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2019, Número 5

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Cir Cir 2019; 87 (5)


Sonoterapia en la reducción de la ansiedad y el dolor posoperatorio en pacientes con anestesia regional como técnica única: ensayo clínico aleatorizado y controlado

Arango-Gutiérrez AS, Buitrago-Cifuentes LJ, Medina-Hinestroza AM, Molina-Paniagua SA, Moreno E, Rivera-Díaz JS, Vásquez-Trespalacios EM, Arcila-Lotero MA, González-Obregón MP

Idioma: Español
Referencias bibliográficas: 34
Paginas: 545-553
Archivo PDF: 227.32 Kb.


RESUMEN

Objetivo: Evaluar la eficacia de la sonoterapia en la diminución de la ansiedad y el dolor posoperatorio en adultos llevados a cirugía ambulatoria de ortopedia bajo anestesia regional. Método: estudio aleatorizado, doble ciego, controlado con placebo, en 80 pacientes adultos sometidos a cirugía ortopédica; 40 recibieron intervención con sonoterapia y 40 no la recibieron. Se midieron el dolor y la ansiedad en el preoperatorio, en el posoperatorio inmediato, al alta, y 24 y 48 horas después. Se midieron parámetros hemodinámicos en cuatro momentos. Resultados: No se encontraron diferencias significativas entre ambos grupos en las escalas de dolor ni ansiedad. Se observó una reducción significativa de la presión arterial sistólica luego de la aplicación de la intervención y en recuperación. No se observaron diferencias en otras variables hemodinámicas entre los grupos, pero la reducción de algunas ocurre de forma más rápida en el grupo de intervención. Conclusiones: En pacientes adultos llevados a cirugía ambulatoria de ortopedia bajo anestesia regional, la sonoterapia es una estrategia novedosa que reduce la presión arterial sistólica, y esto puede considerarse como un indicador de disminución de la ansiedad. En nuestro estudio no se pudo demostrar diferencia en términos de control del dolor ni de requerimiento de sedación o analgesia adicional.


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