{"id":85896,"date":"2018-03-10T00:10:25","date_gmt":"2018-03-10T00:10:25","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-clinica-fisiologica-y-marcadores-bioquimicos-del-dolor-en-el-nino\/"},"modified":"2018-03-10T00:10:25","modified_gmt":"2018-03-10T00:10:25","slug":"valoracion-clinica-fisiologica-y-marcadores-bioquimicos-del-dolor-en-el-nino","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-clinica-fisiologica-y-marcadores-bioquimicos-del-dolor-en-el-nino\/","title":{"rendered":"Valoracion clinica, fisiologica y marcadores bioquimicos del dolor en el ni\u00f1o"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Perez Navero M. Pilar <\/strong><\/h2>\n<p>Se estudio, en 34 ni\u00f1os sometidos a cirugia extracorpor\u00e9a (cec), la eficacia de dos difentes pautas de analgesia postoperatoria: tramadol ( n:16) y fentanilo ( n:18).No hubo diferencias en la distribuci\u00f3n de los tipos de cardiopatias entre ambos grupos. Como variables de estudio se incluyeron par\u00e1metros hemodin\u00e1micos, respiratorios, metab\u00f3licos y marcadores de estr\u00e9s post-agresi\u00f3n ( cortisol, aldosterona, beta-endorfina, neurop\u00e9pticdo y) e il-6, as\u00ed como escalas de valoraci\u00f3nm de gravedad ( prism-iii y tiss-28). la cec de cec ni con las escalas prism-iii y tiss-28 o el tipo de analgesia utilizado.No hubo diferencias significativas en ninguno de los par\u00e1metros estudiados durante el postoperatorio. La analgesia con tramadol tuvo una mejor tolerancia hemodin\u00e1mica, precisando menos soporte inotr\u00f3pico, con ventilaci\u00f3n mec\u00e1nica en el grupo fentanilo fue el doble que en el grupo tramadol y pese a mostrar id\u00e9nticas puntuaciones en la escala de gravedad prism-iii, el \u00edndice de agresividad terape\u00fatica tiss-28 fue significativamente superior en el grupo fentanilo, al igual que la incidencia de complicaciones postoperatorias. La presencia de un postoperatorio complicado se asoci\u00f3 con  niveles elevados de cortisol, glucosa ylactato al ingreso en cip y cifras fde il-6 esignificativamente superiroes a las 24 horas del by-pass. en resumen, la analgesia con tramadol en el postoperatorio de cec en ni\u00f1os ofreci\u00f3 una adecuada analgesa, con un bajo \u00edndice de complicaciones.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoracion clinica, fisiologica y marcadores bioquimicos del dolor en el ni\u00f1o<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoracion clinica, fisiologica y marcadores bioquimicos del dolor en el ni\u00f1o <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Perez Navero M. Pilar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/07\/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> Ibarra De La Rosa Ignacio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: armando Romanos lezcanos <\/li>\n<li>Juan Casado flores (vocal)<\/li>\n<li>Manuel Concha ruiz (vocal)<\/li>\n<li> Torres morera Luis Miguel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Perez Navero M. Pilar Se estudio, en 34 ni\u00f1os sometidos a cirugia extracorpor\u00e9a (cec), la eficacia de [&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":[1569,155,9,141,2189,973,161],"tags":[1960,180602,23649,2286,180601,52896],"class_list":["post-85896","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","category-cordoba","category-pediatria","tag-armando-romanos-lezcanos","tag-ibarra-de-la-rosa-ignacio","tag-juan-casado-flores","tag-manuel-concha-ruiz","tag-perez-navero-m-pilar","tag-torres-morera-luis-miguel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/85896","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=85896"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/85896\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=85896"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=85896"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=85896"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}