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Oxigenación cerebral y etilefrina para hipotensión arterial por inducción anestésica estudio observacional

dc.contributor.advisorIsaza Londoño, Carlos Felipe
dc.contributor.authorPULECIO SOLER, JUAN DIEGO
dc.date.accessioned2024-02-21T14:07:56Z
dc.date.available2026-02-26
dc.date.available2024-02-21T14:07:56Z
dc.date.issued2024-02-21
dc.identifier.urihttps://repositorio.ucaldas.edu.co/handle/ucaldas/19806
dc.description.abstractObjetivo: describir el comportamiento de la oxigenación cerebral medida por espectroscopia cercana al infrarrojo durante la hipotensión arterial secundaria a inducción anestésica intravenosa, y su posterior corrección con etilefrina. Materiales y métodos: Método: estudio observacional, descriptivo, prospectivo. 53 pacientes sometidos cirugía electiva . Clínica san marcel. Manizales. Colombia. Entre abril y septiembre de 2023 Resultados: 66% mujeres y 34% hombres con promedio de edad de 44 años clasificación ASA 1 (66%) y ASA 2(34%). Se presentaron cambios en la oxigenación cerebral entre la medida basal y la pre oxigenación 65 (RIC 58-71) VS 72 (RIC 67-78) p0.021; la pre oxigenación y la hipotensión durante la inducción 72(RIC67-78) vs 78 (RIC 72-83) p0.032; la hipotensión y posterior a la aplicación de etilefrina 78(RIC72-83) vs 74 (RIC 67-80) p0,016. Al comparar los valores durante la pre oxigenación y posterior a la corrección de la hipotensión se encontraron diferencias significativas 72 RIC (67-78) vs 74 RIC (67-80) p0,036. Conclusiones: Durante la inducción anestésica hay cambios de la oxigenación cerebral, la Etilefrina parece tener un comportamiento favorable con respecto a la oxigenación cerebral en contraste con otros medicamentos.spa
dc.description.abstractObjective: to describe the behavior of cerebral oxygenation measured by near-infrared spectroscopy during arterial hypotension secondary to intravenous anesthetic induction, and its subsequent correction with etilefrine. Materials and methods: Method: observational, descriptive, prospective study. 53 patients underwent elective surgery. San Marcel Clinic. Manizales. Colombia. Between April and September 2023 Results: 66% women and 34% men with an average age of 44 years, ASA 1 (66%) and ASA 2 (34%) classification. There were changes in cerebral oxygenation between the baseline measurement and pre-oxygenation 65 (IQR 58-71) VS 72 (IQR 67-78) p0.021; preoxygenation and hypotension during induction 72 (IQR67-78) vs 78 (IQR 72-83) p0.032; hypotension and after the application of etilefrine 78 (IQR72-83) vs 74 (IQR 67-80) p0.016. When comparing the values during pre-oxygenation and after correction of hypotension, significant differences were found 72 IQR (67-78) vs 74 IQR (67-80) p0.036. Conclusions: During anesthetic induction there are changes in cerebral oxygenation, Etilefrine seems to have a favorable behavior with respect to cerebral oxygenation in contrast to other medications.eng
dc.description.tableofcontentsINTRODUCCIÓN / METODOLOGÍA / RESULTADOS / DATOS SOCIODEMOGRÁFICOS / VARIABLES HEMODINÁMICAS / OXIGENACIÓN CEREBRAL / DISCUSIÓN / CONCLUSIONES Y RECOMENDACIONES / BIBLIOGRAFÍAspa
dc.format.mimetypeapplication/pdfspa
dc.language.isoengspa
dc.language.isospaspa
dc.titleOxigenación cerebral y etilefrina para hipotensión arterial por inducción anestésica estudio observacionalspa
dc.typeTrabajo de grado - Especializaciónspa
dc.contributor.datacuratorArango Gomez Fernando
dc.contributor.projectmemberRodriguez Ospina Daniel
dc.description.degreelevelEspecialización médico - quirúrgicaspa
dc.identifier.instnameUniversidad de Caldasspa
dc.identifier.reponameRepositorio Institucional Universidad de Caldasspa
dc.identifier.repourlhttps://repositorio.ucaldas.edu.co/spa
dc.publisher.facultyFacultad de Ciencias para la Saludspa
dc.publisher.placeManizalesspa
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dc.rights.accessrightsinfo:eu-repo/semantics/closedAccessspa
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dc.rights.accessrightsinfo:eu-repo/semantics/closedAccessspa
dc.rights.accessrightsinfo:eu-repo/semantics/closedAccessspa
dc.subject.proposalOxygenationeng
dc.subject.proposalSpectroscopy Near-Infraredeng
dc.subject.proposalEtilefrineeng
dc.subject.proposalAnesthesiaeng
dc.subject.proposalOxigenaciónspa
dc.subject.proposalEspectroscopía Infrarroja Cortaspa
dc.subject.proposalEtilefrinaspa
dc.subject.proposalAnestesiaspa
dc.subject.unescoCiencias médicas
dc.type.coarhttp://purl.org/coar/resource_type/c_bdccspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
oaire.versionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
oaire.accessrightshttp://purl.org/coar/access_right/c_14cbspa
dc.description.degreenameEspecialista en Anestesiologíaspa
dc.publisher.programEspecialización en Anestesiologíaspa
dc.rights.coarhttp://purl.org/coar/access_right/c_f1cfspa


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