{"id":72682,"date":"2005-11-02T00:00:00","date_gmt":"2005-11-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-del-proceso-de-recalentamiento-tras-hipotermia-moderada-utilidad-de-la-manta-de-aire-caliente\/"},"modified":"2005-11-02T00:00:00","modified_gmt":"2005-11-02T00:00:00","slug":"analisis-del-proceso-de-recalentamiento-tras-hipotermia-moderada-utilidad-de-la-manta-de-aire-caliente","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-del-proceso-de-recalentamiento-tras-hipotermia-moderada-utilidad-de-la-manta-de-aire-caliente\/","title":{"rendered":"An\u00e1lisis del proceso de recalentamiento tras hipotermia moderada: utilidad de la manta de aire caliente"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  D\u00edez Pastrana Yolanda M\u00aa <\/strong><\/h2>\n<p>A pesar de los avances de las t\u00e9cnicas de cirug\u00eda cardiaca, sigue siendo mayoritario el empleo de cec e hipotermia inducida para la protecci\u00f3n de los \u00f3rganos vitales. La hipotermia es constante al ingreso del paciente en las salas de reanimaci\u00f3n; ello es debido a la inducci\u00f3n anest\u00e9sica, a la duraci\u00f3n de la cirug\u00eda y en el caso de cirug\u00eda cardiaca, a la hipotermia inducida.La hipotermia postoperatoria produce importantes efectos delet\u00e9reos y puede conducir a numerosas complicaciones que empeoran el pron\u00f3stico y el resultado final de la intervenci\u00f3n quir\u00fargica.La mayor\u00eda de los pacientes procedentes de cirug\u00eda cardiaca ingresan en la unidad de reanimaci\u00f3n en hipotermia moderada (35 \u00c2\u00bac). A partir de su ingreso se inicia un periodo necesario de recalentamiento central y perif\u00e9rico, pu\u00e9s esta hipotermia impone un proceso de sedaci\u00f3n y ventilaci\u00f3n mec\u00e1nica hasta que el paciente alcanza normotermia.Se han utilizado diferentes m\u00e9todos activos de recalentamiento. en el estudio objeto de esta tesis doctoral, se ha empleado el colch\u00f3n de aire caliente convectivo, sistema bair-hugger.Se ha estudiado el comportamiento de 40 pacientes: se les midi\u00f3 la temperatura central con una sonda esof\u00e1gica y la temperatura cut\u00e1nea con una term\u00f3metro de absorci\u00f3n de rayos infrarrojos en diversos puntos (cabeza, tronco y extremidades superiores e inferiores).Se utiliz\u00f3 como sistema de sedaci\u00f3n isofluorano 0.4 en tidal.Se obtuvieron los resultados siguientes:a) no se han encontrado diferencias estad\u00edsticamente significativas en el recalentamiento central por la aplicaci\u00f3n del colch\u00f3n de aire caliente.B) el comportamiento perif\u00e9rico sufri\u00f3 un recalentamiento desigual: cabeza y tronco presentaron un comportamiento similar al recalentamiento central, es decir, el colch\u00f3n de aire caliente no consigui\u00f3 acelar el recalentamiento.C) en las extremidades superiores e inferiores, el colch\u00f3n de aire caliente s\u00ed aceler\u00f3 el recalentamie<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis del proceso de recalentamiento tras hipotermia moderada: utilidad de la manta de aire caliente<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis del proceso de recalentamiento tras hipotermia moderada: utilidad de la manta de aire caliente <\/li>\n<li><strong>Autor:<\/strong>\u00a0  D\u00edez Pastrana Yolanda M\u00aa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/02\/2005<\/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>Javier Gonzalez De Zarate  Api\u00f1aniz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco javier Casta\u00f1eda casado <\/li>\n<li>angel Luis Fernandez gonzalez (vocal)<\/li>\n<li>Mar\u00eda sol Carrasco jim\u00e9nez (vocal)<\/li>\n<li> Burgos l\u00e1zaro ra\u00fal Jos\u00e9 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de D\u00edez Pastrana Yolanda M\u00aa A pesar de los avances de las t\u00e9cnicas de cirug\u00eda cardiaca, sigue siendo [&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":[9,141,2189,12451],"tags":[17966,157986,157984,9211,157985,1571],"class_list":["post-72682","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","category-valladolid","tag-angel-luis-fernandez-gonzalez","tag-burgos-lazaro-raul-jose","tag-diez-pastrana-yolanda-ma","tag-francisco-javier-castaneda-casado","tag-javier-gonzalez-de-zarate-apinaniz","tag-maria-sol-carrasco-jimenez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/72682","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=72682"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/72682\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=72682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=72682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=72682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}