{"id":64293,"date":"2018-03-09T22:52:19","date_gmt":"2018-03-09T22:52:19","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-seguridad-e-indicaciones-de-la-reinfusion-de-sangre-de-drenaje-no-lavada-tras-ciruga%c2%ada-protesica-de-rodilla\/"},"modified":"2018-03-09T22:52:19","modified_gmt":"2018-03-09T22:52:19","slug":"eficacia-seguridad-e-indicaciones-de-la-reinfusion-de-sangre-de-drenaje-no-lavada-tras-ciruga%c2%ada-protesica-de-rodilla","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-cardiovascular\/eficacia-seguridad-e-indicaciones-de-la-reinfusion-de-sangre-de-drenaje-no-lavada-tras-ciruga%c2%ada-protesica-de-rodilla\/","title":{"rendered":"Eficacia, seguridad e indicaciones de la reinfusi\u00f3n de sangre de drenaje no lavada tras cirugia prot\u00e9sica de rodilla"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Daniel Ariza Villanueva <\/strong><\/h2>\n<p>La recuperaci\u00f3n postoperatoria de sangre aut\u00f3loga consiste en recolecci\u00f3n y reinfusi\u00f3n de la sangre procedente de los drenajes postoperatorios, y se realiza habitualmente con dispositivos que recuperan y reinfunde al paciente sangre total filtrada y no lavada, siendo la artroplastia total de rodilla (ptr) la intervenci\u00f3n en la que m\u00e1s se utiliza. En esta memoria presentamos los resultados de dos estudios realizados para determinar la eficacia, seguridad e indicaciones de la reinfusi\u00f3n de sangre de drenaje no lavada tras cirug\u00eda para ptr. Los datos presentados en esta memoria muestran que la reinfusi\u00f3n de la sangre de los drenajes postoperatorios reduce significativamente el porcentaje de pacientes que reciben transfusi\u00f3n alog\u00e9nica, tanto en ausencia de un protocolo de transfusi\u00f3n (48% vs 11%) con en presencia del mismo (30.6% vs. 8.4%). En nuestros estudios, a seguridad parece evidenciarse por la ausencia de efectos adversos cl\u00ednicamente relevantes durante la reinfusi\u00f3n de esta sangre en m\u00e1s de 500 pacientes, en los que tampoco se ha observado que esta estrategia aumente la tasade infecciones postoperatorias. Finalmente, la relaci\u00f3n coste-efectividad deesta estrategia podr\u00eda aumentar restringiendo su uso a los pacientes con hemoglobina preoperatoria entre 12 y 15 g\/dl. Su uso deber\u00eda evitarse en los pacientes con hemoglobina preoperatoria mayor de 15 g\/dl, mientras que deber\u00eda complementarse con alg\u00fan otro m\u00e9todo de ahorro de sangre en los pacientes con hemoglobina preoperatoria menor de 12 g\/dl.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia, seguridad e indicaciones de la reinfusi\u00f3n de sangre de drenaje no lavada tras cirugia prot\u00e9sica de rodilla<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia, seguridad e indicaciones de la reinfusi\u00f3n de sangre de drenaje no lavada tras cirugia prot\u00e9sica de rodilla <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Daniel Ariza Villanueva <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/04\/2008<\/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>Manuel Mu\u00f1oz Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Martos crespo <\/li>\n<li>Jos\u00e9 Antonio Garc\u00eda erce (vocal)<\/li>\n<li>elvira Monta\u00f1ez heredia (vocal)<\/li>\n<li>Jorge Cuenca espierrez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Daniel Ariza Villanueva La recuperaci\u00f3n postoperatoria de sangre aut\u00f3loga consiste en recolecci\u00f3n y reinfusi\u00f3n de la sangre [&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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