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2011, Número 2

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Rev Mex Anest 2011; 34 (2)


Eficacia y costo-beneficio del uso de acupuntura como profilaxis para náusea y vómito postoperatorios

Del Castillo SAS, Barría GC, Sardi N

Idioma: Español
Referencias bibliográficas: 72
Paginas: 67-78
Archivo PDF: 699.23 Kb.


RESUMEN

Las náuseas y vómitos postoperatorios (NVPO) son una complicación común y poco deseada por los anestesiólogos por los múltiples efectos adversos sobre la salud y el bienestar de los pacientes. A pesar que contamos hoy en día con un vasto armamento farmacológico, la incidencia de esta complicación sigue siendo elevada. Metodología: Se dividió una población de 300 pacientes de alto riesgo para presentar NVPO, en tres grupos: un grupo se le administró 4 mg de dexametasona durante la inducción anestésica, a otro grupo se le estimuló 30 minutos con agujas de acupuntura en el punto de «Nei Guan» y al tercer grupo se le administró 4 mg de dexametasona durante la inducción anestésica y se le estimuló 30 minutos con agujas de acupuntura en el punto de «Nei Guan». Conclusiones: Encontramos una disminución en el porcentaje de aparición de NVPO en el grupo al cual se le administró la dexametasona y la acupuntura versus el grupo que sólo se le administró dexametasona (7% vs 25%) con significancia estadística, demostrándose que la combinación de dexametasona con el uso de acupuntura es una combinación costo-efectiva.


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