{"id":75709,"date":"2018-03-09T23:20:58","date_gmt":"2018-03-09T23:20:58","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efectos-de-la-ventilacion-mecanica-sobre-la-secrecion-de-factor-natriuretico-atrial-y-metabolismo-hidromineral-en-ninos\/"},"modified":"2018-03-09T23:20:58","modified_gmt":"2018-03-09T23:20:58","slug":"efectos-de-la-ventilacion-mecanica-sobre-la-secrecion-de-factor-natriuretico-atrial-y-metabolismo-hidromineral-en-ninos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efectos-de-la-ventilacion-mecanica-sobre-la-secrecion-de-factor-natriuretico-atrial-y-metabolismo-hidromineral-en-ninos\/","title":{"rendered":"Efectos de la ventilaci\u00f3n mec\u00e1nica sobre la secreci\u00f3n de factor natriur\u00e9tico atrial y metabolismo hidromineral en ni\u00f1os."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ulloa Santamar\u00eda M. Ester <\/strong><\/h2>\n<p>La ventilaci\u00f3n mec\u00e1nica provoca cambios en la funci\u00f3n renal que se traducen en una disminuci\u00f3n de la excreci\u00f3n renal de s\u00f3dio y agua, y que se han atribuido, entre otros factores, a una disminuci\u00f3n del retorno venoso, a modificacines de la hemodin\u00e1mica intrarrenal sucundarias a estimulaci\u00f3n simp\u00e1tica , a activaci\u00f3n del eje renina-angiotensina-aldosterona, a aumento de adh y a disminuci\u00f3n de factor natriur\u00e9tico auricular (anf), con el presente estudio se pretende demostrar c\u00f3mo en una poblaci\u00f3n infantil som\u00e9tida a cirug\u00eda extracorp\u00f3rea, la transmisi\u00f3n al mediastino de la presi\u00f3npositiva generada por la ventilaci\u00f3n mec\u00e1nica disminuye la presi\u00f3n transmural de ambas aur\u00edculas, y , secundariamente, la secreci\u00f3n de anf.Para ello se estudiaron prospectivamente 32 pacientes pedi\u00e1tricos que precisaron ventilaci\u00f3n mec\u00e1nica en el postoperatorio de cirug\u00eda cardiaca extracrop\u00f3rea y que fueron ventilados utilizando distintas modalidades de asistencia respiratoria. los resultados indican que la presi\u00f3n positiva intraror\u00e1cica inducida por la ventilaci\u00f3n mec\u00e1nica en el postoperatorio de cirug\u00eda cardiaca extracorp\u00f3rea , y que fueron ventilados utilizando distintas modalidades de asistencia respiratoria. Los resultados indican que la presi\u00f3npositiva intrator\u00e1cica inducida por la ventilaci\u00f3n mec\u00e1cinica se transmite al mediastino, porvocando una disminuci\u00f3nproporcional de la diuresis y natriuresis. Estas alteraciones metab\u00f3licas no pudieron atribuirse a cambios en la situaci\u00f3n hemodin\u00e1mica, ni en la secreci\u00f3n de adh o aldosterona. Se pudo comprobar que la presi\u00f3n transmural auricular es el principal est\u00edmulo para la secreci\u00f3n de anf y que en las situaciones en las que la complianza pulmonar est\u00e1 disminuida existe una menor transmisi\u00f3n de las presiones generadas por el respirador al mediastino, y unos mayores niveles de anf. Por \u00faltimo , la disminuci\u00f3n en la secreci\u00f3n de anf se relacion\u00f3 directamente con una m<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efectos de la ventilaci\u00f3n mec\u00e1nica sobre la secreci\u00f3n de factor natriur\u00e9tico atrial y metabolismo hidromineral en ni\u00f1os.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efectos de la ventilaci\u00f3n mec\u00e1nica sobre la secreci\u00f3n de factor natriur\u00e9tico atrial y metabolismo hidromineral en ni\u00f1os. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ulloa Santamar\u00eda M. Ester <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/07\/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>Juan  Luis Perez Navero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Pe\u00f1a Martinez <\/li>\n<li>Francisco Ruza tarr\u00edo (vocal)<\/li>\n<li>Jos\u00e9 Gonz\u00e1lez hachero (vocal)<\/li>\n<li>custodio Calvo mac\u00edas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ulloa Santamar\u00eda M. Ester La ventilaci\u00f3n mec\u00e1nica provoca cambios en la funci\u00f3n renal que se traducen en [&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":[155,9,973,161],"tags":[20934,15376,10824,13,34687,163579],"class_list":["post-75709","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cordoba","category-pediatria","tag-custodio-calvo-macias","tag-francisco-ruza-tarrio","tag-jose-gonzalez-hachero","tag-jose-pena-Martinez","tag-juan-luis-perez-navero","tag-ulloa-santamaria-m-ester"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/75709","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=75709"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/75709\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=75709"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=75709"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=75709"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}