{"id":81335,"date":"2018-03-10T00:05:14","date_gmt":"2018-03-10T00:05:14","guid":{"rendered":""},"modified":"2018-03-10T00:05:14","modified_gmt":"2018-03-10T00:05:14","slug":"analgesia-convencional-versus-perfusion-continua-de-opiaceos-como-profilaxis-de-complicaciones-respiratorias-en-enfermos-con-epoc-sometidos-a-cirugia-de-hemiabdomen-superior-toracica-no-resectiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analgesia-convencional-versus-perfusion-continua-de-opiaceos-como-profilaxis-de-complicaciones-respiratorias-en-enfermos-con-epoc-sometidos-a-cirugia-de-hemiabdomen-superior-toracica-no-resectiva\/","title":{"rendered":"Analgesia convencional versus perfusion continua de opiaceos como profilaxis de complicaciones respiratorias en enfermos con epoc sometidos a cirugia de hemiabdomen superior toracica no resectiva."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Artacho Ruiz <\/strong><\/h2>\n<p>El dolor postoperatorio tras la cirug\u00eda de abdomen superior y t\u00f3rax es un  factor importante en la g\u00e9nesis de complicaciones pulmonares en este  periodo.Otros factores que influyen en  la patogenia de estas complicaciones  son la disfunci\u00f3n diafragm\u00e1tica, la excesiva sedaci\u00f3n, enfermedad pulmonar  previa, obesidad, h\u00e1bito tab\u00e1quico, etc. De estos, el dolor es el que m\u00e1s se  puede modular y modificar con una adecuada analgesia.  en nuestro estudio hemos incluido 155 enfermos sometidos a cirug\u00eda de abdomen  superior, cirug\u00eda card\u00edaca y cirug\u00eda de t\u00f3rax sin resecci\u00f3n pulmonar.  hemos esablecido dos grupso seg\u00fan la analgeisa administrada. Al grupo i le  administramos una perfusi\u00f3n de tramadol m\u00e1s metamizol, y al grupo ii analgesia  a demanda o \u00bb sin dolor\u00bb.  las complicaciones pulmonares las clasificamos en cuatro grupos, dependiendo  de la gravedad de la alteraci\u00f3n pulmonar ( tipo i las menos graves, tipo iv  las m\u00e1s grave).  en los pacientes del grupo i se presentaron menos complicaciones pulmonares.  en los pacientes con patr\u00f3n ventilado de tipo obstructivo, se presentaron  menos complicaciones en los pacientes del grupo i), aunque la diferencia no  fue estad\u00edstiscamente siginificativa.  podemos asegurar que al adecuada supresi\u00f3n del dolor se asocia a una menor  tasa de complicaciones pulmonares en el postoperatorio de cirugia de abdomen  superior o de t\u00f3rax sin resecci\u00f3n pulmonar.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analgesia convencional versus perfusion continua de opiaceos como profilaxis de complicaciones respiratorias en enfermos con epoc sometidos a cirugia de hemiabdomen superior toracica no resectiva.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analgesia convencional versus perfusion continua de opiaceos como profilaxis de complicaciones respiratorias en enfermos con epoc sometidos a cirugia de hemiabdomen superior toracica no resectiva. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Artacho Ruiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/11\/1999<\/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>Carlos Pera Madrazo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Concha ruiz <\/li>\n<li>Rafael Guerrero pabon (vocal)<\/li>\n<li>Mar\u00eda sol Carrasco jim\u00e9nez (vocal)<\/li>\n<li>helidoro Murillo garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Artacho Ruiz El dolor postoperatorio tras la cirug\u00eda de abdomen superior y t\u00f3rax es un factor [&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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