{"id":57501,"date":"2018-03-09T22:45:16","date_gmt":"2018-03-09T22:45:16","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-un-dispositivo-de-cpap-sin-respirador-en-la-insuficiencia-respiratoria-aguda-y-el-destete-en-pediatria\/"},"modified":"2018-03-09T22:45:16","modified_gmt":"2018-03-09T22:45:16","slug":"evaluacion-de-un-dispositivo-de-cpap-sin-respirador-en-la-insuficiencia-respiratoria-aguda-y-el-destete-en-pediatria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/evaluacion-de-un-dispositivo-de-cpap-sin-respirador-en-la-insuficiencia-respiratoria-aguda-y-el-destete-en-pediatria\/","title":{"rendered":"Evaluaci\u00f3n de un dispositivo de cpap sin respirador en la insuficiencia respiratoria aguda y el destete en pediatr\u00eda"},"content":{"rendered":"

Tesis doctoral de Miguel Angel Palomero Rodriguez <\/strong><\/h2>\n

La ventilaci\u00f3n no invasiva (vni) ha demostrado su eficacia en la insuficiencia respiratoria aguda (ira) y retirada de la ventilaci\u00f3n mec\u00e1nica convencional (vmc). Sin embargo su aplicaci\u00f3n en el paciente pedi\u00e1trico esta limitada por su falta de colaboraci\u00f3n, escasez de interfases y falta de adaptaci\u00f3n de los respiradores de vni. Dada nuestra experiencia con los circuitos de mapleson, nos planteamos la utilizaci\u00f3n de un circuito de mapleson tipo d y un tubo endotraqueal situado en nasofaringe como interfase, como alternativa a los sistemas de vni existentes en pediatr\u00eda. \tse realiz\u00f3 un estudio prospectivo observacional donde se recogieron datos epidemiol\u00f3gicos, indicaci\u00f3n, datos cl\u00ednicos y anal\u00edticos antes y 2 horas tras la aplicaci\u00f3n del sistema. Se incluyeron 28 pacientes (edad 44,57 \u00c2\u00b152,06 meses). Observamos una disminuci\u00f3n de la fc (fc previo 147\u00c2\u00b122 lat\/min; fccpap 132\u00c2\u00b118 lat\/min), de la fr ( fr previo 49\u00c2\u00b115 resp\/min; frcpap 37\u00c2\u00b113 resp\/min, p<0,05), de la paco2 (paco2 previo 52,35\u00c2\u00b115,20; paco2 cpap 44,91\u00c2\u00b18,43) y un aumento de la pao2\/fio2 (pao2\/fio2 previo 189\u00c2\u00b135; pao2\/fio2 cpap 228,02\u00c2\u00b1109,237), junto a un aumento de la spo2 (spo2 previo 82,5\u00c2\u00b113; spo2 cpap 95\u00c2\u00b13,92). \ttras revisar la bibliograf\u00eda, es la primera vez que se describe la aplicaci\u00f3n de un circuito de mapleson con un tet como sistema de vni durante la ira y para el destete de ventilaci\u00f3n mec\u00e1nica en pediatr\u00eda, con una tasa de \u00e9xito del 89%.\n\n\n\n \n\n\n

Datos acad\u00e9micos de la tesis doctoral \u00abEvaluaci\u00f3n de un dispositivo de cpap sin respirador en la insuficiencia respiratoria aguda y el destete en pediatr\u00eda<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n de un dispositivo de cpap sin respirador en la insuficiencia respiratoria aguda y el destete en pediatr\u00eda <\/li>\n
  • Autor:<\/strong>\u00a0 Miguel Angel Palomero Rodriguez <\/li>\n
  • Universidad:<\/strong>\u00a0 Salamanca<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 14\/03\/2007<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Clemente Muriel Villoria<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: Jos\u00e9 Mar\u00eda Palanca san Francisco <\/li>\n
        • Mar\u00eda pilar S\u00e1nchez conde (vocal)<\/li>\n
        • Juan Navia roque (vocal)<\/li>\n
        • eduardo Tamayo gomez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Miguel Angel Palomero Rodriguez La ventilaci\u00f3n no invasiva (vni) ha demostrado su eficacia en la insuficiencia respiratoria […]<\/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":[1569,141,9386],"tags":[9871,122164,8550,29648,110715,127041],"class_list":["post-57501","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-cirugia","category-salamanca","tag-clemente-muriel-villoria","tag-eduardo-tamayo-gomez","tag-jose-maria-palanca-san-francisco","tag-juan-navia-roque","tag-maria-pilar-sanchez-conde","tag-miguel-angel-palomero-rodriguez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/57501","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=57501"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/57501\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=57501"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=57501"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=57501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}