{"id":53603,"date":"2018-03-09T22:41:16","date_gmt":"2018-03-09T22:41:16","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/bloqueo-anestesico-del-plexo-braquial-con-levobupivacaa%c2%adna-al-0-33-versus-ropivacaa%c2%adna-al-0-5\/"},"modified":"2018-03-09T22:41:16","modified_gmt":"2018-03-09T22:41:16","slug":"bloqueo-anestesico-del-plexo-braquial-con-levobupivacaa%c2%adna-al-0-33-versus-ropivacaa%c2%adna-al-0-5","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-clinica\/bloqueo-anestesico-del-plexo-braquial-con-levobupivacaa%c2%adna-al-0-33-versus-ropivacaa%c2%adna-al-0-5\/","title":{"rendered":"Bloqueo anest\u00e9sico del plexo braquial con levobupivaca\u00edna al 0.33% versus ropivaca\u00edna al 0.5%"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Susana Gonz\u00e1lez Su\u00e1rez <\/strong><\/h2>\n<p>En la presente tesis se determinan y comparan los efectos anest\u00e9sicos y de analgesia residual postoperatoria de la ropivaca\u00edna y la levobupivaca\u00edan en el bloqueo del plexo braquial a nivel axilar mediante una t\u00e9cnica de estimulaci\u00f3n-infiltraci\u00f3n nerviosa selectiva, en pacientes que requieren cirug\u00eda de codo, antebrazo y mano. Estos dos anest\u00e9sico locales son de reciente introducci\u00f3n, alta potencia anest\u00e9sica y menor toxicidad que la bupivaca\u00edna, y los estudios comparativos de ambos anest\u00e9sicos locales son m\u00ednimos y con resultados poco concluyentes. Por ello realizamos un estudio aleatorio el que tras obtenci\u00f3n del consentimiento de los pacientes los distribuimos en dos grupos de estudio seg\u00fan recib\u00edan ropivaca\u00edna o levobupivaca\u00edna. administramos estos anest\u00e9sicos locales a concentraciones medias que producen un bloqueo motor m\u00ednimo a nivel epidural a los treinta minutos en el primer estadio de trabajo de parto (0.5% para la ropivaca\u00edna y 0.33% para la levobupivaca\u00edna). Administramos estos anest\u00e9sicos locales en un volumen de 30 ml, con dosis totales de 150 mg para la ropivaca\u00edna y 99 mg para la levobupivaca\u00edna. tras la realizaci\u00f3n del bloqueo, este se evalu\u00f3: cada 5 minutos hasta los 30 minutos de su realizaci\u00f3n, durante la cirug\u00eda, y cada 6 horas hasta las primeras 24 horas de la infiltraci\u00f3n anest\u00e9sica en el periodo postoperatorio. los resultados mostraron un inicio y progresi\u00f3n del bloqueo mas lentos con levobupivaca\u00edan que con ropivaca\u00edna, con un tiempo de bloqueo quir\u00fargico similar. Sin embargo, la duraci\u00f3n del bloqueo sensitivo fue mayor con levobupivaca\u00edan que con ropivaca\u00edna y los requerimientos analg\u00e9sicos postoperatorios tambi\u00e9n fueron menores con levobupivaca\u00edna que con ropivaca\u00edna.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bloqueo anest\u00e9sico del plexo braquial con levobupivaca\u00edna al 0.33% versus ropivaca\u00edna al 0.5%<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bloqueo anest\u00e9sico del plexo braquial con levobupivaca\u00edna al 0.33% versus ropivaca\u00edna al 0.5% <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Susana Gonz\u00e1lez Su\u00e1rez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/06\/2006<\/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> Puig Riera De Con\u00edas Margarita<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>victoria Ribera canudas (vocal)<\/li>\n<li>Antonio Montero matamala (vocal)<\/li>\n<li>Luis Aliaga font (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Susana Gonz\u00e1lez Su\u00e1rez En la presente tesis se determinan y comparan los efectos anest\u00e9sicos y de analgesia [&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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