24:47","modified_gmt":"2018-03-09T09:24:47","slug":"prevencion-de-la-hiperglucemia-postoperatoria-en-pacientes-sometidos-a-ciruga%c2%ada-carda%c2%adaca-con-circulacion-extracorporea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prevencion-de-la-hiperglucemia-postoperatoria-en-pacientes-sometidos-a-ciruga%c2%ada-carda%c2%adaca-con-circulacion-extracorporea\/","title":{"rendered":"Prevenci\u00f3n de la hiperglucemia postoperatoria en pacientes sometidos a cirugia card\u00edaca con circulaci\u00f3n extracorp\u00f3rea"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana M. Longarela Lopez <\/strong><\/h2>\n<p>Cuando el organismo sufre una agresi\u00f3n quir\u00fargica se desencadena una respuesta metab\u00f3lica al estr\u00e9s, caracterizada por resistencia a la insulina e hiperglucemia. la principal alteraci\u00f3n de la sensiblidad a la insulina se localiza en el receptor perif\u00e9rico glut-4, responsable de la captaci\u00f3n celular de glucosa en la c\u00e9lula muscular y card\u00edaca y en los adipocitos. Se genera un estado de hipercatabolismo con consumo de amino\u00e1cidos y glicerol como sustratos neoglucog\u00e9nicos. En este contexto se producen una serie de alteraciones inmunol\u00f3gicas y hematol\u00f3gicas, con aumento de las mol\u00e9culas de la inflamaci\u00f3n.  la cirug\u00eda card\u00edaca desencadena una intensa respuesta de estr\u00e9s, secundaria a la propia agresividad y duraci\u00f3n de la intervenci\u00f3n, pero tambi\u00e9n potenciada por factors como la heparinizaci\u00f3n, la hipotermia o la circulaci\u00f3n extracorp\u00f3rea. la hiperglucemia puede ser causa de un incremento de la incidencia de infecciones en el periodo postoperatorio, con aumento de la estancia media hospitalaria, pero adem\u00e1s, la resistencia a la insulina es perjudicial para la recuperaci\u00f3n del miocardio, debido a las funciones no metab\u00f3licas de esta hormona.  el ayuno preoperatorio coloca al organismo en una situaci\u00f3n de deprivaci\u00f3n metab\u00f3lica que condiciona mayor resistencia a la insulina. En este estudio se eval\u00faa como la administraci\u00f3n parenteral de una soluci\u00f3n conteniendo glucosa e insulina perioperatoriamente, logra paliar la respuesta metab\u00f3lica al estr\u00e9s. Se compar\u00f3 a estos pacientes con un grupo control. Se midi\u00f3 la sensibilidad a la insulina, los niveles  de \u00e1cidos grasos libres, de amino\u00e1cidos y de interleucinas.  se concluye que los pacientes tratados presentan tendnecia a desarrollar una menor resistencia a insulina en el postoperatorio (p menor 0,2) y adem\u00e1s no se produce reducci\u00f3n en los niveles de amino\u00e1cidos, lo que s\u00ed ocurre en el grupo control, donde los amino\u00e1cidos totales disminuyeron significativ<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Prevenci\u00f3n de la hiperglucemia postoperatoria en pacientes sometidos a cirugia card\u00edaca con circulaci\u00f3n extracorp\u00f3rea<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Prevenci\u00f3n de la hiperglucemia postoperatoria en pacientes sometidos a cirugia card\u00edaca con circulaci\u00f3n extracorp\u00f3rea <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana M. Longarela Lopez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/06\/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>Jos\u00e9 Antonio Rodr\u00edguez Montes<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel angel Dapena crespo <\/li>\n<li>margarita Sanchez castilla (vocal)<\/li>\n<li>Carlos Ortiz leyba (vocal)<\/li>\n<li>Jes\u00fas Culebras fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana M. Longarela Lopez Cuando el organismo sufre una agresi\u00f3n quir\u00fargica se desencadena una respuesta metab\u00f3lica al [&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":[1],"tags":[86669,21750,14400,3775,51507,5922],"class_list":["post-30951","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-ana-m-longarela-lopez","tag-carlos-ortiz-leyba","tag-jesus-culebras-fernandez","tag-jose-antonio-rodriguez-montes","tag-margarita-sanchez-castilla","tag-miguel-angel-dapena-crespo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/30951","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=30951"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/30951\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=30951"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=30951"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=30951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}