{"id":77173,"date":"2018-03-09T23:22:40","date_gmt":"2018-03-09T23:22:40","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-satisfaccion-y-eficacia-analgesica-de-tramadol-intranasal-comparado-con-tramadol-intravenoso\/"},"modified":"2018-03-09T23:22:40","modified_gmt":"2018-03-09T23:22:40","slug":"estudio-de-satisfaccion-y-eficacia-analgesica-de-tramadol-intranasal-comparado-con-tramadol-intravenoso","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-satisfaccion-y-eficacia-analgesica-de-tramadol-intranasal-comparado-con-tramadol-intravenoso\/","title":{"rendered":"Estudio de satisfacci\u00f3n y eficacia analg\u00e9sica de tramadol intranasal comparado con tramadol intravenoso"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Crist\u00f3bal A\u00f1ez Sim\u00f3n <\/strong><\/h2>\n<p>No hubo diferencias en la evoluci\u00f3n hermodin\u00e1mica ni ventilatoria durante las 6 horas que permanecieron en la unidad de reanimaci\u00f3n.  los efectos adversos locales detectados mediante anamnesis fueron mal sabor de boca en 3 pacientes del grupo iv y en 6 del grupo in y picor nasal en 1 paciente del grupo in. Mediante rinoscopia anterior se detectaron rinorrea en 2 pacientes de cada grupo, sequedad de mucosa en 8 pacientes del grupo iv y 5 en el grupo in, 1 caso de hiperemia leve de la mucosa nasal en cada grupo y 2 pacientes del grupo in  que refirieron otros hallazgos, palidez en mucosa septal e hiperemia en el \u00e1rea de kiesselbach.  los efectos adversos sist\u00e9micos registrados fueron n\u00e1useas, v\u00f3mitos, prurito, sudoraci\u00f3n malestar general, sequedad de boca y epigastralgia.  discusi\u00f3n  tramadol es un f\u00e1rmaco atractivo para su utilizaci\u00f3n en el per\u00edodo postoperatorio, ya que no produce depresi\u00f3n respiratoria. Estudios de su utilizaci\u00f3n por v\u00edas como la sublingual o rectal demuestran una correcta absorci\u00f3n por v\u00eda transmucosa. Se discuten aspectos de posolog\u00eda, sistema y m\u00e9todo de administraci\u00f3n, as\u00ed como posibilidades para mejorar la absorci\u00f3n y la eficacia analg\u00e9sica. Se comenta tambi\u00e9n la necesidad de un abordaje multimodal del tratamiento del dolor postoperatorio. Discutimos tambi\u00e9n las posibilidades interacciones con otros f\u00e1rmacos como ondansetr\u00f3n, metocloparamida, etc., los sistemas de evaluaci\u00f3n de la intensidad del dolor y la importancia de la valoraci\u00f3n de la satisfacci\u00f3n del paciente con el tratamiento analg\u00e9sico recibido.  conclusiones  tramadol administrado por v\u00eda intranasal produce analgesia significativa en un n\u00famero elevado de los pacientes sin efectos adversos sobre la mucosa nasal. Los efectos adversos sist\u00e9micos son similares a los observados con la administraci\u00f3n intravenosa. El grado de satisfacci\u00f3n de los pacientes est\u00e1 dentro del rango considerado como elevado.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de satisfacci\u00f3n y eficacia analg\u00e9sica de tramadol intranasal comparado con tramadol intravenoso<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de satisfacci\u00f3n y eficacia analg\u00e9sica de tramadol intranasal comparado con tramadol intravenoso <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Crist\u00f3bal A\u00f1ez Sim\u00f3n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/11\/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>Aurelio Rodr\u00edguez P\u00e9rez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: felipe Gonz\u00e1lez miranda <\/li>\n<li>Fernando Gilsanz rodr\u00edguez (vocal)<\/li>\n<li>cipriano Carlos Abad vazquez (vocal)<\/li>\n<li> Hern\u00e1ndez socorro carmen rosa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Crist\u00f3bal A\u00f1ez Sim\u00f3n No hubo diferencias en la evoluci\u00f3n hermodin\u00e1mica ni ventilatoria durante las 6 horas que [&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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