{"id":65406,"date":"2018-03-09T22:53:29","date_gmt":"2018-03-09T22:53:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-en-la-recuperacion-y-supervivencia-de-la-parada-cardio-respiratoria-prehospitalaria\/"},"modified":"2018-03-09T22:53:29","modified_gmt":"2018-03-09T22:53:29","slug":"factores-pronosticos-en-la-recuperacion-y-supervivencia-de-la-parada-cardio-respiratoria-prehospitalaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-en-la-recuperacion-y-supervivencia-de-la-parada-cardio-respiratoria-prehospitalaria\/","title":{"rendered":"Factores pron\u00f3sticos en la recuperaci\u00f3n y supervivencia de la parada cardio-respiratoria prehospitalaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos-fernando Yebenes Zapata <\/strong><\/h2>\n<p>Introducci\u00f3n: los servicios m\u00e9dicos de emergencias prehospitalarios (sem), constituyen el pilar b\u00e1sico para la atenci\u00f3n y control de la patolog\u00eda urgente y emergente fuera del \u00e1mbito hospitalario. El paradigma de estas situaciones es la parada cardio -respiratoria (pcr). Nuestro objetivo es la b\u00fasqueda pormenorizada de criterios pron\u00f3sticos pr\u00e1cticos y fiables mientras se realizan las  maniobras de resucitaci\u00f3n cardiopulmonar avanzada optimizada (rcp-a), relacionados con el resultado inmediato y,  la morbimortalidad del paciente a corto-medio plazo.  material y m\u00e9todos: durante 6 a\u00f1os se ha realizado un estudio prospectivo y descriptivo. Se ha llevado a cabo un an\u00e1lisis estad\u00edstico detallado de los datos cl\u00ednicos obtenidos (variables) durante  las maniobras de resucitaci\u00f3n cardio-pulmonar avanzada (rcp-a) de los pacientes diagnosticados de pcr  atendidos en el \u00e1mbito prehospitalario por el samur-pc de Madrid. Los resultados obtenidos se han relacionado con la recuperaci\u00f3n o no de la pcr, y la morbimortalidad a corto-medio plazo. resultados: se incluyen 129 pacientes (edad media de 59 a\u00f1os), de los cuales 57 (44 ) fueron recuperados y trasladados con pulso central carot\u00eddeo palpable al servicio de urgencias de su hospital de referenci a. De todos ellos, 24  (18,60 ) sobreviv\u00edan a los 7 d\u00edas, momento en el que finalizaba el estudio, siendo 11 (8,52 ) los que no sufr\u00edan secuelas neurol\u00f3gicas (encefalopat\u00eda an\u00f3xica).  discusi\u00f3n: la atenci\u00f3n por un equipo humano especializado y con ma terial acorde a esta patolog\u00eda siempre optimizar\u00e1 los resultados de la rcp-a. La morbimortalidad ser\u00e1 menor si de un modo precoz aplicamos la rcp-a. Como factores pron\u00f3sticos indicadores de unos resultados globales mejores nos pueden servir, una rcp- a de corta duraci\u00f3n, una saturaci\u00f3n de o2 (spo2) y un co2 al final de la espiraci\u00f3n (etco2) altos, as\u00ed como conseguir unas cifras de ph lo m\u00e1s cercanas a la normalidad. palabras clave: parada cardio-respiratoria. Prehospitalario. Pron\u00f3stico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3sticos en la recuperaci\u00f3n y supervivencia de la parada cardio-respiratoria prehospitalaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos en la recuperaci\u00f3n y supervivencia de la parada cardio-respiratoria prehospitalaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos-fernando Yebenes Zapata <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/06\/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>represa \u00e1lvarez Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Lopez timonedo <\/li>\n<li>Jos\u00e9 \u00e1ngel de Go carmona (vocal)<\/li>\n<li>Miguel angel Dapena crespo (vocal)<\/li>\n<li>Francisco Ruza tarrio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos-fernando Yebenes Zapata Introducci\u00f3n: los servicios m\u00e9dicos de emergencias prehospitalarios (sem), constituyen el pilar b\u00e1sico para la [&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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