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Revista de la Asociación Médica del Centro Médico ABC

2020, Número 2

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An Med Asoc Med Hosp ABC 2020; 65 (2)


Manejo analgésico postoperatorio con bloqueos regionales guiados por ultrasonografía en cirugía de hombro

Galván TY, Álvarez RGE, Cisneros GJ, López HMN, Fernández SJR, Fajardo PM

Idioma: Español
Referencias bibliográficas: 57
Paginas: 114-121
Archivo PDF: 328.65 Kb.


RESUMEN

El dolor postoperatorio en la actualidad es una condición no manejada adecuadamente. En las últimas dos décadas diversos estudios han demostrado que 70% o más de los pacientes quirúrgicos reportaron dolor moderado a severo después de la cirugía. En el manejo preoperatorio y postoperatorio deben considerarse técnicas de analgesia multimodal con la incorporación de anestesia regional. En el manejo exitoso del dolor postoperatorio en la cirugía de hombro, la anestesia regional con el uso de ultrasonografía provee múltiples ventajas entre las que destacan menor incidencia de complicaciones, un egreso hospitalario anticipado, mejores condiciones del paciente para la rehabilitación y disminución de un reingreso no previsto, con el consecuente decremento en los costos de hospitalización. Actualmente los bloqueos interfasciales se han incluido en las técnicas tradicionales de anestesia regional, destacando el bloqueo de la fascia del erector espinal (ESP) para las cirugías de hombro. Objetivo: Describir la importancia de los bloqueos regionales con ultrasonografía para manejo del dolor postoperatorio en cirugía de hombro haciendo énfasis en la incorporación del bloqueo ESP.


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