{"id":73938,"date":"2005-11-05T00:00:00","date_gmt":"2005-11-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evolucion-del-bloqueo-neuromuscular-producido-por-bromuro-de-rocuronio-en-la-anestesia-balanceada\/"},"modified":"2005-11-05T00:00:00","modified_gmt":"2005-11-05T00:00:00","slug":"evolucion-del-bloqueo-neuromuscular-producido-por-bromuro-de-rocuronio-en-la-anestesia-balanceada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evolucion-del-bloqueo-neuromuscular-producido-por-bromuro-de-rocuronio-en-la-anestesia-balanceada\/","title":{"rendered":"Evoluci\u00f3n del bloqueo neuromuscular producido por bromuro de rocuronio en la anestesia balanceada."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Orellana Ramos Francisco Javier <\/strong><\/h2>\n<p>Estudio cl\u00ednico controlado y aleatorizado que compara la evoluci\u00f3rl del bloqueo neurbmuscular producido por bromuro de rocuronio en la anestesia balanceada con agentes anest\u00e9sicos inhalatorios (sevoflurano y desflurano) frente a propofol, usando como monitorizaci\u00f3n del bloqueo.  neuromuscular, estimulador de nervios perif\u00e9ricos y transductor de aceleromiograf\u00eda (amg). Las conclusiones extra\u00eddas del trabajo son:  1. Bromuro de rocuronio consigue \u00abexcelentes\u00bb o \u00abbuenas\u00bb condic\u00edones de intubaci\u00f3n a los 60 segundos de su administraci\u00f3n a dosis de 0,6 mg\/kg, siendo un bloqueante neuromuscular no despolarizante (bnmnd) id\u00f3neo para la inducci\u00f3n de secuencia r\u00e1pida.  2. La recuperaci\u00f3n espont\u00e1nea hasta la primera dosis de mantemimiento no presenta diferencias estad\u00edsticamentesignificativas entre los grupos si bien cl\u00ednicamente los tiempos jueron prolongados para los f\u00e1rmacos inhalatorios y la variab\u00edlidad de respuestas fue superior con sevoflurano.  3: en este per\u00edodo hasta la primera dosis de mantenimiento la valoraci\u00f3n cl\u00ednica no afect\u00f3 negativamente la dosificaci\u00f3n debromuro de rocuronio frente a la monitorizaci\u00f3n con amg, aunque son necesarios m\u00e1s estudios para determinaresta;correlaci\u00f3n con dosis repetidas del bnmnd.  4. Tanto sevoflurano coljlo desflurano a 1,2 cam afectan la evoluci\u00f3n cl\u00ednica del bloqueo neuromuscular producido por bromuro de rocuronio durante t\u00e9cnicas anest\u00e9sicas balanceadas.  5. Esta interacci\u00f3n es tiempo-dependiente, de tal forma que a partir de 120 minutos la potenciaci\u00f3n de sevoflurano es mayor que la deesflurano, prolong\u00e1ndose los tiempos de recuperaci\u00f3n del bloqueo .Neuromuscular tras reversi\u00f3n con neostigmina.  6. El uso de estimuladores de nervios perif\u00e9ricos resulta imprescindible para la correcta monitorizaci\u00f3n del bloqueo neuromuscular cuando se administran agentes anest\u00e9sicos inhalatorios potentes como sevoflurano y desflurano, especialmente para determinar el mom<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evoluci\u00f3n del bloqueo neuromuscular producido por bromuro de rocuronio en la anestesia balanceada.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evoluci\u00f3n del bloqueo neuromuscular producido por bromuro de rocuronio en la anestesia balanceada. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Orellana Ramos Francisco Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/05\/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>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>Antonio Planas roca (vocal)<\/li>\n<li>luciano Aguilera celorrio (vocal)<\/li>\n<li>Manuel Barcina sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Orellana Ramos Francisco Javier Estudio cl\u00ednico controlado y aleatorizado que compara la evoluci\u00f3rl del bloqueo neurbmuscular producido [&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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