{"id":88066,"date":"2018-03-10T00:12:59","date_gmt":"2018-03-10T00:12:59","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/polineuropata%c2%ada-del-paciente-cra%c2%adtico-en-enfermos-con-sepsis-factores-de-riesgo-para-su-desarrollo-y-repercusion-sobre-el-pronostico\/"},"modified":"2018-03-10T00:12:59","modified_gmt":"2018-03-10T00:12:59","slug":"polineuropata%c2%ada-del-paciente-cra%c2%adtico-en-enfermos-con-sepsis-factores-de-riesgo-para-su-desarrollo-y-repercusion-sobre-el-pronostico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/polineuropata%c2%ada-del-paciente-cra%c2%adtico-en-enfermos-con-sepsis-factores-de-riesgo-para-su-desarrollo-y-repercusion-sobre-el-pronostico\/","title":{"rendered":"Polineuropat\u00edadel paciente cr\u00edtico en enfermos con sepsis. factores de riesgo para su desarrollo y repercusi\u00f3n sobre el pron\u00f3stico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Ortiz  Moyano <\/strong><\/h2>\n<p>Este trabajo es un estudio de cohorte prospectivo sobre 73 pacientes s\u00e9pticos con s\u00edndrome de disfunci\u00f3n multiorg\u00e1nica con los siguientes objetivos. conocer los factores demogr\u00e1ficos, cl\u00ednicos, bioqu\u00edmios y terape\u00faticos implicados en el desarrollo de la polineuropat\u00eda del paciente cr\u00edteico as\u00ed como definir las consecuencias que su desarrollo tienen sobre el tipo de ventilaci\u00f3n mec\u00e1ncia, n\u00famero de infecciones, estancia hospitalaria y mortalidad intrahospitalaria.  de los 73 pacientes, 46 mostraron signos de polineuropat\u00eda en la evaluci\u00f3n al ingreso y 4 m\u00e1s a los 21 dias. Falleciendo 42 pacientes del total de los afectados. La duraci\u00f3n de la ventilaci\u00f3n mec\u00e1nica y de la estancia hospitalaria fue significativamente mayor entre los pacientes que desarrollaron esta complicaci\u00f3n. Asimismo se detect\u00f3 entre ellos un aumento en la incidencia de bacteriemias primarias.  se concluye que la polineuropat\u00eda del paciente cr\u00edtico es una complicaci\u00f3n muy frecuente entre los pacientes s\u00e9pticos con disfunci\u00f3n multiorg\u00e1nica, la aparici\u00f3n de la misma se asocia a un incremento significativo de la estancia y de la mortalidad intrahospitalaria, esta axonopat\u00eda conlleva retardo en el tiempo de desconexi\u00f3n de la ventilaci\u00f3n mec\u00e1ncia; ninguno de los facotres previos al ingreso en uci supone un mayor riesgo en la adquisici\u00c2\u00bfon de la misma, diversos factores adquiridos durante la estancia en la unidad predisponene a la aparici\u00f3n de esta complicaci\u00f3n hiperosmolaridad, nutrici\u00f3n parenteral, empleo de miorrelajantes y encelaflopat\u00eda, la depuraci\u00f3n extrarrenal se ha mostrado como un factor protector.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Polineuropat\u00edadel paciente cr\u00edtico en enfermos con sepsis. factores de riesgo para su desarrollo y repercusi\u00f3n sobre el pron\u00f3stico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Polineuropat\u00edadel paciente cr\u00edtico en enfermos con sepsis. factores de riesgo para su desarrollo y repercusi\u00f3n sobre el pron\u00f3stico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Ortiz  Moyano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/12\/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>Carlos Ortiz Leyba<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: victor Jiemenez torres <\/li>\n<li>Antonio Hevia alonso (vocal)<\/li>\n<li>Jos\u00e9 Fajardo galvez (vocal)<\/li>\n<li>jer\u00f3nimo Pachon d\u00edaz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Ortiz Moyano Este trabajo es un estudio de cohorte prospectivo sobre 73 pacientes s\u00e9pticos con s\u00edndrome [&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":[467,9,1085,139,1176,10715],"tags":[26651,21750,183959,2068,1883,183960],"class_list":["post-88066","post","type-post","status-publish","format-standard","hentry","category-ciencias-de-la-nutricion","category-ciencias-medicas","category-enfermedades-infecciosas","category-medicina-interna","category-nutrientes","category-sevilla","tag-antonio-hevia-alonso","tag-carlos-ortiz-leyba","tag-carlos-ortiz-moyano","tag-jeronimo-pachon-diaz","tag-jose-fajardo-galvez","tag-victor-jiemenez-torres"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88066","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=88066"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88066\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}