Show simple item record

dc.contributor.advisorFranco Gruntorad, Germán Andrés 
dc.creatorMendiola Peña, Wilman Efrain 
dc.creatorFranco Gruntorad, Germán Andrés 
dc.creatorCuartas González, Paula 
dc.date.accessioned2015-02-16T12:45:24Z
dc.date.available2015-02-16T12:45:24Z
dc.date.created2015-02-09
dc.date.issued2015
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/10195
dc.descriptionDeterminar la incidencia de fibrilación auricular en las primeras 72 horas del post operatorio en pacientes llevados a revascularización miocárdica utilizando dos técnicas de anestésia una convencional (AC) con anestésicos inhalados y opioides y otra con dexmedetomidina (AD.). cohorte retrospectivo, en donde se seleccionarán dos grupos de estudio, un grupo de expuestos, pacientes llevados a revascularización miocárdica con utilización técnica anestésica convencional y un grupo de no expuestos pacientes llevados a revascularización miocárdica con uso de dexmedetomidina como técnica de anestesia; A estos grupos se les hizo seguimiento por 72 horas para determinar la presencia de fibrilación auricular y la terapéutica instaurada.
dc.description.abstractTo determine the incidence of atrial fibrillation in the first 72 hours postoperatively in patientsundergoing myocardial revascularization using two conventional anesthetic techniques (AC) with inhaledanesthetics and opioids and another with dexmedetomidine (AD. ). Retrospective cohort, where will select two study groups, a group of exposed patients undergoingmyocardial revascularization using conventional anesthetic technique and a group of unexposed patientsundergoing CABG with use of dexmedetomidine as anesthetic technique; These groups were followed for 72hours to determine the presence of atrial fibrillation and therapy instituted.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectfibrilación auricular
dc.subjectpost quirúrgico
dc.subjectrevascularización miocárdica dexmedetomidina
dc.subjectanestésicos inhalados
dc.subjectopioides.
dc.subject.ddcVarias ramas de la medicina, Cirugía  
dc.titleIncidencia de fibrilación auricular en las primeras 72 horas del post operatorio de revascularización miocárdica
dc.typemasterThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Anestesia Cardiotorácica
dc.publisher.programEspecialización en Anestesia Cardiotorácica
dc.publisher.departmentFacultad de Medicina
dc.subject.keywordatrial fibrillation
dc.subject.keywordpost surgical myocardial revascularization dexmedetomidine
dc.subject.keywordinhaled anesthetics
dc.subject.keywordopioids.
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsAnestesia
dc.subject.decsFibrilación auricular
dc.subject.decsCirugía
dc.subject.decsRevascularización miocárdica
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.source.bibliographicCitationJakubová M, Mitro P, Stancák B et-al. The occurrence of postoperative atrial fibrillation according to different surgical settings in cardiac surgery patients. Interact Cardiovasc Thorac Surg. 2012;15 (6): 1007-12.
dc.source.bibliographicCitationIqbal J, Ghaffar A, Shahbaz A et-al. Postoperative arrhythmias after coronary artery bypass grafting: a comparison between 'off pump' and 'on pump' CABG. J Ayub Med Coll Abbottabad. 22 (3): 48-53
dc.source.bibliographicCitationAranki SF, Shaw DP, Adams DH et-al. Predictors of atrial fibrillation after coronary artery surgery. Current trends and impact on hospital resources. Circulation. 1996;94 (3): 390-7.
dc.source.bibliographicCitationZaman AG, Archbold RA, Helft G et-al. Atrial fibrillation after coronary artery bypass surgery: a model for preoperative risk stratification. Circulation. 2000;101 (12): 1403-8.
dc.source.bibliographicCitationSabzi F, Zokaei AH, Moloudi AR. Predictors of atrial fibrillation following coronary artery bypass grafting. Clin Med Insights Cardiol. 2011;5: 67-75.
dc.source.bibliographicCitationHelgadottir S, Sigurdsson MI, Ingvarsdottir IL et-al. Atrial fibrillation following cardiac surgery: risk analysis and long-term survival. J Cardiothorac Surg. 2012;7: 87.
dc.source.bibliographicCitationPlace DG, Peragallo RA, Carroll J et-al. Postoperative atrial fibrillation: a comparison of off-pump coronary artery bypass surgery and conventional coronary artery bypass graft surgery. J. Cardiothorac. Vasc. Anesth. 2002;16 (2): 144-8.
dc.source.bibliographicCitationSadr-Amelli MA, Heidarali M, Ghasemi V et-al. Ventricular tachyarrhythmia after coronary bypass surgery: incidence and outcome. Asian Cardiovasc Thorac Ann. 2013;21 (5): 551-57.
dc.source.bibliographicCitationYeung-lai-wah JA, Qi A, Mcneill E et-al. New-onset sustained ventricular tachycardia and fibrillation early after cardiac operations. Ann. Thorac. Surg. 2004;77 (6): 2083-8.
dc.source.bibliographicCitationKaul TK, Fields BL, Riggins LS et-al. Ventricular arrhythmia following successful myocardial revascularization: incidence, predictors and prevention. Eur J Cardiothorac Surg. 1998;13 (6): 629-36.
dc.source.bibliographicCitationBrembilla-perrot B, Villemot JP, Carteaux JP et-al. Postoperative ventricular arrhythmias after cardiac surgery: immediate- and long-term significance. Pacing Clin Electrophysiol. 2003;26 (2 Pt 1): 619-25.
dc.source.bibliographicCitationAscione R, Reeves BC, Santo K et-al. Predictors of new malignant ventricular arrhythmias after coronary surgery: a case-control study. J. Am. Coll. Cardiol. 2004;43 (9): 1630-8.
dc.source.bibliographicCitationWijeysundera DN, Naik JS, Beattie WS. Alpha-2 adrenergic agonists to prevent perioperative cardiovascular complications: a meta-analysis. Am. J. Med. 2003;114 (9): 742-52.
dc.source.bibliographicCitationCoursin DB, Maccioli GA. Dexmedetomidine. Curr Opin Crit Care. 2001;7 (4): 221-6.
dc.source.bibliographicCitationCarollo DS, Nossaman BD, Ramadhyani U. Dexmedetomidine: a review of clinical applications. Curr Opin Anaesthesiol. 2008;21 (4): 457-61.
dc.source.bibliographicCitationTalke P, Li J, Jain U et-al. Effects of perioperative dexmedetomidine infusion in patients undergoing vascular surgery. The Study of Perioperative Ischemia Research Group. Anesthesiology. 1995;82 (3): 620-33.
dc.source.bibliographicCitationJalonen J, Hynynen M, Kuitunen A et-al. Dexmedetomidine as an anesthetic adjunct in coronary artery bypass grafting. Anesthesiology. 1997;86 (2): 331-45.
dc.source.bibliographicCitationChrysostomou C, Sanchez-de-toledo J, Wearden P et-al. Perioperative use of dexmedetomidine is associated with decreased incidence of ventricular and supraventricular tachyarrhythmias after congenital cardiac operations. Ann. Thorac. Surg. 2011;92 (3): 964-72.
dc.source.bibliographicCitationTobias JD, Chrysostomou C. Dexmedetomidine: antiarrhythmic effects in the pediatric cardiac patient. Pediatr Cardiol. 2013;34 (4): 779-85.
dc.source.bibliographicCitationLeriger M, Naguib A, Gallantowicz M et-al. Dexmedetomidine controls junctional ectopic tachycardia during Tetralogy of Fallot repair in an infant. Ann Card Anaesth. 15 (3): 224-8.
dc.source.bibliographicCitationIngersoll-weng E, Manecke GR, Thistlethwaite PA. Dexmedetomidine and cardiac arrest. Anesthesiology. 2004;100 (3): 738-9.
dc.source.bibliographicCitationChrysostomou C, Beerman L, Shiderly D et-al. Dexmedetomidine: a novel drug for the treatment of atrial and junctional tachyarrhythmias during the perioperative period for congenital cardiac surgery: a preliminary study. Anesth. Analg. 2008;107 (5): 1514-22.
dc.source.bibliographicCitationJi F, Li Z, Nguyen H et-al. Perioperative dexmedetomidine improves outcomes of cardiac surgery. Circulation. 2013;127 (15): 1576-84.
dc.source.bibliographicCitationBiccard BM, Goga S, De beurs J. Dexmedetomidine and cardiac protection for noncardiac surgery: a meta-analysis of randomised controlled trials. Anaesthesia. 2008;63 (1): 4-14.
dc.source.bibliographicCitationMathew JP, Parks R, Savino JS, et al. Atrial fibrillation following coronary artery bypass graft surgery: predictors, outcomes, and re- source utilization. MultiCenter Study of Perioperative Ischemia Re- search Group. JAMA 1996;276:300–6.
dc.source.bibliographicCitationVillareal RP, Hariharan R, Liu BC, Kar B, Lee VV, Elayda M et al. Postoperative atrial fibrillation and mortality after coronary artery bypass surgery. J Am Coll Cardiol 2004;43:742–8.
dc.source.bibliographicCitationCreswell LL, Schuessler RB, Rosenbloom M, Cox JL. Hazards of post- operative atrial arrhythmias. Ann Thorac Surg. 1993;56:539–549.
dc.source.bibliographicCitationEchahidi N, Pibarot P, O'hara G et-al. Mechanisms, prevention, and treatment of atrial fibrillation after cardiac surgery. J. Am. Coll. Cardiol. 2008;51 (8): 793-801.
dc.source.bibliographicCitationChung M. Cardiac Surgery: Postoperative arrythmias. Crit Care Med. 2000;28 (10): N136–N144.
dc.source.bibliographicCitationPeretto G, Durante A, Limite LR et-al. Postoperative arrhythmias after cardiac surgery: incidence, risk factors, and therapeutic management. Cardiol Res Pract. 2014;2014 : 615987.
dc.source.bibliographicCitationIshii Y, Schuessler RB, Gaynor SL et-al. Inflammation of atrium after cardiac surgery is associated with inhomogeneity of atrial conduction and atrial fibrillation. Circulation. 2005;111 (22): 2881-8
dc.source.bibliographicCitationE. Crystal, M. S. Garfinkle, S. S. Connolly, T. T. Gin- ger, K. Sleik, and S. S. Yusuf. Interventions for preventing post-operative atrial fibrillation in patients undergoing heart surgery. Cochrane Database of Systematic Reviews. 2004;4 Article ID CD003611.
dc.source.bibliographicCitationJ. Dunning, T. Treasure, M. Versteegh, and S. A. M. Nashef. Guidelines on the prevention and management of de novo atrial fibrillation after cardiac and thoracic surgery. The European Journal of Cardio-Thoracic Surgery. 2006;30 (6): 852– 872.
dc.source.bibliographicCitationWeber UK, Osswald S, Buser P, et al. Significance of supraventricular tachyarrhythmias after coronary artery bypass graft surgery and their prevention by low-dose sotalol: A prospective double-blind randomized placebo-controlled study. J Cardiovasc Pharmacol. 1998; 3: 209-216.
dc.source.bibliographicCitationNystrom U, Edvardsson N, Berggren H, et al: Oral sotalol reduces the incidence of atrial fibrillation after coronary artery bypass surgery. Thorac Cardiovasc Surg. 1993;41:34-37.
dc.source.bibliographicCitationEvrard P, Gonzalez M, Jamart J, et al: Prophylaxis of supraventricular and ventricular arrhythmias after coronary artery bypass grafting with low-dose sotalol. Ann Thorac Surg. 2000; 70:151-156.
dc.source.bibliographicCitationSuttorp MJ, Kingma JH, Peels HO, et al. Effectiveness of sotalol in preventing supraventricular tachyarrhythmias shortly after coronary artery bypass grafting. Am J Cardiol. 1991; 68:1163-1169.
dc.source.bibliographicCitationGomes JA, Ip J, Santoni-Rugiu F, et al. Oral sotalol reduces the incidence of postoperative atrial fibrillation in coronary artery bypass surgery patients: a randomized, double-blind, placebo-controlled study. J Am Coll Cardiol. 1999;34:334- 339.
dc.source.bibliographicCitationT. Guarnieri, S. Nolan, S. O. Gottlieb, A. Dudek, and D. R. Lowry. Intravenous amiodarone for the prevention of atrial fibrillation after open-heart surgery: the Amiodarone Reduction in Coronary Heart (ARCH) trial. Journal of the American College of Cardiology. 1999;34 (2): 343–347.
dc.source.bibliographicCitationL. B. Mitchell, D. V. Exner, D. G. Wyse et al. Prophylactic oral amiodarone for the prevention of arrhythmias that begin early after revascularization, valve replacement, or repair. PAPABEAR: a randomized controlled trial. The Journal of the American Medical Association. 2005; 294 (24): 3093–3100.
dc.source.bibliographicCitationMiller S, Crystal E, Garfinkle M et-al. Effects of magnesium on atrial fibrillation after cardiac surgery: a meta-analysis. Heart. 2005;91 (5): 618-23.
dc.source.bibliographicCitationDe Oliveira GS, Knautz JS, Sherwani S et-al. Systemic magnesium to reduce postoperative arrhythmias after coronary artery bypass graft surgery: a meta-analysis of randomized controlled trials. J. Cardiothorac. Vasc. Anesth. 2012;26 (4): 643-50.
dc.source.bibliographicCitationFranco G, Giraldo J, Montes F, Santacruz C, Umaña J, Bustamante S. International Anesthesia Research Society 74th Clinical and Scientific Congress. Honolulu, Hawaii, USA. March 20-23, 2010. Abstracts. Anesth. Analg. 2010;110 (3 Suppl): S70.
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc-nd/2.5/co/