{"id":38323,"date":"2018-03-09T09:37:50","date_gmt":"2018-03-09T09:37:50","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/caractera%c2%adsticas-tecnicas-y-cla%c2%adnicas-de-la-anestesia-intradural-continua-con-microcateteres\/"},"modified":"2018-03-09T09:37:50","modified_gmt":"2018-03-09T09:37:50","slug":"caractera%c2%adsticas-tecnicas-y-cla%c2%adnicas-de-la-anestesia-intradural-continua-con-microcateteres","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/caractera%c2%adsticas-tecnicas-y-cla%c2%adnicas-de-la-anestesia-intradural-continua-con-microcateteres\/","title":{"rendered":"Caracter\u00edsticas t\u00e9cnicas y cl\u00ednicas de la anestesia intradural continua con microcateteres."},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Pinar De Santos Maroto <\/strong><\/h2>\n<p>Introduccion  la anestesia intradural continua (aic) con microcat\u00e9teres se introdujo para solventar los inconvenientes de la anestesia intradural en bolus. pero la aparici\u00f3n de complicaciones neurol\u00f3gicas por desigual distribuci\u00f3n del anest\u00e9sico local (al) ha cuestionado su pr\u00e1ctica.  objetivos  definir las caracter\u00edsticas de la aic con microcat\u00e9teres en sus aspectos t\u00e9cnicos y cl\u00ednicos.  material y m\u00e9todos  se incluyeron los pacientes consecutivos intervenidos durante dos a\u00f1os bajo aic. Se utilizaron cat\u00e9teres 27g (intralong (r)) y 32 g (microspina (r), \u00e9ste s\u00f3lo en 9 casos,por haberlo retirado la casa comercial). Se recogieron las incidencias acaecidas durante la realizaci\u00f3n de la t\u00e9cnica.  se estudiaron tres al en periodos sucesivos de 6 meses con el intralong (r). Bupivaca\u00edna 0,5%, licoca\u00edna 2% y lidoca\u00edna 5% isobaras. La lidoca\u00edna al 2% se suspendi\u00f3 antes de acabar el estudio por resultados desfavorables. se administraba 1 ml del al y dosis sucesivas de 0,5 ml hasta alcanzar el nivel anest\u00e9sico necesario. Se anotaban las variables hemodin\u00e1micas, niveles anest\u00e9sico y motor, as\u00ed como las complicaciones aparecidas durante el periodo peroperatorio.  resultados  se realizaron 113 casos con el equipo intralong(r) y 9 con el microspinal (r) en 26 casos fue preciso cambiar de t\u00e9cnica anest\u00e9sica por complicaciones t\u00e9cnicas, siendo la m\u00e1s frecuente la imposibilidad de introducir el cat\u00e9ter (10 casos).  se realizaron 31 casos con bupivaca\u00edna 0,5% y 40 con lidoca\u00edna 5% isobaras. la aparici\u00f3n de bloqueo excesivamente alto,hipotensi\u00f3n y dificultad para elevar el nivel de bloque fue significativamente superior en el grupo lidoca\u00edna (p&lt;0,05). La aparici\u00f3n de dificultad para bloquear las met\u00e1meras distales fue significativamente superior en el grupo bupivaca\u00edna (p&lt;0,05).  la lidoca\u00edna 2% se administr\u00f3 en 9 pacientes. Su uso se abandon\u00f3 por dificultad de mantener el nivel anest\u00e9sico.  con<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Caracter\u00edsticas t\u00e9cnicas y cl\u00ednicas de la anestesia intradural continua con microcateteres.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Caracter\u00edsticas t\u00e9cnicas y cl\u00ednicas de la anestesia intradural continua con microcateteres. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Pinar De Santos Maroto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/06\/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>Carmen Gomar Sancho<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel angel Nalda felipe <\/li>\n<li>Jos\u00e9 De Andr\u00e9s ib\u00e1\u00f1ez (vocal)<\/li>\n<li>vicente argentino Gancedo rodriguez (vocal)<\/li>\n<li>emili Huguet ramia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Pinar De Santos Maroto Introduccion la anestesia intradural continua (aic) con microcat\u00e9teres se introdujo para solventar [&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":[1569,951,9,141,967],"tags":[11498,3941,72545,99639,1093,33564],"class_list":["post-38323","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-barcelona","category-ciencias-medicas","category-cirugia","category-salud-publica","tag-carmen-gomar-sancho","tag-emili-huguet-ramia","tag-jose-de-andres-ibanez","tag-m-pinar-de-santos-maroto","tag-miguel-angel-nalda-felipe","tag-vicente-argentino-gancedo-rodriguez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38323","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=38323"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38323\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=38323"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=38323"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=38323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}