{"id":41317,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/incidencia-de-arritmias-cardiacas-durante-la-realizacion-de-la-fibrobroncoscopia\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"incidencia-de-arritmias-cardiacas-durante-la-realizacion-de-la-fibrobroncoscopia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/incidencia-de-arritmias-cardiacas-durante-la-realizacion-de-la-fibrobroncoscopia\/","title":{"rendered":"Incidencia de arritmias cardiacas durante la realizacion de la fibrobroncoscopia."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Laperal Mur Jos\u00e9 Ramon <\/strong><\/h2>\n<p>Estudiamos 91 pacientes cometidos a una fibrobroncoscopia en el servicio de neumolog\u00eda del hospital miguel servet de zaragoza.  se monitoriz\u00f3 el ritmo card\u00edaco mediante registro electrocardiogr\u00e1fico de 24 horas tipo holter, la saturaci\u00f3n arterial de ox\u00edgeno por pulsioximetr\u00eda y los niveles s\u00e9ricos de lidoca\u00edna en 62 de los 91 pacientes.  observamos una duraci\u00f3n significativamente superior del lavado broncoalveolar y de la biopsia bronquial sobre el resto de las t\u00e9cnicas.  las mujeres tuvieron una mayor ca\u00edda en la saturaci\u00f3n de ox\u00edgeno durante la exploraci\u00f3n que mostr\u00f3 una correlaci\u00f3n inversa con la edad. Los pacientes fumadores tuvieron una menor ca\u00edda de la saturaci\u00f3n de ox\u00edgeno que los no fumadores. No encontramos diferencias entre las distintas t\u00e9cnicas.  las dosis administradas de lidoca\u00edna fueron superiores a las descritas en la mayor\u00eda de los estudios, alcanzando niveles s\u00e9ricos terap\u00e9uticos en la mayor\u00eda de los casos. Los niveles s\u00e9ricos mostraron una correlaci\u00f3n significativa con la frecuencia card\u00edaca m\u00e1xima alcanzada. La dosis administrada fue similar en las distintas t\u00e9cnicas salvo en el lavado broncoalveolar en el que fue significativamente superior.  un paciente pas\u00f3 de ritmo sinusal a fibrilaci\u00f3n auricular en la hora previa a la exploraci\u00f3n, durante la exploraci\u00f3n un paciente pas\u00f3 de ritmo sinusal a fibrilaci\u00f3n auricular y otro present\u00f3 una crisis de taquicardia parox\u00edstica supraventricular, en ambos casos con respuesta ventricular r\u00e1pida.  la frecuencia card\u00edaca aument\u00f3 significativamente durante la fibrobroncoscopia alcanzando en el 7% de los casos la frecuencia card\u00edaca m\u00e1xima te\u00f3rica y en el 30% la subm\u00e1xima.  las arritmias ventriculares disminuyen durante la fibrobroncoscopia para recuperarse en la hora posterior a la exploraci\u00f3n probablemente por efecto directo de la lidoca\u00edna.  consideramos la fibrobroncoscopia una t\u00e9cnica de baja capacidad<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Incidencia de arritmias cardiacas durante la realizacion de la fibrobroncoscopia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Incidencia de arritmias cardiacas durante la realizacion de la fibrobroncoscopia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Laperal Mur Jos\u00e9 Ramon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/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>Francisco Javier Suarez Pinilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: blanca Sinues porta <\/li>\n<li>Fernando Civeira murillo (vocal)<\/li>\n<li>Manuel Vila justribo (vocal)<\/li>\n<li>Antonio Tejada artigas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Laperal Mur Jos\u00e9 Ramon Estudiamos 91 pacientes cometidos a una fibrobroncoscopia en el servicio de neumolog\u00eda del [&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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