{"id":41573,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tonometria-gastrica-en-cirugia-pediatrica-determinacion-del-phi-intra-y-postoperatorio\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"tonometria-gastrica-en-cirugia-pediatrica-determinacion-del-phi-intra-y-postoperatorio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tonometria-gastrica-en-cirugia-pediatrica-determinacion-del-phi-intra-y-postoperatorio\/","title":{"rendered":"Tonometria gastrica en cirugia pediatrica: determinacion del phi intra y postoperatorio."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Rollan Villamarin <\/strong><\/h2>\n<p>El ph intramucoso g\u00e1strico indica el nivel de oxigenaci\u00f3n de la mucosa gastrointestinal, que est\u00e1 condicionado por el grado de prefusi\u00f3n del territorio espl\u00e1cnico.  la tonometr\u00eda g\u00e1strica es una t\u00e9cnica de monitorizaci\u00f3n, minimamente invasiva, que permite determinar el ph intramucoso (phi).  como objetivo de esta tesis se propuso el estudio del phi intra y postoperatorio en pacientes en edad pedi\u00e1trica.  el estudio se realiz\u00f3 en 60 pacientes, seleccion\u00e1ndose tres tipos de cirug\u00eda: abdominal, tor\u00e1cica y neurocirug\u00eda.  todos los pacientes fueron invervenidos con anestesia general. La edad media fue de 95+-63 meses. durante el tiempo intraoperatorio se determin\u00f3 el phi cada hora y durante el postoperatorio cada 8 horas, hasta un m\u00e1ximo de 4 determinaciones en cada etapa.  se efectuaron un total de 377 determinaciones del phi, con un promedio de 6,28 determinaciones por paciente, obteni\u00e9ndose las siguientes conclusiones:  &#8211; el phi desciende durante el proceso quir\u00fargico. la intensidad del descenso es proporcional a la duraci\u00f3n del tiempo operatorio.  &#8211; el descenso del phi se normaliza en las primeras horas del per\u00edodo postoperatorio.  &#8211; el descenso del phi intraoperatorio es mayor en cirug\u00eda abdominal que en cirug\u00eda tor\u00e1cica y en neurocirug\u00eda.  &#8211; las oscilaciones del ph arterial npha) se correlacionaron con las del phi, pero fueron m\u00e1s tard\u00edas y menos intensas.  &#8211; los pacientes tratados en el postoperatorio con morfina, tuvieron un phi m\u00e1s bajo que los tratados con metamizol.  &#8211; el tiempo de estancia en ucip tuvo correlaci\u00f3n significativa con el phi intraoperatorio.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tonometria gastrica en cirugia pediatrica: determinacion del phi intra y postoperatorio.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tonometria gastrica en cirugia pediatrica: determinacion del phi intra y postoperatorio. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Rollan Villamarin <\/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\/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>Juan Casado Flores<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Hern\u00e1ndez rodr\u00edguez <\/li>\n<li>Francisco Berchi garcia (vocal)<\/li>\n<li>carmen Gasco garcia (vocal)<\/li>\n<li> Serrano sanchez pedro a. (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Rollan Villamarin El ph intramucoso g\u00e1strico indica el nivel de oxigenaci\u00f3n de la mucosa gastrointestinal, que [&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":[155,9,141,387,161],"tags":[5898,105220,23649,14501,14599,105219],"class_list":["post-41573","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-pediatria","tag-carmen-gasco-garcia","tag-francisco-berchi-garcia","tag-juan-casado-flores","tag-manuel-hernandez-rodriguez","tag-serrano-sanchez-pedro-a","tag-vicente-rollan-villamarin"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/41573","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=41573"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/41573\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=41573"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=41573"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=41573"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}