{"id":8293,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/sedacion-controlada-en-pacientes-criticos-ventilados-mecanicamente-analisis-de-metodos-de-administracion-y-efectos-clinicos\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"sedacion-controlada-en-pacientes-criticos-ventilados-mecanicamente-analisis-de-metodos-de-administracion-y-efectos-clinicos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sedacion-controlada-en-pacientes-criticos-ventilados-mecanicamente-analisis-de-metodos-de-administracion-y-efectos-clinicos\/","title":{"rendered":"Sedacion controlada en pacientes criticos ventilados mecanicamente: analisis de metodos de administracion y efectos clinicos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Genis Carrasco Gomez <\/strong><\/h2>\n<p>Metodos y resultados: estudio 1.- Validacion de tres escalas clinicas de sedacion (n=17.280). Escala de ramsay: indice ponderado kappa de 0.81 (p&lt;0.0005). Escala de cook: coeficiente kappa de 0.94 (p&lt;0.00001). Escala de ramsay-cook: 0.92 (p&lt;0.0001). Estudio 2. Eficacia y eficiencia del metodo de sedacion controlada comparado con el de sedacion empirica (n=40). La sedacion controlada requirio la mitad de midazolam y consiguio casi el doble de calidad de sedacion que la empirica (p&lt;0.005). Estudio 3. Comparacion de efectos clinicos de midazolam en infusion continua, propofol en infusion continua y bolus de morfina y diazepam (n=422). Propofol:  calidad de sedacion del 93%; midazolam: 84% (p&lt;0.05); dosis intermitentes de morfina y diazepam: 40% conclusiones: 1. Las tres escalas son utiles, reproducibles y discriminativas para monitorizar el nivel de sedacion en uci. 2. La sedacion controlada es mas eficiente que la empirica que la empiria. 3. La utilizacion de morfina y diazepam en dosis intermitentes durante mas de 72 h deberia evitarse. 4. Midazolam y propofol son seguros para sedacion prolongada a hasta 500 horas 5. Propofol provee una mejor calidad de sedacion que midazolam. 6. Propofol consigue una sedacion estable y con un control mas facil que midazolam. 7. La mas rapida y predecible recuperacion postsedacion se obtiene con propofol<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Sedacion controlada en pacientes criticos ventilados mecanicamente: analisis de metodos de administracion y efectos clinicos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Sedacion controlada en pacientes criticos ventilados mecanicamente: analisis de metodos de administracion y efectos clinicos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Genis Carrasco Gomez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Tomas Fernandez De Sevilla Ribosa<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Salva Miquel J. A. <\/li>\n<li>Alvar Net Castel (vocal)<\/li>\n<li>Jos\u00e9 Manuel Martinez Vazquez (vocal)<\/li>\n<li>Manuel Armengol Carrasco (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Genis Carrasco Gomez Metodos y resultados: estudio 1.- Validacion de tres escalas clinicas de sedacion (n=17.280). Escala [&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":[29166,29171,2869,13950,29172,13951],"class_list":["post-8293","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-medicina-interna","tag-alvar-net-castel","tag-genis-carrasco-gomez","tag-jose-manuel-Martinez-vazquez","tag-manuel-armengol-carrasco","tag-salva-miquel-j-a","tag-tomas-fernandez-de-sevilla-ribosa"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/8293","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=8293"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/8293\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=8293"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=8293"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=8293"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}