{"id":71422,"date":"2018-03-09T23:16:03","date_gmt":"2018-03-09T23:16:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/requerimientos-transfusionales-de-la-ciruga%c2%ada-ortopedica-del-miembro-inferior-efectividad-de-dos-estrategias-de-ahorro-de-sangre-en-la-artroplastia-primaria-de-rodilla\/"},"modified":"2018-03-09T23:16:03","modified_gmt":"2018-03-09T23:16:03","slug":"requerimientos-transfusionales-de-la-ciruga%c2%ada-ortopedica-del-miembro-inferior-efectividad-de-dos-estrategias-de-ahorro-de-sangre-en-la-artroplastia-primaria-de-rodilla","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/requerimientos-transfusionales-de-la-ciruga%c2%ada-ortopedica-del-miembro-inferior-efectividad-de-dos-estrategias-de-ahorro-de-sangre-en-la-artroplastia-primaria-de-rodilla\/","title":{"rendered":"Requerimientos transfusionales de la cirugia ortop\u00e9dica del miembro inferior. efectividad de dos estrategias de ahorro de sangre en la artroplastia primaria de rodilla"},"content":{"rendered":"

Tesis doctoral de Mar\u00eda Jose Garceran Ortega <\/strong><\/h2>\n

Planteamiento y objetivos la artroplastia primaria de rodilla (apr) puede dar lugar a una p\u00e9rdida sustancial de sangre y el 31 30-50% de estos pacientes reciben transfusi\u00f3n de sangre alog\u00e9nica (tsa). Dado que la tsa es un recurso terap\u00e9utico escaso, cada vez m\u00e1s caro y no exente de riesgos, se ha comprobado la efectividad de dos estrategias para reducir las necesidades de tsa en pacientes sometidos a apr. pacientes y m\u00e9todos en el hcu virgen de la victoria, los resultados en 200 pacientes que recibieron sangre recuperada de los drenajes postoperatorios (grupo a2) se compararon con los de un grupo control retrospectivos (grupo a1). En el hu miguel servet, los resultados de 81 pacientes que recibieron hierro sacarato perioperatorio (2×200 mg,iv), mas eritropoyetina si la hb preoperatoria era menor de 13 g\/dl (1×40,000 ui, sc) (grupo b2), se compararon con los de un grupo retrospectivo de 100 pacientes (grupo b1). resultados el porcentaje de pacientes con tsa en el grupo a2 fue menor que el a1 (56.5 vs 11%, respectivamente; p menor 0.01). Los mismo ocurri\u00f3 en el grupo b2 respecto al grupo b1 (30 vs 3.7%, respectivamente; p menor 0.01). Sin embargo, el 23% (17\/74) an\u00e9micos del grupo a2 y el 10% (2\/19) del grupo b2, necesitan tsa. conclusiones en pacientes apr no an\u00e9micos ambas estrategias fueron igualmente efectivas para eliminar la necesidad de tsa. Sin embargo, en pacientes an\u00e9micos ser\u00eda necesaria la combinaci\u00f3n de ambas para tener un mayor margen de seguridad.<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abRequerimientos transfusionales de la cirugia ortop\u00e9dica del miembro inferior. efectividad de dos estrategias de ahorro de sangre en la artroplastia primaria de rodilla<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Requerimientos transfusionales de la cirugia ortop\u00e9dica del miembro inferior. efectividad de dos estrategias de ahorro de sangre en la artroplastia primaria de rodilla <\/li>\n
  • Autor:<\/strong>\u00a0 Mar\u00eda Jose Garceran Ortega <\/li>\n
  • Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 25\/11\/2004<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Manuel Mu\u00f1oz Gomez<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: gemma Ramirez ramirez <\/li>\n
        • Garc\u00eda urge Jos\u00e9 Antonio (vocal)<\/li>\n
        • Rafael Romero anama (vocal)<\/li>\n
        • Jorge Cuenca (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Mar\u00eda Jose Garceran Ortega Planteamiento y objetivos la artroplastia primaria de rodilla (apr) puede dar lugar a […]<\/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":[160,9,141,10665,7834,17,3665],"tags":[155637,74316,155639,42926,155636,155638],"class_list":["post-71422","post","type-post","status-publish","format-standard","hentry","category-bioquimica","category-ciencias-medicas","category-cirugia","category-cirugia-osea","category-malaga","category-quimica","category-quimica-clinica","tag-garcia-urge-jose-antonio","tag-gemma-ramirez-ramirez","tag-jorge-cuenca","tag-manuel-munoz-gomez","tag-maria-jose-garceran-ortega","tag-rafael-romero-anama"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/71422","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=71422"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/71422\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=71422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=71422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=71422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}