{"id":5589,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":""},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"estudio-de-la-reaccion-neuroendocrino-metabolica-tras-cirugia-abdominal-efectos-de-la-incision-quirurgica-y-la-analgesia-postoperatoria-sobre-la-funcion-respiratoria-y-las-complicaciones-pulmonares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-reaccion-neuroendocrino-metabolica-tras-cirugia-abdominal-efectos-de-la-incision-quirurgica-y-la-analgesia-postoperatoria-sobre-la-funcion-respiratoria-y-las-complicaciones-pulmonares\/","title":{"rendered":"Estudio de la reaccion neuroendocrino-metabolica tras cirugia abdominal. efectos de la incision quirurgica y la analgesia postoperatoria sobre la funcion respiratoria y las complicaciones pulmonares."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Capilla Cruz Palomino <\/strong><\/h2>\n<p>Valoramos la efectividad del bloqueo de los estimulos nocieptivos, mediante analgesia, en la minimizacion tanto en el tiempo como en intensidad de la reaccion neuroendocrino-metabolica. Dado que afecta muy precozmente al pulon a traves del sistema macrofagolinfocito activado como por via refleja (estimulos nociceptivos), elegimos el estudio de la funcion pulmonar para valorar clinicamente nuestra hiotesis de trabajo.  comparamos la efectividad del bloqueo segmentario con morfina epidural versus el bloqueo periferico con metamizol i.V. Durante 48 horas del postoperatorio, una vez revertidos los efectos de la neuroleptoanalgesia en paciente laparotomizados. Asimismo detectamos la posible influencia de la incision supra o infraumbilical en la funcion respiratoria.  la mejor analgesia se consiguio mediante la administracion de morfina epidural con escasos efectos secundarios. El metamizol i.V. Proporciona una analgesia eficaz con minimos efectos secundarios. Parece ser que la inhibicion de los reflejos nociceptivos a nivel periferico es mas eficaz para minimizar la reaccion neuroendocrino-metabolica que el bloqueo regional. No obtuvimos diferencias significativas que demuestren mayor intensidad del dolor en las incisiones supraumbilicales que en las infraumbilicales.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la reaccion neuroendocrino-metabolica tras cirugia abdominal. efectos de la incision quirurgica y la analgesia postoperatoria sobre la funcion respiratoria y las complicaciones pulmonares.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la reaccion neuroendocrino-metabolica tras cirugia abdominal. efectos de la incision quirurgica y la analgesia postoperatoria sobre la funcion respiratoria y las complicaciones pulmonares. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Capilla Cruz Palomino <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>thorbeck Vara<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  De Dios Garc\u00eda Garc\u00eda <\/li>\n<li>Monserrat Salvi Martinez (vocal)<\/li>\n<li>Carlos Vara Thorbeck (vocal)<\/li>\n<li> Morales Valentin Olegario Ivan (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Capilla Cruz Palomino Valoramos la efectividad del bloqueo de los estimulos nocieptivos, mediante analgesia, en la minimizacion [&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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