{"id":73436,"date":"2005-06-04T00:00:00","date_gmt":"2005-06-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-de-la-torasemida-y-dopamina-sobre-el-filtrado-glomerular-en-pacientes-septicos-oliguricos\/"},"modified":"2005-06-04T00:00:00","modified_gmt":"2005-06-04T00:00:00","slug":"efecto-de-la-torasemida-y-dopamina-sobre-el-filtrado-glomerular-en-pacientes-septicos-oliguricos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/nefrologia\/efecto-de-la-torasemida-y-dopamina-sobre-el-filtrado-glomerular-en-pacientes-septicos-oliguricos\/","title":{"rendered":"Efecto de la torasemida y dopamina sobre el filtrado glomerular en pacientes septicos oliguricos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Alvarez Gonzalez <\/strong><\/h2>\n<p>Introducci\u00f3n la infusi\u00f3n continua de dopamina a dosis bajas y la administraci\u00f3n en bolo de diur\u00e9ticos de asa se usan ampliamente en pacientes cr\u00edticos con signos de sepsis y oliguria para aumentar la diuresis y tratar de prevenir el fracaso renal agudo(fra) olig\u00farico. Hemos llevado a cabo un ensayo cl\u00ednico aleatorizado, abierto y controlado en pacientes cr\u00edticos s\u00e9pticos con oliguria para estudiar el efecto de la dopamina y de un diur\u00e9tica de asa (torasemida) sobre la funci\u00f3n renal y la necesidad de depuraci\u00f3n extrarrenal (tder). m\u00e9todos pacientes adultos ingresados en nuestra unidad de cuidados intensivos con sepsis, oliguria (<1 ml\/kg\/h) y aclaramiento de creatinina (ccr)<60ml\/min, que ten\u00eda tensi\u00f3n arterial media y presiones de llenado adecuados y hemodin\u00e1micamente estables se aleatorizaron a perfusi\u00f3n continua de dopamina (<3 mcg\/kg\/min), torasemida en bolos intravenosos, dopamina con torasemida o grupo control. Se registraron datos anal\u00edticos y variables cl\u00ednicas en el momento de la inclusi\u00f3n, a las 12,24, 48 y 96 horas y a los 7 d\u00edas. El an\u00e1lisis estad\u00edstico se realizo por intenci\u00f3n de tratar. resultados se evaluaron 120 paciente, excluy\u00e9ndose 40 por ccr>60ml\/min., Y 80 fueron incluidos, 20 en cada grupo. Los pacientes se caracterizaron por una edad de 68,3+- 11.8 a\u00f1os., 60% eran varones, la puntuaci\u00f3n apache ii era de 23 +- 7.2 y la puntuaci\u00f3n de disfunci\u00f3n multiorg\u00e1nica 7+-2.7 sin diferencias entre grupos. Los factores de riesgo de fra y las enfermedades subyacentes fueron comparables. Sesenta y cuatro pacientes recib\u00edan noradrenalina (mediana 13.3, 8.3-26.7 mg\/min) y 79 precisaban ventilaci\u00f3n mec\u00e1nica. La mediana de creatinina s\u00e9rica (crs) a la inclusi\u00f3n  fue de 1.34(0.97-1.9) mg\/dl y el ccr de 26 (15-43.9)ml\/min., Sin diferencias entre los grupos de estudio en ning\u00fan momento del protocolo. Requirieron tder 6 (30%) pacientes del grupo control, 7 (35%) del grupo dopamina, 4 (20%) del grupo torasemida y 4 el grupo torasemida\/dopamina (p>0.05). conclusiones la dopamina y la torasemida no modifican la funci\u00f3n renal de pacientes cr\u00edticos s\u00e9pticos con oliguria y no previenen la necesidad de tder<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto de la torasemida y dopamina sobre el filtrado glomerular en pacientes septicos oliguricos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto de la torasemida y dopamina sobre el filtrado glomerular en pacientes septicos oliguricos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Alvarez Gonzalez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/04\/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>Miguel Sanchez Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>enrique Fernandez mondejar (vocal)<\/li>\n<li>Jos\u00e9 \u00e1ngel Lorente balanza (vocal)<\/li>\n<li>Jos\u00e9 angel Sanchez-izquierdo riera (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Alvarez Gonzalez Introducci\u00f3n la infusi\u00f3n continua de dopamina a dosis bajas y la administraci\u00f3n en bolo [&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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