{"id":84058,"date":"2000-04-04T00:00:00","date_gmt":"2000-04-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/reiterada-de-la-ventilacion-mecanica-intrumentalizacion-y-clinica\/"},"modified":"2000-04-04T00:00:00","modified_gmt":"2000-04-04T00:00:00","slug":"reiterada-de-la-ventilacion-mecanica-intrumentalizacion-y-clinica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/reiterada-de-la-ventilacion-mecanica-intrumentalizacion-y-clinica\/","title":{"rendered":"Reiterada de la ventilacion mecanica. intrumentalizacion y clinica."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Saura Agel M. Pilar <\/strong><\/h2>\n<p>Objetivo:estudiar el proceso de retirada de la ventilaci\u00f3n mec\u00e1nica(vm) en su aspecto cl\u00ednico, mediante la introducci\u00f3n de un protocolo de retirada de la vm, y de instrumentalizaci\u00f3n, mediante la monitorizaci\u00f3n, durante la prueba de tolerancia a la respiraci\u00f3n espont\u00e1nea, de la petco2 con el objeto de identificar los episodios de hipercapnia. Dichos estudios se han realizado en una uci polivalente. Pacientes:para la introducci\u00f3n del protocolo de la retirada de la vm tras un periodo de ventilaci\u00f3n superior a 48 h, se estudiaron 51 pacientes de forma prospectiva y se compararon con un grupo control retrospectivo de 50 pacientes. La monitorizaci\u00f3n de la petco2 durante la prueba de tolerancia a la respiraci\u00f3n espont\u00e1nea para la detecci\u00f3n de episodios de hipercapnia se realiz\u00f3 en 30 pacientes de forma prospectiva. Procedimiento:el impacto de la introducci\u00f3n de un protocolo de retirada de la vm se analizaron las siguientes variables: indice de gravedad apache ii, edad, causa de la insuficiencia respiratoria (ira),tipo de extubaci\u00f3n(directa, sin t\u00e9cnica de retirada progresiva, o con t\u00e9cnica de retirada progresiva), n\u00c2\u00ba de dias en vm antes de la prueba de tolerancia, tiempo de retirada de la vm, duracion total de la vm, complicaciones(reintubaciones y traqueostom\u00edas), tiempo de estancia en la uci y mortalidad. Durante la prueba de tolerancia a la respiraci\u00f3n espont\u00e1nea, que consisti\u00f3 en respirar durante 2 h en presi\u00f3n continua de la via aerea(cpap) de 5 cm h2o, se realizaron gasometr\u00edas arteriales, registro de la petco2 y de pulsioximetria en ventilaci\u00f3n asistida\/controlada antes de iniciar la cpap, tras 1 h de cpap y tras 2h de cpap(inmediatamente antes de ser extubado)o inmediatamente antes de reconexi\u00f3n a la vm en caso de fracaso de la prueba de tolerancia. Se difinieron los episodios de hipercapnia clinicamente relevantes como:(1) valores de paco2&gt;42 mmhg en pacientes previamente normoc\u00e1pnicos y (2) incrementos de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Reiterada de la ventilacion mecanica. intrumentalizacion y clinica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Reiterada de la ventilacion mecanica. intrumentalizacion y clinica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Saura Agel M. Pilar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/04\/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>LLuis Blanch Torra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: robert Rodr\u00edguez roisin <\/li>\n<li>jordi Rello condomines (vocal)<\/li>\n<li>jordi Mancebo cort\u00e9s (vocal)<\/li>\n<li>Andr\u00e9s Esteban de la torre (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Saura Agel M. Pilar Objetivo:estudiar el proceso de retirada de la ventilaci\u00f3n mec\u00e1nica(vm) en su aspecto cl\u00ednico, [&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":[155,9,12132,69,139,384],"tags":[45491,45489,59423,119120,29463,177784],"class_list":["post-84058","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cuidados-intensivos","category-enfermedades-pulmonares","category-medicina-interna","category-patologia-clinica","tag-andres-esteban-de-la-torre","tag-jordi-mancebo-cortes","tag-jordi-rello-condomines","tag-lluis-blanch-torra","tag-robert-rodriguez-roisin","tag-saura-agel-m-pilar"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/84058","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=84058"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/84058\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=84058"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=84058"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=84058"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}