{"id":84196,"date":"2000-11-04T00:00:00","date_gmt":"2000-11-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-de-la-anestesia-epidural-toracica-sobre-la-oxigenacion-y-hemodinamica-pulmonar-y-sistemica-en-pacientes-con-ventilacion-a-un-solo-pulmon\/"},"modified":"2000-11-04T00:00:00","modified_gmt":"2000-11-04T00:00:00","slug":"efecto-de-la-anestesia-epidural-toracica-sobre-la-oxigenacion-y-hemodinamica-pulmonar-y-sistemica-en-pacientes-con-ventilacion-a-un-solo-pulmon","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efecto-de-la-anestesia-epidural-toracica-sobre-la-oxigenacion-y-hemodinamica-pulmonar-y-sistemica-en-pacientes-con-ventilacion-a-un-solo-pulmon\/","title":{"rendered":"Efecto de la anestesia epidural tor\u00e1cica sobre la oxigenaci\u00f3n y hemodin\u00e1mica pulmonar y sist\u00e9mica en pacientes con ventilaci\u00f3n a un solo pulmon."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Emilio Maseda Garrido <\/strong><\/h2>\n<p>Objetivo  analizar las alteraciones en la ciruculaci\u00f3n pulmonar humana durante la ventilaci\u00f3n unipulmonar, y los efectos del bloqueo de la actividad simp\u00e1tica sobre los par\u00e1metros hemodin\u00e1micos pulmonares y sist\u00e9micos, prestando especial atenci\u00f3n a los valores de oxigenaci\u00f3n arterial.  pacientes y m\u00e9todos  estudio sobre 20 pacientes, que iban a ser sometidos a cirug\u00eda tor\u00e1cica, en posici\u00f3n de dec\u00fabito lateral, a los que se insert\u00f3 un cat\u00e9ter epidural tor\u00e1cico antes de la inducci\u00f3n de anestesia general. Durante la ventilaci\u00f3n de un solo pulm\u00f3n se administraron anest\u00e9sicos locales a trav\u00e9s del cat\u00e9ter epidrual tor\u00e1cico. Se recogieron muestras de sangre arterial y venosa mixta para determianciones de gases y para el c\u00e1lculo de cortocircuito intrapulmonar. igualmente, se determiaron valores heodin\u00e1micos pulmonares y sist\u00e9micos mediante cat\u00e9ter de arteria pulmonar en tres tiempos:  a- basal: ventilaci\u00f3n de ambos pulmones.  b- ventilaci\u00f3n de un solo pulm\u00f3n durante 10 min.,  c- ventilaci\u00f3n de un solo pulm\u00f3n y bloqueo simpatico tor\u00e1cico establecido por al adminsitraci\u00f3n de anest\u00e9sico locales a trav\u00e9s del cat\u00e9ter epidural tor\u00e1cico.  resultados  los datos m\u00e1s relevantes consistieron en un aumento casi significativo del cortocircuito pulmonar tras el establecimiento del bloqueo simp\u00e1tico tor\u00e1cico respecto a su valor durante la ventilaci\u00f3n unipulmonar (26,2-7,67% frente a 20,6-9,59%). La presi\u00f3n arterial de o2 disminuy\u00f3 de forma significativa durante la ventilaci\u00f3n unipulmonar, disminuyendo a\u00fan m\u00e1s tras la instauraci\u00f3n del bloqueo simp\u00e1tico tor\u00e1cico (149,6-71,75 frente a 114,2-56,42 mmhg).\u00ed\u00a7  las resitencias vasculares pulmonares aumentaron de forma significativa durante la ventilaci\u00f3n de un solo pulm\u00f3n, diminuyendo tras la instauraci\u00f3n del bloqueo simp\u00e1ticotor\u00e1cico (167,2-79,52 frente a 275,2-107,29 dinas-s-cm-5-m-2, p-0,05; y 275,2-107,29 frente a 167,1-68,58 dinas-s-cm-5-m-2, p-0,05<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto de la anestesia epidural tor\u00e1cica sobre la oxigenaci\u00f3n y hemodin\u00e1mica pulmonar y sist\u00e9mica en pacientes con ventilaci\u00f3n a un solo pulmon.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto de la anestesia epidural tor\u00e1cica sobre la oxigenaci\u00f3n y hemodin\u00e1mica pulmonar y sist\u00e9mica en pacientes con ventilaci\u00f3n a un solo pulmon. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Emilio Maseda Garrido <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/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>Antonio Criado Jim\u00e9nez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Garcia  sancho martin <\/li>\n<li> Madrid arias Jos\u00e9 Luis (vocal)<\/li>\n<li> Telelz de peralta gabriel (vocal)<\/li>\n<li>Fernando Noguerales fraguas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Emilio Maseda Garrido Objetivo analizar las alteraciones en la ciruculaci\u00f3n pulmonar humana durante la ventilaci\u00f3n unipulmonar, y [&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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