{"id":78839,"date":"2018-03-09T23:24:35","date_gmt":"2018-03-09T23:24:35","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-sobre-el-uso-de-anestesia-local-con-sedacion-en-fibrobroncoscopia\/"},"modified":"2018-03-09T23:24:35","modified_gmt":"2018-03-09T23:24:35","slug":"estudio-sobre-el-uso-de-anestesia-local-con-sedacion-en-fibrobroncoscopia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-sobre-el-uso-de-anestesia-local-con-sedacion-en-fibrobroncoscopia\/","title":{"rendered":"Estudio sobre el uso de anestesia local con sedaci\u00f3n en fibrobroncoscopia"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Coll Kle\u00edn Jos\u00e9 Felipe <\/strong><\/h2>\n<p>La fibrobroncoscopia es una t\u00e9cnica eminentemente segura de casi nula mortalidad y baja morbilidad en manos de personal experimentado. Las complicaciones son escasas y generalmente relacionadas con la premedicaci\u00f3n y las t\u00e9cnicas empleadas. Sin embargo, es un procedimiento que provoca un importante estado de ansiedad en los pacientes, en estos \u00faltimos a\u00f1os diferentes sociedades neumol\u00f3gicas han publicado gu\u00edas para la pr\u00e1ctica de las fibrobroncoscopias, en la que recomiendan  el uso de sedaci\u00f3n. A pesar de las ventajas potenciales de la aplicaci\u00f3n de sedaci\u00f3n en la realizaci\u00f3n de las broncoscopias, y a peasr de la experiencia acumulada en los gabinetes de endoscopia digestiva en esta cuesti\u00f3n, no existe consenso en la literatura mundial en esta cuesti\u00f3n. actualmente en gran breta\u00f1a se utiliza sedaci\u00f3n en un 81% de la fibrobroncoscopias practicadas. En una encuesta realizada a fibrobroncoscopistas de nuestro pa\u00eds en el a\u00f1o 2005, un 84% respondi\u00f3 practiacr las fibrobroncoscopias con anestesia local sin sedaci\u00f3n en su pr\u00e1ctica habitual. Se ha realizado una rese\u00f1a hist\u00f3rica y un repaso sobre la sedaci\u00f3n en broncoscopia: tipos, evaluaci\u00f3n y f\u00e1rmacos utilizados, as\u00ed como por las t\u00e9cnicas, indicaciones contraindicaciones de la fibrobroncoscopia, haciendo un breve repaso sobre la broncoscopia intervencionista.  con la hip\u00f3tesis de que la sedaci\u00f3n con propofol en fibrobroncoscopia puede ser preferible a la anestesia local estandar. Se ha valoradola efectividad de la anestesia local con sedaci\u00f3n en condiciones de la pr\u00e1ctica cl\u00ednica habitual, comparando ambas anestesias en t\u00e9rminos de:satisfacci\u00f3n del paciente,rendimiento de los resultados; riesgo, seguridad y consumo de la fibrobroncoscopia.  el estudio se ha practicado en el hospital de dos de maig de barcelona, y en el instituto universitario dexeus centro asociado a la universidad central de barcelona en la cuesti\u00f3n docente. Desde diciembre de 2002 a febrero<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio sobre el uso de anestesia local con sedaci\u00f3n en fibrobroncoscopia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio sobre el uso de anestesia local con sedaci\u00f3n en fibrobroncoscopia <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Coll Kle\u00edn Jos\u00e9 Felipe <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/02\/2006<\/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 Castella Riera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ferran Morell brotad <\/li>\n<li>laureano Molins lopez-rodo (vocal)<\/li>\n<li>miquel Quer agust\u00ed (vocal)<\/li>\n<li>carles Agusti garcia navarro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Coll Kle\u00edn Jos\u00e9 Felipe La fibrobroncoscopia es una t\u00e9cnica eminentemente segura de casi nula mortalidad y baja [&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":[9,139],"tags":[169372,169371,1229,13972,64900,85240],"class_list":["post-78839","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-medicina-interna","tag-carles-agusti-garcia-navarro","tag-coll-klein-jose-felipe","tag-ferran-morell-brotad","tag-juan-castella-riera","tag-laureano-molins-lopez-rodo","tag-miquel-quer-agusti"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78839","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=78839"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78839\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=78839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=78839"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=78839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}