{"id":82606,"date":"2000-01-01T00:00:00","date_gmt":"2000-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-perioperatorio-de-la-funcion-renal-en-el-trasplante-ortopico-de-higado\/"},"modified":"2000-01-01T00:00:00","modified_gmt":"2000-01-01T00:00:00","slug":"estudio-perioperatorio-de-la-funcion-renal-en-el-trasplante-ortopico-de-higado","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-perioperatorio-de-la-funcion-renal-en-el-trasplante-ortopico-de-higado\/","title":{"rendered":"Estudio perioperatorio de la funcion renal en el trasplante ortopico de higado."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Berenguer Pina Jos\u00e9 Javier <\/strong><\/h2>\n<p>El manejo perioperatorio de los pacientes tratados con trasplante ortot\u00f3pico de h\u00edgado exige el control de la funci\u00f3n renal, ya que la insuficiencia renal es un factor importante de mal pron\u00f3stico. De ah\u00ed la necesidad de profundizar en el desarrollo de t\u00e9cnicas que midan la funci\u00f3n renal y que cuantifiquen con precisi\u00f3n el \u00edndice de filtraci\u00f3n glomerular, dado que la determinaci\u00f3n de creatinina s\u00e9rica aislada ofrece una valoraci\u00f3n muy limitada del estado de la funci\u00f3n renal.  objetivos: 1.- Determinar el comportamiento de la funci\u00f3n renal durante las distintas fases intraoperatorias del trasplante ortot\u00f3pico de h\u00edgado, y comprobar si existen diferencias respecto del valor basal. 2.- Hacer un seguimiento de la funci\u00f3n renal, de los pacientes que no precisen di\u00e1lisis cr\u00f3nica durante los quince d\u00edas posteriores a la intervenci\u00f3n quir\u00fargica y comprobar si existen diferencias respecto del valor basal. 3.- Calcular el \u00edndice de filtraci\u00f3n glomerular por medio de la determinaci\u00f3n de la cistatina c en plasma, y compararlo con el valor encontrado por el c\u00e1lculo del aclaramiento de creatinina, en los pacientes trasplantados de h\u00edgado que no precisaron di\u00e1lisis mantenida tras el trasplante.  pacientes y mtodos: se han estudiado 54 pacientes adultos sometidos a trasplante ortot\u00f3pico de h\u00edgado mediante t\u00e9cnica de piggy-back, parmetros plasmticos: creatinina, bun, sodio, osmolaridad y cistatina c. Parmetros urinarios: creatinina, volumen de diuresis, tiempo de diuresis y osmolaridad. Parmetros calculados: aclaramiento de creatinina, aclaramiento de agua libre, excreci\u00f3n fraccional de sodio y el \u00edndice de filtraci\u00f3n glomerular calculado a partir de la concentraci\u00f3n de cistatina c plasm\u00e1tica. Momentos de la toma de muestras. A1 &#8211; tras la inducci\u00f3n anest\u00e9sica, cinco minutos antes de comenzar la disecci\u00f3n. Se considera el momento basal. A2 &#8211; cinco minutos antes de proceder al pinzado de la vena porta. B &#8211;<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio perioperatorio de la funcion renal en el trasplante ortopico de higado.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio perioperatorio de la funcion renal en el trasplante ortopico de higado. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Berenguer Pina Jos\u00e9 Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/2000<\/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>Francisco Acosta Villegas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Carbonell antoli <\/li>\n<li>Jos\u00e9 Mir pallard\u00f3 (vocal)<\/li>\n<li> Lozano teruel Jos\u00e9 Antonio (vocal)<\/li>\n<li>Luisa Jimeno garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Berenguer Pina Jos\u00e9 Javier El manejo perioperatorio de los pacientes tratados con trasplante ortot\u00f3pico de h\u00edgado exige [&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":[160,9,141,10,8235,91,17],"tags":[175536,8543,41812,27237,8312,123170],"class_list":["post-82606","post","type-post","status-publish","format-standard","hentry","category-bioquimica","category-ciencias-medicas","category-cirugia","category-cirugia-de-trasplantes","category-murcia","category-procesos-metabolicos","category-quimica","tag-berenguer-pina-jose-javier","tag-carlos-carbonell-antoli","tag-francisco-acosta-villegas","tag-jose-mir-pallardo","tag-lozano-teruel-jose-antonio","tag-luisa-jimeno-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/82606","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=82606"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/82606\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=82606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=82606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=82606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}