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2016, Número 4

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Rev Mex Anest 2016; 39 (4)


Construcción de un nomograma para facilitar el cálculo de dosis equianalgésicas para la rotación de opioides

Hernández-Ortiz A

Idioma: Ingles.
Referencias bibliográficas: 66
Paginas: 251-260
Archivo PDF: 242.58 Kb.


RESUMEN

Con el propósito de facilitar el proceso de cálculo de dosis y minimizar los errores que se cometen en él, se diseñó un nomograma con base en las recomendaciones actuales para los instrumentos de cálculo de dosis de opioides. Se creó un nomograma mediante el programa Microsoft Excel 2013, el cual consiste en 18 líneas paralelas; algunas de ellas marcadas a 24 puntos equidistantes como mínimo y la mayoría de ellas marcadas a 87 puntos equidistantes como máxima dosis recomendada para cada grupo de fármacos o el equivalente de dosis. El nomograma desarrollado para el presente documento facilita el cálculo de dosis equianalgésica, al mismo tiempo que disminuye el riesgo de cometer errores matemáticos. La rotación de opioides es una intervención médica esencial cuando se busca eficacia y seguridad de analgésicos opioides en la práctica clínica. El cálculo de la dosis equianalgésica es un proceso complicado que tiene una elevada probabilidad de error. El nomograma aquí descrito es una herramienta innovadora, capaz de reducir la complejidad del cálculo, de disminuir el riesgo para un paciente (en términos de seguridad) y de tomar en cuenta la evidencia científica disponible, así como las medidas recomendadas en la literatura.


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