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Comparación de los efectos hemodinámicos con bupivacaina isobarica e hiperbárica en pacientes para prostatectomia transuretral en el Hospital Universitario Clínica San Rafael.
| dc.contributor.advisor | Ruiz, Martin | spa |
| dc.contributor.author | Arcila Bonfante, Juan Carlos | |
| dc.coverage.spatial | Medicina | spa |
| dc.date.accessioned | 2016-02-02T21:11:11Z | |
| dc.date.accessioned | 2019-12-30T18:56:29Z | |
| dc.date.available | 2016-02-02T21:11:11Z | |
| dc.date.available | 2019-12-30T18:56:29Z | |
| dc.date.issued | 2016-01-29 | |
| dc.identifier.uri | http://hdl.handle.net/10654/7308 | |
| dc.description.abstract | La comparación entre la utilización de bupivacaina isobárica e hiperbárica por vía intratecal, se centra poco sobre los efectos hemodinámicos o muestra resultados no concluyentes para una u otra molécula, sin embargo hay indicios acerca de que el perfil hemodinámico de los pacientes tras la administración de bupivacaina isobarica presenta una mejor estabilidad. Objetivo Comparar los efectos de la densidad relativa del anestésico bupicavaina en el perfil hemodinámico de los pacientes sometidos a prostatectomia transuretral utilizando anestesia subaracnoidea con bupivacaina isobárica e hiperbárica. Métodos Estudio descriptivo retrospectivo con componente analítico donde se valoró la asociación estadística entre variables de resultado cuantitativo por medio de prueba T de Student para muestras pareadas. Resultados Se observó una menor variabilidad hemodinámica en el grupo de isobárica. La bupivacaina hiperbárica genero un bloqueo motor más rápido y frecuente, y un bloqueo sensitivo más rápido y alto. Hubo mayor incidencia de náusea y vómito, y mayor requerimiento de líquidos endovenosos y vasopresores en el grupo de hiperbárica. Conclusiones El impacto hemodinámico observado en los pacientes ASA I y II con adenoma prostático benigno sometidos a prostatectomia transuretral bajo anestesia subaracnoidea con bupivacaina isobárica presenta un perfil hemodinámico con menor variabilidad que los sometidos a la misma cirugía bajo anestesia subaracnoidea con bupivacaina hiperbárica. | spa |
| dc.format | spa | |
| dc.language.iso | spa | spa |
| dc.publisher | Universidad Militar Nueva Granada | spa |
| dc.title | Comparación de los efectos hemodinámicos con bupivacaina isobarica e hiperbárica en pacientes para prostatectomia transuretral en el Hospital Universitario Clínica San Rafael. | spa |
| dc.type | info:eu-repo/semantics/bachelorThesis | spa |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
| dc.subject.lemb | OXIGENACION HIPERBARICA | spa |
| dc.subject.lemb | HEMODINAMICA | spa |
| dc.subject.lemb | PROSTATA - CIRUGIA | spa |
| dc.subject.lemb | ANESTESIA REGIONAL | spa |
| dc.publisher.department | Facultad de Medicina | spa |
| dc.type.local | Trabajo de grado | spa |
| dc.description.abstractenglish | The comparison between the use of isobaric and hyperbaric bupivacaine intrathecally, little has focuses on the hemodynamic effects or has showed inconclusive results for one or another molecule, however there is some sugestive evidence that indicates that the hemodynamic profile of patients following administration of isobaric bupivacaine has better stability. Objective To compare the effects of the relative density of the anesthetic bupivacaine on hemodynamic profile of patients undergoing transurethral prostatectomy using spinal anesthesia with isobaric and hyperbaric bupivacaine. Methods Retrospective descriptive study with analytical component was conducted, where the statistical association between quantitative variables were analized through T Student test for paired samples Results We observed less hemodynamic variability in the isobaric group. Hyperbaric bupivacaine generated a faster and frequent motor blockade and faster and higher sensory blockade, there was a higher incidence of nausea and vomiting, and an increased requirement for intravenous liquids and vasopressors in the group of hyperbaric. Conclusions The hemodynamic impact observed in the ASA I and II patients with benign prostatic adenoma undergoing transurethral prostatectomy under subarachnoid anesthesia with isobaric bupivacaine has a hemodynamic profile with less variability than those who underwent the same surgery under subarachnoid anesthesia with hyperbaric bupivacaine. | eng |
| dc.title.translated | Comparison of the hemodynamic effects of isobaric and hyperbaric bupivacaine in patients to transurethral prostatectomy in the Hospital Universitario Clínica San Rafael | spa |
| dc.subject.keywords | Isobaric bupivacaine | spa |
| dc.subject.keywords | Hyperbaric bupivacaine | spa |
| dc.subject.keywords | Spinal anesthesia | spa |
| dc.publisher.program | Anestesiología | spa |
| dc.creator.degreename | Especialista en Anestesiología | spa |
| dc.relation.references | 1. David W Ryan, Angus K Pridie, Paul F Copeland. Plain bupivacaine 0.5%: a preliminary evaluation as a spinal anaesthetic agent. Annals of the Royal College of Surgeons of England (1983) vol. 65. | spa |
| dc.relation.references | 2. Fernández Vázquez AS, Rodríguez Valdés C, Medina JS. Sympathetic blockage: comparison between isobaric bupivacaine and hyperbaric bupivacaine in subarachnoid locorregional anesthesia. Rev Soc Esp Dolor 1999; 6: 263-268. | spa |
| dc.relation.references | 3. Solakovic N. Comparison of hemodynamic effects of hyperbaric and isobaric bupivacaine in spinal anesthesia. Med Arh. 2010; 64(1):11-4. | spa |
| dc.relation.references | 4. Solakovic N. Level of sensory block and baricity of bupivacaine 0.5% in spinal anesthesia. Med Arh. 2010; 64(3):158-60. | spa |
| dc.relation.references | 5. Vernhiet J, Cheruy D, Maindivide J, Vabre M, Clément C, Dartigues JF. Spinal anesthesia with bupivacaine. Comparative study of 2 hyperbaric and isobaric solutions. Ann Fr Anesth Reanim. 1984; 3(4):252-5. | spa |
| dc.relation.references | 6. Haranishi Y, Matayoshi Y, Yoshitomi K, Uchida M, Nakamura K, Oka H, Tamura H, Shibasaki S. Spinal anesthesia with isobaric 0.5% bupivacaine for lower limb surgery: effects of different volumes. Masui. 2004 Sep; 53(9):1014-8. | spa |
| dc.relation.references | 7. Shimai N, Mitsukuri S, Kobayashi T, Yokoyama K. Isobaric and hyperbaric bupivacaine 0.5% solution for spinal anesthesia. Masui. 1989 May; 38(5):666-73. | spa |
| dc.relation.references | 8. Sia AT, Tan KH, Sng BL, Lim Y, Chan ESY, Siddiqui FJ. Use of hyperbaric versus isobaric bupivacaine for spinal anaesthesia for caesarean section. Copyright © 2013 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. | spa |
| dc.relation.references | 9. Russell IF, Holmqvist EL. Subarachnoid analgesia for caesarean section. A double-blind comparison of plain and hyperbaric 0.5%bupivacaine. Br J Anaesth. 1987 Mar; 59(3):347-53. | spa |
| dc.relation.references | 10. José Francisco Nunes Pereira das Neves, TSA; Giovani Alves Monteiro, TSA; João Rosa de Almeida; Ademir Brun; Nivaldo Cazarin; Roberto Silva Sant´Anna; Evandro Soldate Duarte. Spinal Anesthesia for Cesarean Section. Comparative Study between Isobaric and Hyperbaric Bupivacaine Associated to Morphine. Rev Bras Anestesiol 2003; 53: 5: 573 - 578 | spa |
| dc.relation.references | 11. H. Kokki, K. Tuovinen and H. Hendolin. Spinal anaesthesia for paediatric day-case surgery: a duble-blind randomized, parallel group, prospective comparison of isobaric and hiperbaric bupivacaine. British journal of anaesthesia 1998; 81: 502-506. | spa |
| dc.relation.references | 12. Ayten Saracoglu, Kemal T. Saracoglu, Zeynep Eti. Comparative study of fentanyl and morphine in addition to hyperbaric or isobaric bupivacaine in combined spinal anaesthesia for caesarean section. Arch Med Sci 2011; 7, 4: 694-699. | spa |
| dc.relation.references | 13. Luiz Eduardo Imbelloni, TSA, Lúcia Beato, TSA, Marildo A Gouveia, TSA, José Antônio Cordeiro. Low Dose Isobaric, Hyperbaric, or Hypobaric Bupivacaine for Unilateral Spinal Anesthesia. Rev Bras Anestesiol 2007; 57: 3: 261-271. | spa |
| dc.relation.references | 14. Jean-Marc Malinovsky, M.D., Geraldine Renaud, M.D.,T Pascal Le Corre, Pharm.D., Ph.D.,S Florence Charles, M.D., T Jean-Yves Lepage, M.D., Myriam Malinge, M.D., Ph.D., Antoine Cozian, M. D., Olivier Bouchot, M.D., Michel Pinaud, M.D. Intratbecal Bupiuacaine in Humans. Influence of Volume and Baricity of Solutions. Anesthesiology. V 91, No 5, Nov 1999. | spa |
| dc.subject.proposal | Bupivacaina isobárica | spa |
| dc.subject.proposal | Bupivacaina hiperbárica | spa |
| dc.subject.proposal | Anestesia espinal | spa |
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Anestesiología [25]