{"id":83706,"date":"2000-10-03T00:00:00","date_gmt":"2000-10-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-metadona-versus-morfina-administradas-por-via-subaracnoidea-para-el-control-del-dolor-postoperatorio\/"},"modified":"2000-10-03T00:00:00","modified_gmt":"2000-10-03T00:00:00","slug":"estudio-comparativo-metadona-versus-morfina-administradas-por-via-subaracnoidea-para-el-control-del-dolor-postoperatorio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-metadona-versus-morfina-administradas-por-via-subaracnoidea-para-el-control-del-dolor-postoperatorio\/","title":{"rendered":"Estudio comparativo metadona versus morfina administradas por via subaracnoidea para el control del dolor postoperatorio"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ivan Jove Riera <\/strong><\/h2>\n<p>El objetivo de este estudio es valorar la eficacia analg\u00e9sica (mediante el intervalo libre de dolor, la intensidad del mismo y la necesidad de analgesia suplementaria) y los efectos secundarios opioide-dependientes de la metadona, a diferentes dosis, en comparaci\u00f3n con la morfina y un grupo control, administrados por via subaracnoidea junto con el anestesico local en la practica de la cirugia abdominal infraumbilical.  previo consentimiento se realiza el presente estudio prospectivo con 150 pacientes de ambos sexos, asa i-ii y entre 18 y 80 a\u00f1os, propuestos para cirugia programada abdominal infraumbilical realizada con anestesia subaracnoidea y divididos aleatoriamente en 5 grupos denominados a,b,c,d y e dependiendo del opiaceo y la dosis del mismo que se administra junto al anestesico local: a=a. Local+suero fisiologico (control), b=a local+0,25 mg morfina, c=a local +2,5 mg metadona, d=a local+5 mg metadona y e=a local  10 mg metadona.  se lleva a cabo la anestesia subaracnoidea empleando una aguja punta de lapiz 27 g y utilizando como anestesico local mepivacaina al 2%. Junto al anestesico local, se a\u00f1ade 1 ml de solucion que contine suero fisiol\u00f3gico y la dosis de opioide seg\u00fan el grupo. La anelgesia suplementaria se administra a demanda a demanda del paciente utilizando 2 gr de metamizol magnesico por via intramuscular.  durante el postoperatorio se recogen las siguientes variables: 1- duracion de la anestesia en base a su bloqueo motor. 2-constantes hemodinamicos y frecuencia respiratoria.3-duracion de la analgesica, valorada por el intervalo libre de dolor, es decir, hasta la peticion del primer analgesico. 4-intensidad del dolor mediante la escala visual-analogica y la de andersen.5-numero de analgesicos suplementarios requeridos. 6-efectos secundarios como hipotension, nauseas, vomitos, prurito, cefalea, retencion urinaria, grado de sedaccion y depresion respiratoria. 7-valoracion del grado de confort del paciente.  la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo metadona versus morfina administradas por via subaracnoidea para el control del dolor postoperatorio<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo metadona versus morfina administradas por via subaracnoidea para el control del dolor postoperatorio <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ivan Jove Riera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/03\/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>Mauricio Pacheco Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel angel Nalda felipe <\/li>\n<li>vicente argentino Gancedo rodriguez (vocal)<\/li>\n<li>pau Salva lacombe (vocal)<\/li>\n<li>leocadio Rodr\u00edguez \u00e1lvarez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ivan Jove Riera El objetivo de este estudio es valorar la eficacia analg\u00e9sica (mediante el intervalo libre [&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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