{"id":59460,"date":"2018-03-09T22:47:17","date_gmt":"2018-03-09T22:47:17","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-del-remifentanilo-en-el-sistema-de-conduccion-carda%c2%adaco-estudio-electrofisiologico-en-un-modelo-experimental-porcino\/"},"modified":"2018-03-09T22:47:17","modified_gmt":"2018-03-09T22:47:17","slug":"efecto-del-remifentanilo-en-el-sistema-de-conduccion-carda%c2%adaco-estudio-electrofisiologico-en-un-modelo-experimental-porcino","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-del-remifentanilo-en-el-sistema-de-conduccion-carda%c2%adaco-estudio-electrofisiologico-en-un-modelo-experimental-porcino\/","title":{"rendered":"Efecto del remifentanilo en el sistema de conducci\u00f3n card\u00edaco. estudio electrofisiol\u00f3gico en un modelo experimental porcino."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Jimeno Fern\u00e1ndez M. Concepci\u00f3n <\/strong><\/h2>\n<p>Introducci\u00f3n: en cl\u00ednica se han descrito bradiarritmias con la utilizaci\u00f3n de los opioides que en ocasiones han provocado gran deterioro hemodin\u00e1mico en los pacientes. La electrofisiolog\u00eda puede ayudarnos a conocer la manera en que los opioides influyen en el sistema el\u00e9ctrico card\u00edaco. El remifentailo es el \u00faltimo opioide introducido en la cl\u00ednica, con una corta duraci\u00f3n de acci\u00f3n. En la literatura han aparecido casos en los que el remifentanilo se ha visto involucrado en la aparici\u00f3n de bradicardias e incluso asistolias. Por ello interesa investigar el efecto que el remifentanilo ejerce sobre el sistema de conducci\u00f3n card\u00edaco y valorar si existe correspondencia entre los par\u00e1metros electrofisiol\u00f3gicos y las observaciones cl\u00ednicas. Material y m\u00e9todos: 18 cerdos de la raza large-white fueron sometidos a anestesia general con intubaci\u00f3n orotraqueal mediante propofol intravenoso en perfusi\u00f3n continua. Tras monitorizar la presi\u00f3n arterial directa mediante la canalizaci\u00f3n de la arteria femoral, se procedi\u00f3 a la canalizaci\u00f3n de la vena femoral para introducir los electrocat\u00e9teres de estimulaci\u00f3n y registro que fueron colocados en su lugar correcto con ayuda de la radioscopia. Se realiz\u00f3 un estudio electrofisiol\u00f3gico en el que se midieron los siguientes par\u00e1metros: longitud del ciclo sinusal (lcs), intervalos aur\u00edcula-his (ah) y ventr\u00edculo-his (hv), tiempo de conducci\u00f3n sinoatrial (tcsa), tiempo de recuperaci\u00f3n del nodo sinusal (trns), per\u00edodo refractario efecto de la aur\u00edcula derecha (pread) y del ventr\u00edculo derecho (prevd), per\u00edodo refractario efectivo del nodo av (prenav) y aparici\u00f3n del punto de wenckebach nodal (pw). Tras la administraci\u00f3n de remifentanilo a una dosis bolo de 1\u00c2\u00b5g\/kg seguida de una perfusi\u00f3n continua a dosis cl\u00ednica de 0,5 \u00c2\u00b5ug\/kg-1, se procedi\u00f3 a hacer un segundo estudio electrofisiol\u00f3gico id\u00e9ntico al anterior. Los par\u00e1metros electrofisiol\u00f3gicos obtenidos en ambos momentos fueron comparados mediante apli<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto del remifentanilo en el sistema de conducci\u00f3n card\u00edaco. estudio electrofisiol\u00f3gico en un modelo experimental porcino.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto del remifentanilo en el sistema de conducci\u00f3n card\u00edaco. estudio electrofisiol\u00f3gico en un modelo experimental porcino. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Jimeno Fern\u00e1ndez M. Concepci\u00f3n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/06\/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>Matilde Zaballos Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Garcia barreno <\/li>\n<li>Francisco Arnalich fern\u00e1ndez (vocal)<\/li>\n<li>Luis Garcia  sancho martin (vocal)<\/li>\n<li> Anad\u00ed\u00a7on baselga Mar\u00eda Jos\u00e9 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jimeno Fern\u00e1ndez M. Concepci\u00f3n Introducci\u00f3n: en cl\u00ednica se han descrito bradiarritmias con la utilizaci\u00f3n de los opioides [&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":[1],"tags":[131380,824,131378,3776,131379,23125],"class_list":["post-59460","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-anadion-baselga-maria-jose","tag-francisco-arnalich-fernandez","tag-jimeno-fernandez-m-concepcion","tag-luis-garcia-sancho-martin","tag-matilde-zaballos-garcia","tag-pedro-garcia-barreno"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/59460","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=59460"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/59460\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=59460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=59460"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=59460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}