{"id":32904,"date":"2018-03-09T09:29:45","date_gmt":"2018-03-09T09:29:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-de-la-temperatura-del-co2-empleado-en-la-insuflacion-peritoneal-sobre-la-fisiologia-respiratoria-en-la-cirugia-laparoscopica-co2-frio-frente-co2-caliente\/"},"modified":"2018-03-09T09:29:45","modified_gmt":"2018-03-09T09:29:45","slug":"efecto-de-la-temperatura-del-co2-empleado-en-la-insuflacion-peritoneal-sobre-la-fisiologia-respiratoria-en-la-cirugia-laparoscopica-co2-frio-frente-co2-caliente","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efecto-de-la-temperatura-del-co2-empleado-en-la-insuflacion-peritoneal-sobre-la-fisiologia-respiratoria-en-la-cirugia-laparoscopica-co2-frio-frente-co2-caliente\/","title":{"rendered":"Efecto de la temperatura del co2 empleado en la insuflacion peritoneal sobre la fisiolog\u00eda respiratoria en la cirugia laparoscopica. co2 frio frente co2 caliente."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda no Garcia Guiral <\/strong><\/h2>\n<p>Introducci\u00f3n. La cirug\u00eda laparosc\u00f3pica (cl) tiene ventajas sobre la cirug\u00eda abierta en el per\u00edodo postoperatorio principalmente porque la funci\u00f3n pulmonar se restaura antes. Sin embargo, factores como el neumoperitoneo (np) residual, la irritaci\u00f3n fr\u00e9nica, la hipotermia y\/o la afectaci\u00f3n directa del m\u00fasculo diafragm\u00e1tico contribuyen a la disfunci\u00f3n pulmonar en el postoperatorio inmediato incluso en sujetos sanos.  objetivo e hip\u00f3tesis. El objetivo del presente estudio es poder demostrar si existen diferencias significativas en la funci\u00f3n pulmonar durante el per y postoperatorio inmediato de pacientes sanos sometidos a cl bajo anestesia general, seg\u00fan la temperatura (t) del di\u00f3xido de carbono (co2) (36 grados c -grupo caliente-; 21 grados c -grupo fr\u00edo-) empleado en el establecimiento y mantenimiento del np, para en un futuro modificar la t de \u00e9ste en beneficio de la estabilidad respiratorio, sobre todo en pacientes con grado de afectaci\u00f3n respiratoria previa, ya que ser\u00eda un factor sobrea\u00f1adido a las incidencias provocadas por la cl.  pacientes y m\u00e9todo. Tras el consentimiento informado, 81 pacientes asa i-ii sometidos a cl bajo anestesia general, fueron distribuidos de forma aleatorizada en 4 grupos seg\u00fan el lugar de cirug\u00eda (supramesoc\u00f3lica-s-; inframesoc\u00f3lica-i-) y la t del co2 mediante un calentador de gases extracorp\u00f3reo. Todos los pacientes recibieron la misma t\u00e9cnica anest\u00e9sica. Se monitorizaron la t esof\u00e1gica y la funci\u00f3n respiratoria (din\u00e1mica ventilatoria y recambio gaseoso) en diferentes momentos del per y postoperatorio inmediato.  resultados. Los grupos fueron similares respecto a las caracter\u00edsticas biom\u00e9tricas y tiempos quir\u00fargicos. El grado de hipotermia fue significativamente menor con el empleo de co2 caliente y dependi\u00f3 del tiempo del np. La t, por s\u00ed misma, no afect\u00f3 ni a la mec\u00e1nica respiratoria, ni a la oxigenaci\u00f3n, ni a la homeostasis del co2.  conclusi\u00f3n. La insu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto de la temperatura del co2 empleado en la insuflacion peritoneal sobre la fisiolog\u00eda respiratoria en la cirugia laparoscopica. co2 frio frente co2 caliente.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto de la temperatura del co2 empleado en la insuflacion peritoneal sobre la fisiolog\u00eda respiratoria en la cirugia laparoscopica. co2 frio frente co2 caliente. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda no Garcia Guiral <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/01\/1997<\/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: felipe Garrido Garc\u00eda <\/li>\n<li>Miguel angel Nalda felipe (vocal)<\/li>\n<li>federico Rodriguez-rubio vidal (vocal)<\/li>\n<li>m. Jos\u00e9 Iribarren fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda no Garcia Guiral Introducci\u00f3n. La cirug\u00eda laparosc\u00f3pica (cl) tiene ventajas sobre la cirug\u00eda abierta en el [&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":[1569,1506,9,141,387],"tags":[1575,1546,90218,90217,1571,1093],"class_list":["post-32904","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-cadiz","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","tag-federico-rodriguez-rubio-vidal","tag-felipe-garrido-garcia","tag-m-jose-iribarren-fernandez","tag-maria-no-garcia-guiral","tag-maria-sol-carrasco-jimenez","tag-miguel-angel-nalda-felipe"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/32904","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=32904"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/32904\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=32904"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=32904"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=32904"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}