{"id":82685,"date":"2000-01-01T00:00:00","date_gmt":"2000-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/comparacion-entre-ventilacion-convencional-surfactante-exogeno-y-ventilacion-liquida-parcial-en-el-tratamiento-de-la-hernia-diafragmatica-congenita-en-un-modelo-experimental\/"},"modified":"2000-01-01T00:00:00","modified_gmt":"2000-01-01T00:00:00","slug":"comparacion-entre-ventilacion-convencional-surfactante-exogeno-y-ventilacion-liquida-parcial-en-el-tratamiento-de-la-hernia-diafragmatica-congenita-en-un-modelo-experimental","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/comparacion-entre-ventilacion-convencional-surfactante-exogeno-y-ventilacion-liquida-parcial-en-el-tratamiento-de-la-hernia-diafragmatica-congenita-en-un-modelo-experimental\/","title":{"rendered":"Comparacion entre ventilacion convencional, surfactante exogeno y ventilacion liquida parcial en el tratamiento de la hernia diafragmatica congenita en un modelo experimental."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mercedes Cadenas Gallego <\/strong><\/h2>\n<p>Introducci\u00f3n: se ha elegido este modelo de patolog\u00eda respiratoria neonatal porque, a pesar de los avances en cuidados intensivos neonatales, la morbi-mortalidad de los ni\u00f1os con hernia diafragm\u00e1tica cong\u00e9nita (hdc) sigue siendo muy alta. Se ha dise\u00f1ado un estudio experimental, prospectivo y aleatorizado, para evaluar, en corderos reci\u00e9n nacidos con hd creada quir\u00fargicamente, la respuesta desde el punto de vista cl\u00ednico, funcional y morfom\u00e9trico de tres diferentes tratamientos: ventilaci\u00f3n convencional (vc), surfactante ex\u00f3geno (sf) y ventilaci\u00f3n l\u00edquida parcial (vlp).  material y m\u00e9todos: 17 corderos con hdc nacieron por ces\u00e1rea entre 138-141 d\u00edas de gestaci\u00f3n permanecieron en ventilaci\u00f3n convencional durante 30 min. Y luego fueron estudiados de forma aleatoria en tres grupos durante 3 h.: Grupo 1 (vc, n=5), grupo 2 (sf, n=6) y grupo 3 (vlp, n=6). Los gases y la funci\u00f3n pulmonar fueron evaluados cada 15 min. Al final del experimento, todos los pulmones se fijaron en formol para su an\u00e1lisis morfom\u00e9trico.  resultados: en la supervivencia hubo una marcada diferencia: todos los corderos tratados vlp y sf sobrevivieron, comparados con solo 2\/5 en el grupo tratado con vc (p=0,06). Los intercambios gaseosos y la funci\u00f3n pulmonar mejoraron de forma significativa con la vlp, utilizando menores \u00edndices ventilatorios (iv). en el grupo tratado con sf la distensibilidad y el iv mejoraron de forma signitivativa. En el examen morfom\u00e9trico, encontramos una disminuci\u00f3n del barotrauma en el grupo tratado con sf (p=0,07). El porcentaje de hemorragia pulmonar total fue comparable en los tres grupos.  conclusiones: la vc resulta ineficaz para tratar la hdc severa. La administraci\u00f3n de sf puede ofrecer un beneficio moderado, sin causar efectos adversos. La vlp parece ser la alternativa terap\u00e9utica m\u00e1s prometedora en la hdc de extrema gravedad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Comparacion entre ventilacion convencional, surfactante exogeno y ventilacion liquida parcial en el tratamiento de la hernia diafragmatica congenita en un modelo experimental.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Comparacion entre ventilacion convencional, surfactante exogeno y ventilacion liquida parcial en el tratamiento de la hernia diafragmatica congenita en un modelo experimental. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mercedes Cadenas Gallego <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/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>Julio Ardura Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Domenech Martinez <\/li>\n<li>adolf Valls soler (vocal)<\/li>\n<li>Jos\u00e9 Quero jim\u00e9nez (vocal)<\/li>\n<li>Juan  Antonio Tovar larrucea (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mercedes Cadenas Gallego Introducci\u00f3n: se ha elegido este modelo de patolog\u00eda respiratoria neonatal porque, a pesar de 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