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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
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thesis.degree.disciplineFacultad de Medicinaes_CO
thesis.degree.levelEspecialización en Anestesiología y Medicina Perioperatoriaes_CO
thesis.degree.nameEspecialista en Anestesiología y Medicina Perioperatoriaes_CO


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