{"id":69035,"date":"2004-05-07T00:00:00","date_gmt":"2004-05-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-la-recuperacion-funcional-con-distintas-tecnicas-analgesicas-tras-artroplastia-total-de-rodilla\/"},"modified":"2004-05-07T00:00:00","modified_gmt":"2004-05-07T00:00:00","slug":"evaluacion-de-la-recuperacion-funcional-con-distintas-tecnicas-analgesicas-tras-artroplastia-total-de-rodilla","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-la-recuperacion-funcional-con-distintas-tecnicas-analgesicas-tras-artroplastia-total-de-rodilla\/","title":{"rendered":"Evaluacion de la recuperacion funcional con distintas tecnicas analgesicas tras artroplastia total de rodilla"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alfredo Carrera Gonzalez <\/strong><\/h2>\n<p>Introducci\u00f3n. La artroplastia total de rodilla (atr) es el tratamiento definitivo de las enfermedades reum\u00e1ticas y de la gonartrosis avanzada que afectan a la articulaci\u00f3n de la rodilla. El dolor agudo postoperatorio es uno de los factores m\u00e9dicos que condiciona la recuperaci\u00f3n funcional de la articulaci\u00f3n en la que se ha implantado la pr\u00f3tesis. A pesar de la importancia de la analgesia postoperatoria en la artroplastia total de rodilla, la realidad demuestra que es un problema sin resolver. Dise\u00f1amos este estudio para evaluar que repercusi\u00f3n tienen las distintas t\u00e9cnicas analg\u00e9sicas en la recuperaci\u00f3n funcional tras atr, el grado de satisfacci\u00f3n que generan las distintas t\u00e9cnicas analg\u00e9sicas, tanto en el paciente como en la enfermer\u00eda, as\u00ed como la repercusi\u00f3n en la calidad de vida relacionada con la salud  (cvrs) de los pacientes sometidos a atr.  material y m\u00e9todo. Estudio prospectivo aleatorizado en 50 pacientes. Los pacientes fueron distribuidos en tres grupos en funci\u00f3n de la t\u00e9cnica analg\u00e9sica empleada para el tratamiento del dolor agudo postoperatorio. El grupo i recibi\u00f3 analgesia continua por v\u00eda epidural (ropivaca\u00edna 2 mg\/ml m\u00e1s 4 g\/ml de fentanilo); el grupo ii, analgesia continua por v\u00eda femoral (ropivaca\u00edna 2 mg\/ml); el grupo iii recibi\u00f3 analgesia intravenosa (mezcla de metamizol, tramadol y metoclopramida). Todos los pacientes recibieron como analgesia de rescate cloruro m\u00f3rfico mediante una bomba de acp (analgesia controlada por el paciente). El consumo de cloruro m\u00f3rfico se emple\u00f3 para valorar la eficacia de las t\u00e9cnicas analg\u00e9sicas. La analgesia en infusi\u00f3n continua y la acp fueron mantenidas durante las primeras 72 horas de postoperatorio. el dolor fue valorado mediante la escala eva en reposo y al movimiento, se recogieron efectos secundarios y complicaciones de cada t\u00e9cnica y de la analgesia de rescate, la recuperaci\u00f3n funcional de la articulaci\u00f3n al alta y a los tres meses y los cam<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluacion de la recuperacion funcional con distintas tecnicas analgesicas tras artroplastia total de rodilla<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluacion de la recuperacion funcional con distintas tecnicas analgesicas tras artroplastia total de rodilla <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alfredo Carrera Gonzalez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/07\/2004<\/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>Fernando Gilsanz Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Rodr\u00edguez montes <\/li>\n<li> Alvarez qui\u00f1ones sanz Mar\u00eda (vocal)<\/li>\n<li>Antonio Planas roca (vocal)<\/li>\n<li> Gil verona Jos\u00e9 Antonio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alfredo Carrera Gonzalez Introducci\u00f3n. La artroplastia total de rodilla (atr) es el tratamiento definitivo de las enfermedades [&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":[151342,27686,69916,30129,151343,3775],"class_list":["post-69035","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-alfredo-carrera-gonzalez","tag-alvarez-quinones-sanz-maria","tag-antonio-planas-roca","tag-fernando-gilsanz-rodriguez","tag-gil-verona-jose-antonio","tag-jose-antonio-rodriguez-montes"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/69035","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=69035"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/69035\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=69035"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=69035"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=69035"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}