{"id":83033,"date":"2018-03-10T00:07:07","date_gmt":"2018-03-10T00:07:07","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tonometria-gastrica-continua-y-niveles-de-lactato-arterial-en-ninos-sometidos-a-cirugia-cardiaca-extracorporea\/"},"modified":"2018-03-10T00:07:07","modified_gmt":"2018-03-10T00:07:07","slug":"tonometria-gastrica-continua-y-niveles-de-lactato-arterial-en-ninos-sometidos-a-cirugia-cardiaca-extracorporea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tonometria-gastrica-continua-y-niveles-de-lactato-arterial-en-ninos-sometidos-a-cirugia-cardiaca-extracorporea\/","title":{"rendered":"Tonometria gastrica continua y niveles de lactato arterial en ni\u00f1os sometidos  a cirugia cardiaca extracorporea"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Cristina Montero Schiemann <\/strong><\/h2>\n<p>Objetivo: 1) establecer si el ph intramucoso g\u00e1strico es un buen indicador de disoxia espl\u00e1cnica; 2) comprobar la utilidad de la medici\u00f3n continua de la presi\u00f3n regional de co2; 3) analizar la presencia de periodos de disoxia en el perioperatorio de cirugia cardiovascular en ni\u00f1os;4) valorar el impacto de la acidosis intramural g\u00e1strica en la evoluci\u00f3n posterior de los pacientes.  dise\u00f1o: estudio prospectivo observacional.  material y m\u00e9todos: durante un periodo de un a\u00f1o, se estudiaron 34 pacientes ( 15 ,mujeres y 19 varones) con edades comprendidas entre 10 d\u00edas de vida y 15 a\u00f1os, sometidos a cirugia extracorp\u00f3rea: 32 de ellos para correcci\u00f3n de cardiopat\u00edas cong\u00e9nitas, 1 miocardiopat\u00f3a dilatada sometido a transplante cardiaco y una fibrosis qu\u00edstica, sometida a transplante pulmonar.  se recogieron los par\u00e1metros habitualmente utilizados en el control de estos pacientes, tanto hemodin\u00e1micos, como del equilibrio \u00e1cido-base y, adem\u00e1s , los referentes a la tonometr\u00eda g\u00e1strica. Se recogieron las variables en el intraoperatorio,con determinaciones en tiempo basal ( tras inducci\u00f3n anest\u00e9sica), en m\u00e1xima hipotermia y en el final del recalentamiento, antes de salida de bypass; el postoperatorio se inici\u00f3n con el ingreso del paciente en ucip, tom\u00e1ndose las diferentes variables cada 3 horas en las primeras 12 horas, y posteriormente cada 12 horas hasta las 48 horas. Se dio por terminado el estudio a las 48 horas, o antes, si el paciente fue extubado o fallecido.Otros par\u00e1metros recogidos fueron el balance de coloides , el uso y dosis de drogas vasoactivas, el aclaramiento estimado de creatinina a las 24 hs del postoperatorio, el tiempo de ventilaci\u00f3n mec\u00e1nica y el tiempo de estancia en ucip, la presencia de fiebre en las primeras 24 horas del postoperatorio y el resultado final. El protocolo de bypass utilizado fue de flujo no puls\u00e1til.  resultados: del total de la seria , 5 pacientes fallecieron y otros 4 tuvi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tonometria gastrica continua y niveles de lactato arterial en ni\u00f1os sometidos  a cirugia cardiaca extracorporea<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tonometria gastrica continua y niveles de lactato arterial en ni\u00f1os sometidos  a cirugia cardiaca extracorporea <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Cristina Montero Schiemann <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/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>Juan  Luis Perez Navero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: armando Romanos lezcanos <\/li>\n<li>Manuel Concha ruiz (vocal)<\/li>\n<li>Jos\u00e9 Gonz\u00e1lez hachero (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cristina Montero Schiemann Objetivo: 1) establecer si el ph intramucoso g\u00e1strico es un buen indicador de disoxia 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