Mostrar el registro sencillo del ítem

Variabilidad de la profundidad anestésica evaluada mediante el índice de entropía, en anestesia total endovenosa vs. anestesia balanceada, en pacientes llevados a cirugía ortopédica bajo anestesia regional de miembro superior e inferior

dc.contributor.advisorBotero Rosas, Daniel Alfonso
dc.contributor.advisorRíos Barbosa, Fernando
dc.contributor.advisorOliveros Rodríguez, Henry
dc.contributor.authorQuiroga González, Sandra Carolina
dc.contributor.authorCifuentes Acero, Freddy Chayanne
dc.contributor.authorRodríguez Murillo, Gloria Angélica
dc.date.accessioned2018-10-22T14:56:07Z
dc.date.available2018-10-22T14:56:07Z
dc.date.issued2018
dc.identifier.urihttp://hdl.handle.net/10818/34190
dc.description45 páginases_CO
dc.description.abstractIntroducción: En la actualidad, la anestesia total endovenosa (TIVA) y la anestesia balanceada son las técnicas más utilizadas para conseguir el mantenimiento de la profundidad anestésica durante la cirugía. Establecer la variación en dicha profundidad podría predecir cuál de esas dos técnicas es más segura y presenta menor riesgo de despertar intra-operatorio.
 Objetivo: Comparar la variabilidad de la profundidad anestésica de ambas técnicas en busca de diferencias que sugieran superioridad en cuanto a estabilidad y predicción de despertares durante el procedimiento quirúrgico. Métodos: Ensayo clínico aleatorizado, cruzado, controlado y simple ciego llevado a cabo en 20 pacientes programados para cirugía de ortopedia de extremidad superior o inferior. Los pacientes fueron asignados aleatoriamente a: a) infusión controlada por objetivo de propofol con el modelo de Schnider a una concentración en sitio de efecto de 2,5 ug/ml durante 15 minutos, 10 minutos de lavado, seguido de anestesia balanceada con Sevofluorane 0.8 CAM; o b) la secuencia inversa. La diferencia en variabilidad de profundidad anestésica fue evaluada mediante la comparación de registros de índices de entropía con una prueba «t» pareada. Resultados: No hubo evidencia de diferencias significativas de la varianza media en los índices de entropía espectral asociada a las diferentes técnicas. Conclusión: El estudio sugiere que ambas técnicas anestésicas son equivalentes en términos de estabilidad de profundidad anestésica. Es importante continuar estudiando la eficacia en diferentes tipos de población, dado que su comportamiento según características individuales de los pacientes podrían inclinar la balanza.es_CO
dc.formatapplication/pdfes_CO
dc.language.isospaes_CO
dc.publisherUniversidad de La Sabanaes_CO
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceUniversidad de La Sabana
dc.sourceIntellectum Repositorio Universidad de La Sabana
dc.subjectAnestesia intravenosaes_CO
dc.subjectAnestesia balanceadaes_CO
dc.subjectCirugía ortopédicaes_CO
dc.subjectEnfermoses_CO
dc.titleVariabilidad de la profundidad anestésica evaluada mediante el índice de entropía, en anestesia total endovenosa vs. anestesia balanceada, en pacientes llevados a cirugía ortopédica bajo anestesia regional de miembro superior e inferiores_CO
dc.typebachelor thesises_CO
dc.identifier.local269927
dc.identifier.localTE09850
dc.type.hasVersionpublishedVersiones_CO
dc.rights.accessRightsopenAccesses_CO
dcterms.referencesAmerican society of anesthesiologists. Continuum of depth of sedation, definition of general anesthesia, and levels of sedation/analgesia. 2004.
dcterms.referencesOsterman JE, Hopper J, Heran WJ, Keane TM, van der Kolk BA, Awareness under anesthesia and the development of posttraumatic stress disorder. Gen Hosp Psychiatry. Pages 198-204. 2001
dcterms.referencesBischoff P, Rundshagen I. Awareness Under General Anesthesia.DtschArztebl. vol 108, pp 1-7. 2011.
dcterms.referencesSebel, P. The Incidence of Awareness During Anesthesia: A Multicenter United States Study. Anesthesia and Analgesia 2004;99:833–9
dcterms.referencesSandin RH, Enlund G, Samuelsson P, Lennmarken C. Awareness during anaesthesia: a prospective case study. Lancet 2000; 355: 707–11
dcterms.referencesT. Andrew Bowdle, Depth of Anesthesia Monitoring, Anesthesiology Clinics of North America, Volume 24, Issue 4, pages 793-822. 2006
dcterms.referencesStruys MM, Jensen EW, Smith W, et al. Performance of the ARX-derived auditory evoked potential index as an indicator of anesthetic depth: a comparison with bispectral index and hemodynamic measures during propofol administration. Anesthesiology 2002; 96: 803–16
dcterms.referencesWeber F, Seidl M, Bein T. Impact of the AEP-Monitor/2-derived composite auditoryevoked potential index on propofol consumption and emergence times during total intravenous anaesthesia with propofol and remifentanil in children. Acta Anaesthesiol Scand 2005; 49: 277–83
dcterms.referencesH. Viertiö, V. Maja, M. Särkelä et al., "Description of the EntropyTM algorithm as applied in the Datex-Ohmeda S/5TM Entropy Module," Acta Anaesthesiologica Scandinavica, Volume48, Issue 2.pages.154-161, 2004.
dcterms.referencesI. J. Rampil, "A primer for EEG signal processing in anesthesia," Anesthesiology, vol.89. pp.980-1002, 1998.
dcterms.referencesAvidan, Michael S. et al., Anesthesia awareness and the bispectra lndex. The New England Journal of Medicine. Volume 358, Issue 11, 2008, pages 1097–1108.
dcterms.referencesDahaba AA, Different conditions that could result in the bispectral index indicating an incorrect hypnotic state. Anesthesia &Analgesia 2005, Volume 101, Issue 3, pages 765–73.
dcterms.referencesWheeler P, Hoffman WE, Baughman V, Koeing H. Response Entropy increases during painful stimulation. Journal of Neurosurgical Anesthesiology, Volume 17, pages 86-90. 2005.
dcterms.referencesMusialowicz T, Niskanen M, Ypparila-Wolters H, Poyohonen M, Pitkanen O, Hynynen M. Auditory-evoked potentials in bispectral index-guided anaesthesia for cardiac surgery. European Journal of Anaesthesiology, Volume 24, pages, 571-579. 2007.
dcterms.referencesLanders, R., Peng Wen, Pather, S., Depth of Anaesthesia: Measuring or guessing?, Nano/Molecular Medicine and Engineering (NANOMED), 2010 IEEE 4th International Conference on, pages 76-81. 2010.
dcterms.referencesMohamed M. Ghoneim, Incidence of and risk factors for awareness during anaesthesia, Best Practice & Research Clinical Anaesthesiology, Volume 21, No 3, 2007, Pages 327-343
dcterms.referencesVakkuri A. Time-frequency balanced spectral entropy as a measure of anesthetic drug effect in central nervous system during sevoflurane, propofol, and thiopental anesthesia. Acta Anaesthesiology Scandinava. 2004. 48(2):pages145-153
dcterms.referencesMuncaster AR, Sleigh JW, Williams M. Changes in consciousness, conceptual memory, and quantitative electroencephalographical measures during recovery from sevoflurane- and remifentanil-based anesthesia. Anesth Analg. 2003;97:1206–12
dcterms.referencesSleigh JW, Leslie K, Voss L. The effect of skin incision on the electroencephalogram during general anesthesia maintained with propofol or desfluorane. Journal of Clinical Monitoring and Computing.Volume 24, pages, 307-318. 2010
dcterms.referencesJ. Bruhn, P. S. Myles, R. Sneyd and M. M. R. F. Struys. Depth of anaesthesia monitoring: what’s available, what’s validated and what’s next?. British Journal of Anaesthesia 97 (1): 85–94 (2006)
dcterms.referencesMonk TG, Saini V, Weldon BC, Sigl JC. Anesthetic management and one-year mortality after noncardiac surgery. Anesth Analg 2005; 100: 4–10
dcterms.referencesG. Kumar. C. Stendall, R. Mistry, K. Gurusamy and D. Walker. A comparison of total intravenous anaesthesia using propofol with sevoflurane or desflurane in ambulatory surgery: systematic review and meta-analysis. Anaesthesia 2014
dcterms.referencesJ. Alhashemi, D. Miller, H. O'Brien, K. A. Hull. Cost-effectiveness of inhalational, balanced and total intravenous anaesthesia for ambulatory knee surgery. CAN J ANAESTH 1997 / 44:2 / pp I18-125.
dcterms.referencesPractice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness. Anesthesiology. 2006; 104 (4): 847-64
dcterms.referencesLugli A. et al: Anaesthetic Mechanisms: Update on the Challenge of Unravelling the Mystery of Anaesthesia. European Journal of Anaesthesiology 2009; 26: 000-000
dcterms.referencesCampagna J. et al: Mechanisms of Actions of Inhaled Anesthetics. New England Journal of Medicine 2003; 348: 2110-24
dcterms.referencesGrashoffa Ch. et al: Molecular and Systemic Mechanisms of General Anaesthesia. The “Multisite and Multiple Mechanisms” Concept. Current Opinion Anaesthesiology 2005; 18: 386-391.
dcterms.referencesG. Torry. Inhalation anesthetics: a review. Minerva Anestesiol 2010;76:215-28
dcterms.referencesEbert TJ: Basic Inhalation Anesthesia. Barash Clinical Anesthesia. Lippincott Raven Publishers. 5th edition 2006, 15: 386-503
dcterms.referencesL.A. Tafur, E. Lema. Total Intravenous Anesthesia: from Pharmaceutics to Pharmacokinetics. Rev. Col. Anest. May - jul 2010. Vol. 38 - No. 2: 215-231
dcterms.referencesR. Miller, L. Eriksson , L. Fleisher, J. Wiener-Kronish, N. Cohen, W. Young. Miller´s Anesthesia 8th ed. 2014
dcterms.referencesZ. Liang, Y. Wang, X. Sun, D. Li, L. Voss. EEG entropy measures in anesthesia. Frontiers in Computational Neuroscience. February 2015, Volume9, Article16.
dcterms.referencesS. Rinaldi, G. Consales, A.R. de Gaudio. State entropy and bispectral index: correlation with end tidal sevoflurane concentrations. MINERVA ANESTESIOL 2007;73:39-48
dcterms.referencesMosquera O, Cárdenas A, Botero D, Yepes A, Oliveros H, Henao R, Ríos F. Randomized cross-over clinical trial comparing two pharmacokinetic models of propofol using entropy índices Colombian Journal of Anesthesiology, Volume 44, Issue 3, Pages 193-200
dcterms.referencesNunes RR, Nora FS, Dumaresq DMH, Cavalcante RMA, Costa AA, Carneiro LMM, Alencar JCG – Influencia de la Anestesia Venosa Total, Entropía y Laparoscopia sobre el Estrés Oxidativo. Rev Bras Anestesiol 2012; 62: 4: 1-10
dcterms.referencesEvers A, Maze M, Kharasch E. Anesthetic Pharmacology. Second edition. Cambridge University Press 2011
dcterms.referencesMosquera OL; Botero DA; Cagy M, Henao RD. Análisis no lineal de la señal de electroencefalograma en profundidad anestésica. Rev.fac.ing.univ. 2015; 75: 45-56
dcterms.referencesHasak L, Wujtewicz M, Owczuk R. Assessment of the depth of anaesthesia during inhalational and intravenous induction of general anaesthesia. Anaesthesiol Intensive Ther 2014, vol. 46, no 4, 274–279
dcterms.referencesEl Hor T1, Van Der Linden P, De Hert S, Mélot C, Bidgoli J. Impact of entropy monitoring on volatile anesthetic uptake. Anesthesiology. 2013;118(4):868- 73.
dcterms.referencesGorban VI, Shchegolev AV, Kharitonov DA. Entropy monitoring during lowflow inhalation anesthesia- a tribute to fashion or necessity? Anesteziol Reanimatol. 2016;61(2):95-100.
dcterms.referencesShepherd J, Jones J, Frampton G, Bryant J, Baxter L, Cooper K. Clinical effectiveness and cost-effectiveness of depth of anaesthesia monitoring (E-Entropy, Bispectral Index and Narcotrend): a systematic review and economic evaluation. Health Technol Assess. 2013; 17(34):1-264
dcterms.referencesVakkuri A, Yli-hankala A,Talja P, Mustola S, Tolvanen-Laakso P, Sampson T. Time-frequency balanced spectral entropy as a measure of anesthetic drug effect in central nervous system during sevoflurane, propofol, and thiopental anesthesia. Acta anaesthesiol scand 2004; 48: 145-153
thesis.degree.disciplineFacultad de Medicinaes_CO
thesis.degree.levelEspecialización en Anestesiología y Medicina Perioperatoriaes_CO
thesis.degree.nameEspecialista en Anestesiología y Medicina Perioperatoriaes_CO


Ficheros en el ítem

Thumbnail
Nombre:
TESIS_freddy.pdf
Tamaño:
597.7Kb
Formato:
PDF
Descripción:
Ver documento en PDF
Ver/

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem

Attribution-NonCommercial-NoDerivatives 4.0 InternationalExcepto si se señala otra cosa, la licencia del ítem se describe como Attribution-NonCommercial-NoDerivatives 4.0 International