{"id":36685,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analgesia-preventiva-en-cirugia-ortopedica-pediatrica-seguimiento-del-dolor-postoperatorio-y-parametros-de-estres\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"analgesia-preventiva-en-cirugia-ortopedica-pediatrica-seguimiento-del-dolor-postoperatorio-y-parametros-de-estres","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analgesia-preventiva-en-cirugia-ortopedica-pediatrica-seguimiento-del-dolor-postoperatorio-y-parametros-de-estres\/","title":{"rendered":"Analgesia preventiva en cirugia ortopedica pediatrica: seguimiento del dolor postoperatorio y parametros de estres."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Paloma Rubio Pascual <\/strong><\/h2>\n<p>Objetivo principal: estudiar la presencia de un efecto analg\u00e9sico preventivo asociado a la administraci]on de una dosis \u00fanica de cloruro m]orfico por v\u00eda epidural, durante el postoperatorio inmediato de pacientes pedi\u00e1tricos sometidos a cirug\u00eda ortop\u00e9dica.  material y metodos: se dise\u00f1]o un estudio experimetal, prospectivo, con distribuci]on aleatoria, y enmascaramiento doble ciego en 53 pacientes entre 3 y 14 a\u00f1os de edad sometidos a cirug\u00eda programada osteo-articular sobre pelvis y\/o extremidades inferiores, bajo t\u00e9cnica anest\u00e9sica combinada. Hubo tres grupos de estudio:  grupo control (gc): 17 pacientes.  grupo preoperatorio (g pre): 18 pacientes que recibieron por via epidural una dosis de 50 ug. Kg1 de cloruro m]orfico 0.1% 30 minutos antes del inicio de la incisi]on quir\u00fargica.  grupo postoperattrio (g post): 18 pacientes a los que se administr]o por v\u00eda epidural una dosis de 50 ug kg1 de cloruro m]orfico 0.1% al final de la cirug\u00eda y 30 minutos antes del despertar de la anestesia general.  el tiempo de seguimiento fue de 24 horas durante las que se estudiaron los siguientes par\u00e1metros:  . Tiempo trasncurrido desde el despertar de la anestesia general hasta requerir la primera dosis de analgesia parenteral: tanalg 1.  . N\u00famero total de dosis . Necesidad de analgesia de rescate: a r.  . Seguimiento horario del dolor postoperatorio mediante escala objetiva de dolor (eod), y escala subjetiva de wong-baker (esd).  . Seguimiento de estr\u00e9s postoperatorio mediante niveles plasm(aticos de cortisol, acth, prolactina y glucemia recogidos cada uno de ellos en 6 tiempos diferentes.  . Depresi]on respiratoria mediante monitorizaci]on continua de saturaci]on perif\u00e9rica de o2, y horaria de frecuencia respiratoria y nivel de sedaci]on.  . Incidencia de nauseas, v]omitos, prurito, retenci]on vesical.  . Satisfacci]on del paciente y de los padres con la analgesia recibida.  resultados: en los pacientes del<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analgesia preventiva en cirugia ortopedica pediatrica: seguimiento del dolor postoperatorio y parametros de estres.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analgesia preventiva en cirugia ortopedica pediatrica: seguimiento del dolor postoperatorio y parametros de estres. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Paloma Rubio Pascual <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/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>Antonio Criado Jimenez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Garcia  Sancho Martin <\/li>\n<li> Madrid Arias Jos\u00e9 Luis (vocal)<\/li>\n<li>Jos\u00e9 Antonio Rodr\u00edguez Montes (vocal)<\/li>\n<li>Fernando Noguerales Fraguas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Paloma Rubio Pascual Objetivo principal: estudiar la presencia de un efecto analg\u00e9sico preventivo asociado a la administraci]on [&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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