{"id":83606,"date":"2018-03-10T00:07:43","date_gmt":"2018-03-10T00:07:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-de-parametros-hemodinamicos-sistemicos-y-coronarios-en-la-anestesia-con-sevoflurano-vs-isoflurano-en-la-cirugia-de-revascularizacion-coronaria\/"},"modified":"2018-03-10T00:07:43","modified_gmt":"2018-03-10T00:07:43","slug":"estudio-comparativo-de-parametros-hemodinamicos-sistemicos-y-coronarios-en-la-anestesia-con-sevoflurano-vs-isoflurano-en-la-cirugia-de-revascularizacion-coronaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-de-parametros-hemodinamicos-sistemicos-y-coronarios-en-la-anestesia-con-sevoflurano-vs-isoflurano-en-la-cirugia-de-revascularizacion-coronaria\/","title":{"rendered":"Estudio comparativo de par\u00e1metros hemodinamicos sistemicos y coronarios en la anestesia con sevoflurano vs isoflurano en la cirugia de revascularizacion coronaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Barcina Sanchez <\/strong><\/h2>\n<p>Ensayo cl\u00ednico en fase iv, comparativo, aleatorizado, abierto sobre los efectos hemodin\u00e1micos de dos an\u00e9stesicos generales, por v\u00eda inhalatoria (isoflurano y sevoflurano), administrados a un grupo de pacientes (n=60) sometidos a cirug\u00eda electiva de revascularizaci\u00f3n coronaria. Material y m\u00e9todos: las variables principales del estudio fueron frecuencia card\u00edaca (fc), presi\u00f3n arterial sist\u00f3lica invasiva (pa), indice card\u00edaco continuo (ic) y concentraci\u00f3n de anest\u00e9sico administrado ( unidades mac x hr) en distintas fases de la intervenci\u00f3n (basal, pre y postintubaci\u00f3n, pre y post esternotom\u00eda, pre y post by-pass cardiopulmonar y final). Tambi\u00e9n se compararon los consumos de opi\u00e1ceo, f\u00e1rmacos vasoactivos, tiempos de extubaci\u00f3n frecuencia e intensidad  de isquemia card\u00edaca intra (an\u00e1lisis contin\u00fao de segmento st) y postoperatoria ( an\u00e1lisis de ekgs y an\u00e1lisis enzim\u00e1ticos de cpk y cpk-mb) en los tres d\u00edas siguientes a la intervenci\u00f3n). los valores de las distintas variables fueron obtenidas por medios inform\u00e1ticos automatizados ( recogidoa electr\u00f3nica de datos). Los anest\u00e9sicos se administraron como agentes principales  a concentraciones adecuadas para mantener los par\u00e1metros hemodin\u00e1micos alrededor de 20% de los basales. Np se sobrepas\u00f3 el l\u00edmite de 2 mac. Se protocoliz\u00f3 el uso de analg\u00e9sicos o terapia cardio-vasoactiva de rescate. Resultados: los valores de las variables principales fc, pa y ic fueron estad\u00edsticamente no diferentes para cualquiera de los per\u00edodos. la hipotensi\u00f3n y bradicardia relativas ( sin significancia estad\u00edstica ) provocaron una mayor utilizaci\u00f3n de efedrina en el grupo sevoflurano ( 13,3% frente a 3,3% en el grupo iso). La intensidad y duraci\u00f3n del isquemia miocardiaca, as\u00ed como la incidencia de infarto de miocardio , o existus fueron tambien similares. Las concentraciones aplicadas de los dos agentes fueron semejantes en todas las fases consideradas). Conclusi\u00f3n: ambos agentes<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo de par\u00e1metros hemodinamicos sistemicos y coronarios en la anestesia con sevoflurano vs isoflurano en la cirugia de revascularizacion coronaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo de par\u00e1metros hemodinamicos sistemicos y coronarios en la anestesia con sevoflurano vs isoflurano en la cirugia de revascularizacion coronaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Barcina Sanchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/02\/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>Manuel Oya Otero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Mart\u00ednez l\u00f3pez de letona Juan <\/li>\n<li>remigio Vela navarrete (vocal)<\/li>\n<li>luciano Aguilera celorrio (vocal)<\/li>\n<li>Jorge Calderon garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Barcina Sanchez Ensayo cl\u00ednico en fase iv, comparativo, aleatorizado, abierto sobre los efectos hemodin\u00e1micos de dos [&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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