{"id":78961,"date":"2006-06-03T00:00:00","date_gmt":"2006-06-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tonometria-gastrica-evolucion-y-valor-pronostico-en-el-paciente-quirurgico-cra%c2%adtico\/"},"modified":"2006-06-03T00:00:00","modified_gmt":"2006-06-03T00:00:00","slug":"tonometria-gastrica-evolucion-y-valor-pronostico-en-el-paciente-quirurgico-cra%c2%adtico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tonometria-gastrica-evolucion-y-valor-pronostico-en-el-paciente-quirurgico-cra%c2%adtico\/","title":{"rendered":"Tonometr\u00eda g\u00e1strica. evoluci\u00f3n y valor pron\u00f3stico en el paciente quir\u00fargico cr\u00edtico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rocio Armero Iba\u00f1ez <\/strong><\/h2>\n<p>La tonometr\u00eda g\u00e1strica es una t\u00e9cnica poco invasiva que nos permite estimar la perfusi\u00f3n del \u00e1rea espl\u00e1cnica. La integridad de esta \u00e1rea es fundamental en la fisiopatolog\u00eda del s\u00edndrome de disfunci\u00f3n multiorg\u00e1nica, ya que una hipoperfusi\u00f3n espl\u00e1cnica prolongada puede ser el inicio de dicho s\u00edndrome. por tanto, unos de los principales objetivos en el paciente cr\u00edtico ser\u00e1 mantener una adecuada oxigenaci\u00f3n tisular, y mejorar la monitarizaci\u00f3n para detectar la hipoxia tisular lo m\u00e1s precozmente posible. La tornometr\u00eda g\u00e1strica es un monitor sencillo y de f\u00e1cil aplicaci\u00f3n en la valoraci\u00f3n del paciente cr\u00edtico.  el principal objetivo de nuestro trabajo fue evaluar fue evaluar la capacidad p pronostica de la tonometr\u00eda g\u00e1strica en los pacientes psotquir\u00fargicos con shock s\u00e9ptico de origen abdominal. Para ello determinados si las variable phi, prco2, pr-paco2 o pr-etco2 registrados al ingreso, 3, 6 12 y 24 horas del ingreso del paciente en la unidad de reanimaci\u00f3n, constitu\u00edan un marcador pronostico en nuestro grupo de pacientes. El segundo objetivo fue evaluar la capacidad pronostica del valor de lactato plasm\u00e1tico al ingreso, y su curso pron\u00f3stico de mortalidad. Los pacientes que fallecieron presentaron un phi al ingreso significativamente menor que los que sobreviven, con una media de 7,19 en los que fallecieron y 7,33 en los sobreviven. Con nuestros resultados no podemos precisar si el phi esu monitor de la presusi\u00f3n, en su totalidad o de alguna regi\u00f3n, o bien si se trata de un marcador de mortalidad inespec\u00edfico.  tambi\u00e9n el valor de lactado plasm\u00e1tico al ingreso fue una variable explicativa del resultado \u00e9xitos. Encontramos diferencias significativas entre los pacientes que fallecieron  y los que no, de manera que los primeros presentaron un valor menor que los segundos. Este resultado nos obliga a plantearnos el significado de cifras elevadas de lactado plasm\u00e1tico en el paciente s\u00e9ptico, e incluso<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tonometr\u00eda g\u00e1strica. evoluci\u00f3n y valor pron\u00f3stico en el paciente quir\u00fargico cr\u00edtico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tonometr\u00eda g\u00e1strica. evoluci\u00f3n y valor pron\u00f3stico en el paciente quir\u00fargico cr\u00edtico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rocio Armero Iba\u00f1ez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/03\/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>Manuel Barber\u00e1 Alacreu<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco L\u00ed\u00b2pez timoneda <\/li>\n<li>carmen Gasco garcia (vocal)<\/li>\n<li>raimundo Carlos garcia (vocal)<\/li>\n<li>Fernando Delgado gomis (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rocio Armero Iba\u00f1ez La tonometr\u00eda g\u00e1strica es una t\u00e9cnica poco invasiva que nos permite estimar la perfusi\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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