{"id":40895,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ph-intramucoso-gastrico-phi-durante-el-perioperatorio-de-cirugia-cardiaca\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"ph-intramucoso-gastrico-phi-durante-el-perioperatorio-de-cirugia-cardiaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ph-intramucoso-gastrico-phi-durante-el-perioperatorio-de-cirugia-cardiaca\/","title":{"rendered":"Ph intramucoso gastrico (phi) durante el perioperatorio de cirugia cardiaca."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jose Llagunes Herrero <\/strong><\/h2>\n<p>Se estudio durante el perioperatorio de c. Card\u00edaca con hipotermia moderada (27-29 grados c) en 30 pacientes, la variable de perfusi\u00f3n y oxigenaci\u00f3n regional phi. Adem\u00e1s se evalu\u00f3 si existi\u00f3 correlaci\u00f3n entre el phi y complicaciones graves como sepsis, shock s\u00e9ptico, sdra y fra; y con la escala de gravedad apache iii. Se realiz\u00f3 durante 5 fases: t1 antes de canular la aorta, t2 en cec con hipotermia, t3 tras desconexi\u00f3n de la cec, t4 a las 6h de postoperatorio y t5 a las 18h de postoperatorio. los resultados obtenidos fueron no existi\u00f3 un descenso significativo del phs durante el una correlaci\u00f3n entre phi, phs y ph gap (pha-phi) durante todos los tiempos del estudio, adem\u00e1s durante t2 la correlaci\u00f3n fue m\u00e1s elevada para el phs.  existi\u00f3 tambi\u00e9n un descenso significativo durante t4 y t5 de la relaci\u00f3n pa02\/fi02. S\u00f3lo se produjo una complicaci\u00f3n grave neurol\u00f3gica durante el estudio. No existi\u00f3 correlaci\u00f3n entre phi y\/o phs con la escala apache iii. Las conclusiones han sido: el phi y\/o phs permaneci\u00f3 en cifras normales durante el intraoperatorio, la medicaci\u00f3n del phs es m\u00e1s exacta que el phi al eliminar en su c\u00e1lculo del hc03 arterial, existi\u00f3 un descenso del phs durante el postoperatorio inmediato (t4), no hubo ninguna relaci\u00f3n del phi con las complicaciones graves ni la escala de gravedad utilizada y en la actualidad no puede recomendarse la monitorizaci\u00f3n del phi durante el perioperatorio de c. Card\u00edaca en pacientes con una buena funci\u00f3n cardiaca (fe&gt;0.4).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ph intramucoso gastrico (phi) durante el perioperatorio de cirugia cardiaca.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ph intramucoso gastrico (phi) durante el perioperatorio de cirugia cardiaca. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jose Llagunes Herrero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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 Mar\u00eda Palanca San Francisco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel angel Nalda felipe <\/li>\n<li>clemente Muriel villoria (vocal)<\/li>\n<li> Gonzalez machado Juan  lorenzo (vocal)<\/li>\n<li>vicente Lopez merino (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jose Llagunes Herrero Se estudio durante el perioperatorio de c. Card\u00edaca con hipotermia moderada (27-29 grados c) [&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":[1569,9,141,2189],"tags":[9871,103989,103988,8550,1093,11497],"class_list":["post-40895","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","tag-clemente-muriel-villoria","tag-gonzalez-machado-juan-lorenzo","tag-jose-llagunes-herrero","tag-jose-maria-palanca-san-francisco","tag-miguel-angel-nalda-felipe","tag-vicente-lopez-merino"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/40895","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=40895"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/40895\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=40895"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=40895"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=40895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}