{"id":36374,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-de-la-morfina-y-del-fentanilo-sobre-la-presion-intracraneal-y-la-hemodinamica-cerebral-en-pacientes-con-traumatismo-craneoencefalico-grave\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"efecto-de-la-morfina-y-del-fentanilo-sobre-la-presion-intracraneal-y-la-hemodinamica-cerebral-en-pacientes-con-traumatismo-craneoencefalico-grave","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efecto-de-la-morfina-y-del-fentanilo-sobre-la-presion-intracraneal-y-la-hemodinamica-cerebral-en-pacientes-con-traumatismo-craneoencefalico-grave\/","title":{"rendered":"Efecto de la morfina y del fentanilo sobre la presion intracraneal y la hemodinamica cerebral en pacientes con traumatismo craneoencefalico grave."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Nadal Clanchet Miriam De <\/strong><\/h2>\n<p>La sedaci\u00f3n en los pacientes con traumatismo craneoencefalico grave (tceg) constituye un elemento clave en su reanimaci\u00f3n inicial y a lo largo de su hospitalizaci\u00f3n. La combinaci\u00f3n m\u00e1s utilizada es la de un hipn\u00f3tico y de un opioide.  la influencia de los opioides sobre la hemodin\u00e1mica cerebral en pacientes con tceg es motivo de controversia ya que se han descrito aumentos de la presi\u00f3n intracraneal (pic) asociados a la administraci\u00f3n de dichos f\u00e1rmacos. El presente estudio investiga los efectos de la morfina y el fentanilo sobre la pic y el flujo sangu\u00edneo cerebral (fsc) asi como el estado de la autorregulaci\u00f3n cerebral (arc) en pacientes con tceg hallando un aumento significativo de la pic sin cambios en el fsc estimado a partir de las diferencias arterioyugulares de ox\u00edgeno y mediante el doppler transcraneal. La arc se hall\u00f3 alterada en el 56,7% de los casos, y aunque en los pacientes con arc preservada el aumento de la pic fu\u00e9 mayor que en los pacientes con arc alterada, la diferencia no fu\u00e9 estad\u00edsticamente significativa, sugiriendo que otros mecanismos (aparte de la vasodilataci\u00f3n cerebral autorreguladora) podrian estar implicados en el aumento de la pic observado tras la administraci\u00f3n de opioides.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto de la morfina y del fentanilo sobre la presion intracraneal y la hemodinamica cerebral en pacientes con traumatismo craneoencefalico grave.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto de la morfina y del fentanilo sobre la presion intracraneal y la hemodinamica cerebral en pacientes con traumatismo craneoencefalico grave. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Nadal Clanchet Miriam De <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Juan Sahuquillo Barris<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro Quesada Marin <\/li>\n<li>Miguel Angel Nalda Felipe (vocal)<\/li>\n<li>Miquel Vilardell Tarres (vocal)<\/li>\n<li>Antonio Montero Matamala (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Nadal Clanchet Miriam De La sedaci\u00f3n en los pacientes con traumatismo craneoencefalico grave (tceg) constituye un elemento [&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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