{"id":77489,"date":"2018-03-09T23:23:01","date_gmt":"2018-03-09T23:23:01","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-coste-efectividad-de-la-colonoscopia-anestesiada-con-propofol-versus-remifentanilo\/"},"modified":"2018-03-09T23:23:01","modified_gmt":"2018-03-09T23:23:01","slug":"analisis-coste-efectividad-de-la-colonoscopia-anestesiada-con-propofol-versus-remifentanilo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/anestesiologia-quirurgica\/analisis-coste-efectividad-de-la-colonoscopia-anestesiada-con-propofol-versus-remifentanilo\/","title":{"rendered":"An\u00e1lisis coste-efectividad de la colonoscopia anestesiada con propofol versus remifentanilo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Javier Ib\u00e1\u00f1ez Ascarza <\/strong><\/h2>\n<p>Objetivos     analizar la efectividad y costes de dos t\u00e9cnicas anest\u00e9sicas para la sedaci\u00f3n en colonoscopias.  muestra y m\u00e9todos     estudio prospectivo observacional que incluye a 40 pacientes ambulatorios consecutivos (asa i-iii), distribuidos aleatoriamente en dos grupos a los que se va a realizar una colonoscopia. Al primer grupos se administra una dosis en bolo de propofol de 1-2.5 mg\/kg seguida de una infusi\u00f3n continua a 3-12 mg\/kg\/h, en funci\u00f3n de edad y antecedentes personales, con el objetivo de mantener el paciente sin respuesta motil a est\u00edmulos dolorosos. El segundo grupo recibe una perfusi\u00f3n de remifentanilo a 0.10 mg\/kg\/min m\u00e1s un bolo de propofol de 0.5-1 mg\/kg, posteriormente la perfusi\u00f3n se reduce a la mitad. se valorar\u00e1n par\u00e1metros hemodin\u00e1micos, spo2, frec.Respiratoria, tiempos intraexploraci\u00f3n y de estancia en urpa y sala de adaptaci\u00f3n al medio, grado de dolor (eva: 0 a 10), grado de sedaci\u00f3n (escala de ramsay), grado de satisfacci\u00f3n de paciente y endoscopia (0-10), adem\u00e1s de los costes de cada t\u00e9cnica anest\u00e9sica utilizada.  resultados     no se encuentran diferencias estad\u00edsticamente significativas en los par\u00e1metros hemodin\u00e1micos analizados. La spo2 presenta cifras superiores en el grupo de remifentanilo desde el final de la exploraci\u00f3n hasta el alta domiciliaria (p=0.01). El grado de dolor es similar en ambos grupos. El grado de sedaci\u00f3n intraexploraci\u00f3n es superior en el grupo de propofol (4 a 6 en escala de ramsay) frente al deremifentanilo (2 a 3 de ramsay), p=0.003. El grado de satisfacci\u00f3n del paciente en cuanto a la t\u00e9cnica anest\u00e9sica es similar en ambos casos, no existen diferencias estad\u00edsticamente significativas. El grado de satisfacci\u00f3n del endoscopista es superior apara el grupo de remifentanilo, p=0.001. Los tiempos analizados intraexploraci\u00f3n no difieren en ambos grupos, si lo hacen los tiempos en la unidad de reanimaci\u00f3n, reduciendo su estancia a la mitad los del grupo remifentanilo resp<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis coste-efectividad de la colonoscopia anestesiada con propofol versus remifentanilo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis coste-efectividad de la colonoscopia anestesiada con propofol versus remifentanilo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Javier Ib\u00e1\u00f1ez Ascarza <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/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> Rodr\u00edguez Del R\u00edo Jos\u00e9 Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Cuartero lobera <\/li>\n<li>Javier Jim\u00e9nez p\u00e9rez (vocal)<\/li>\n<li> Fern\u00e1ndez liesa Juan  ignacio (vocal)<\/li>\n<li>angel Lanas arbeloa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Javier Ib\u00e1\u00f1ez Ascarza Objetivos analizar la efectividad y costes de dos t\u00e9cnicas anest\u00e9sicas para la sedaci\u00f3n [&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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