{"id":88462,"date":"2018-03-10T00:13:25","date_gmt":"2018-03-10T00:13:25","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/trombosis-venosa-profunda-y-su-relacion-con-el-tiempo-de-hipotension-y-la-duracion-de-la-intervencion-de-protesis-total-de-cadera\/"},"modified":"2018-03-10T00:13:25","modified_gmt":"2018-03-10T00:13:25","slug":"trombosis-venosa-profunda-y-su-relacion-con-el-tiempo-de-hipotension-y-la-duracion-de-la-intervencion-de-protesis-total-de-cadera","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/trombosis-venosa-profunda-y-su-relacion-con-el-tiempo-de-hipotension-y-la-duracion-de-la-intervencion-de-protesis-total-de-cadera\/","title":{"rendered":"\u00abtrombosis venosa profunda y su relaci\u00f3n con el tiempo de hipotensi\u00f3n y la duraci\u00f3n de la intervenci\u00f3n de protesis total de cadera\u00bb."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana Paz Aparicio <\/strong><\/h2>\n<p>La trombosis venosa profunda (tpv) es una de las complicaciones de la cirug\u00eda ortop\u00e9dica, principalmente de cadera y rodilla. Es, adem\u00e1s la causa principal de embolismo pulmonar, contituyendo ambas entidades la enfermedad troboemb\u00f3lica venosa(etv). Se han descrito diferentes factores que predisponen a la tpv en relaci\u00f3n con la cirug\u00eda: edad superior a 40 a\u00f1os, obesidad, antecedentes de enfermedad troboemb\u00f3lica vernosa, intervenci\u00f3n quir\u00farqica prolongada(&gt;45 minutos),inmovilizaci\u00f3n postoperatoria,neoplasias, infecci\u00f3n, estado trombof\u00edlico primario o secundario, varices, embarazo y puerperio, etc. La incidencia de trobosis venosa profunda en este grupo de enfermos, sin profilaxis, oscila entre el 20 y el 50%. Entre las medidas preventivas de enfermedad tromboemb\u00f3lica venos est\u00e1n la movilizaci\u00f3n precoz de los enfermos encamados, la utilizaci\u00f3n de medias el\u00e1sticas de compresi\u00f3n creciente y la profilaxis farmacol\u00f3gica con antiagregantes plaquetarios, anticoagulantes orales o heparinas de bajo peso molecular. La utilizaci\u00f3n de anestesia epidural o raquianestesia tambi\u00e9n reduce el risgo de etv postoperatoria. Hay estudios que proponen una hemodiluci\u00f3n moderada normovol\u00e9mica como alternativa a la profilaxis farmacol\u00f3gica.  en el caso de la cirug\u00eda de cadera, se han establecido dos situaciones caracter\u00edsticas: activaci\u00f3n de la cascada de la coagulaci\u00f3n durante la preparaci\u00f3n del canal femoral y estasis sangu\u00ednea por la obstrucci\u00f3n del flujo venoso femoral debido a la posici\u00f3n que se hace adoptar a la articulaci\u00f3n durante la inserci\u00f3n del componente femoral. Lo dem\u00e1s factores quir\u00fargicos, v\u00edas de acceso,utilizaci\u00f3n o no de cemento y la reintervenci\u00f3n no parecen influir en el n\u00famero de tvp. En cuanto a la hipotensi\u00f3n intraoperatoria, se ha demostrado que contribuye a una mejor fijaci\u00f3n del cemento en la pr\u00f3tesis totales de cadera cementadas.  objetivos:  -estudio de la influencia del tiempo de hipoten<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abtrombosis venosa profunda y su relaci\u00f3n con el tiempo de hipotensi\u00f3n y la duraci\u00f3n de la intervenci\u00f3n de protesis total de cadera\u00bb.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abtrombosis venosa profunda y su relaci\u00f3n con el tiempo de hipotensi\u00f3n y la duraci\u00f3n de la intervenci\u00f3n de protesis total de cadera\u00bb. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana Paz Aparicio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/01\/2001<\/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> Valle Soto Miguel E. Del<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: enrique Martinez rodriguez <\/li>\n<li>Miguel angel Mart\u00edn ferrero (vocal)<\/li>\n<li>Miguel Sanchez mart\u00edn (vocal)<\/li>\n<li>alfonso Lopez mu\u00f1iz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana Paz Aparicio La trombosis venosa profunda (tpv) es una de las complicaciones de la cirug\u00eda ortop\u00e9dica, [&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":[9,141,10665,8846,156,12395],"tags":[8985,184568,8848,12853,9840,184569],"class_list":["post-88462","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-osea","category-oviedo","category-patologia","category-trombosis","tag-alfonso-lopez-muniz","tag-ana-paz-aparicio","tag-enrique-Martinez-rodriguez","tag-miguel-angel-martin-ferrero","tag-miguel-sanchez-martin","tag-valle-soto-miguel-e-del"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88462","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=88462"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88462\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88462"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88462"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}