{"id":57649,"date":"2018-03-09T22:45:27","date_gmt":"2018-03-09T22:45:27","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/mascarilla-lara%c2%adngea-flexible-como-alternativa-al-tubo-traqueal-reforzado-en-ciruga%c2%ada-de-torax-superior-cabeza-y-cuello\/"},"modified":"2018-03-09T22:45:27","modified_gmt":"2018-03-09T22:45:27","slug":"mascarilla-lara%c2%adngea-flexible-como-alternativa-al-tubo-traqueal-reforzado-en-ciruga%c2%ada-de-torax-superior-cabeza-y-cuello","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/barcelona\/mascarilla-lara%c2%adngea-flexible-como-alternativa-al-tubo-traqueal-reforzado-en-ciruga%c2%ada-de-torax-superior-cabeza-y-cuello\/","title":{"rendered":"Mascarilla lar\u00edngea flexible como alternativa al tubo traqueal reforzado en cirugia de t\u00f3rax superior, cabeza y cuello"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Mart\u00edn Castro M. Carmen <\/strong><\/h2>\n<p>La mascarilla lar\u00edngea flexible (lma-f) ha sido fundamentalmente utilizada en poblaci\u00f3n infantil, durante procedimientos otorrinolaringol\u00f3gicos, cirug\u00eda intraoral u otros de corta duraci\u00f3n, donde existe riesgo de acodamiento del tubo a\u00e9reo. Sin embargo existe poca informaci\u00f3n acerca de su morbilidad en la v\u00eda a\u00e9rea. La finalidad de esta tesis es comparar dichos dispositivos de v\u00eda a\u00e9rea con el tubo traqueal reforzado (ttr) en pacientes adultos ventilados mec\u00e1nicamente durante la anestesia general para cirug\u00eda de cabeza, cuello y t\u00f3rax superior de una supuesta duraci\u00f3n entre una y tres horas.     se han estudiado ciento veinte adultos sometidos a anestesia general para cirug\u00eda oncopl\u00e1stica de cabeza, cuello y t\u00f3rax superior. los pacientes se han estratificado en dos grupos de v\u00eda a\u00e9rea: lma-f (n=60) o ttr (n=60). Dentro de cada uno de estos grupos, los pacientes han sido distribuidos de forma aleatoria en dos subgrupos de anestesia de mantenimiento: propofol (n=30) o sevoflurano (n=30). Para ambas dispositivos, y de forma comparativa, se han estudiado la facilidad de inserci\u00f3n, la respuesta hemodin\u00e1mica a la colocaci\u00f3n, la ventilaci\u00f3n y la morbilidad.     los resultados obtenidos han sido los siguientes. La facilidad en la inserci\u00f3n ha sido mayor para la lma-f (93% versus 77%; p=0,001) y la tasa total de correcta colocaci\u00f3n para ambos dispositivos ha alcanzado el 100%. Los cambios hemodin\u00e1micos sufridos tras la inserci\u00f3n del ttr han sido significativamente mayores (p mayor 0,001). La saturaci\u00f3n arterial por pulsioximetr\u00eda y la capnograf\u00eda han sido comparables en ambos grupos, pero la presi\u00f3n de la v\u00eda a\u00e9rea, durante la ventilaci\u00f3n mec\u00e1nica, ha sido menor con lma-f (p=0,002). El dolor de garganta, la tos y la disfon\u00eda se han manifestado con menor frecuencia con la lma-f (p mayor 0,01). El sevoflurano ha proporcionado mejores resultados en el tiempo transcurrido desde el final de la cirug\u00eda hasta el despertar de los pacientes,<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Mascarilla lar\u00edngea flexible como alternativa al tubo traqueal reforzado en cirugia de t\u00f3rax superior, cabeza y cuello<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Mascarilla lar\u00edngea flexible como alternativa al tubo traqueal reforzado en cirugia de t\u00f3rax superior, cabeza y cuello <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Mart\u00edn Castro M. Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/03\/2007<\/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>Eduard Jaurrieta Mas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carmen Gomar Sancho <\/li>\n<li>Manel Ma\u00f1os Pujol (vocal)<\/li>\n<li>Gl\u00f3ria Puig Abenza (vocal)<\/li>\n<li>Mar\u00eda Rull Bartomeu (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mart\u00edn Castro M. Carmen La mascarilla lar\u00edngea flexible (lma-f) ha sido fundamentalmente utilizada en poblaci\u00f3n infantil, durante [&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":[1569,951],"tags":[11498,1460,113002,18874,127383,127382],"class_list":["post-57649","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-barcelona","tag-carmen-gomar-sancho","tag-eduard-jaurrieta-mas","tag-gloria-puig-abenza","tag-manel-manos-pujol","tag-maria-rull-bartomeu","tag-martin-castro-m-carmen"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/57649","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=57649"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/57649\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=57649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=57649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=57649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}