{"id":84273,"date":"2018-03-10T00:08:34","date_gmt":"2018-03-10T00:08:34","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/comparacion-de-distintas-asociaciones-de-antiemeticos-en-la-prevencion-de-nauseas-y-vomitos-postoperatorios\/"},"modified":"2018-03-10T00:08:34","modified_gmt":"2018-03-10T00:08:34","slug":"comparacion-de-distintas-asociaciones-de-antiemeticos-en-la-prevencion-de-nauseas-y-vomitos-postoperatorios","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/comparacion-de-distintas-asociaciones-de-antiemeticos-en-la-prevencion-de-nauseas-y-vomitos-postoperatorios\/","title":{"rendered":"Comparacion de distintas asociaciones de antiemeticos en la prevencion de nauseas y vomitos postoperatorios"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Sanchez Ledesma Manuel Jes\u00fas <\/strong><\/h2>\n<p>El creciente interes en la calidad asistencial ha llevado a un mayor inter\u00e9s por los cuidados postoperatorios. Una vez tratado el dolor la complicaci\u00f3n m\u00e1s desagradable y frecuente son las nauseas y vomitos postoperatorios (nvpo). La incidencia es variable (30-88%) dependiendo de las caracteristicas del paciente, factores relacionados con la intervencion quirurgica y la anestesia, y de la intensidad del dolor y su manejo en el periodo postoperatorio. ningun antiem\u00e9tico es completamente eficaz en todos los pacientes. Es por este motivo por el que se empieza a realizar combinaciones de farmacos en busca de una mayor eficacia con menores efectos secundarios. Se ha dise\u00f1ado un estudio cuyo objetivo es valorar la eficacia y tolerancia de diferentes asociaciones de antiemeticos, asi como la relacion coste\/efectividad entre ellos.  planteamos un estudio prospectivo, aleatorio y doble ciego. Seleccionamos para el estudio 90 pacientes con riesgo elevado de padecer nvpo como son las mujeres sometidas a cirugia abdominal ginecol\u00f3gica, con unos criterios de inclusion y exclusion definidos. Tras obtener el consentimiento informado, se distribuyeron de forma aleatoria en tres grupos de 30, en funci\u00f3n de la profilaxis antiemetica empleada: grupo o&amp;dex (4 mg de ondansetron y 8 mg de dexametasona), dada la influencia de la tecnica anestesica, establecimos un protocolo que fue seguido en todas las pacientes y, dada la influencia del dolor y su tratamiento con opiaceos en la aparici\u00f3n de nvpo planteamos la analgesia postoperatoria en base a la administraci\u00f3n de 0,2 mg de morfina intratecal previo a la inducci\u00f3n y metodos de autoadmnistracion de morfina mediante bomba de pca en el postoperatorio, para conseguir un grado similar de analgesia en todas las pacientes. La medicaci\u00f3n se administr\u00f3 inmediatamente despu\u00e9s de la inducci\u00f3n mediante dos jeringas etiquetadas como a y b cuya composici\u00f3n depend\u00eda del grupo de profilaxis y una jeringa c<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Comparacion de distintas asociaciones de antiemeticos en la prevencion de nauseas y vomitos postoperatorios<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Comparacion de distintas asociaciones de antiemeticos en la prevencion de nauseas y vomitos postoperatorios <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Sanchez Ledesma Manuel Jes\u00fas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/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> Pueyo Villoslada Francisco Javier<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: mat\u00edas Jurado chac\u00f3n <\/li>\n<li>Juli\u00e1n \u00e1lvarez escudero (vocal)<\/li>\n<li>Mar\u00eda  Jos\u00e9 Calasanz abinzano (vocal)<\/li>\n<li>Francisco Reinoso barbero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sanchez Ledesma Manuel Jes\u00fas El creciente interes en la calidad asistencial ha llevado a un mayor inter\u00e9s [&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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