Torres-Escobar NJ, Prince-Angulo SA, Peraza-Garay FJ, Canizales-López M

Language: Spanish
References: 15
Page: 167-174
PDF size: 130.07 Kb.

ABSTRACT

Objectives: To determine which combination is more effective for the control of pain and hemodynamic behavior in the postoperative period in patients undergoing cleaning of contaminated surgical wound in the lower part of the body. Material and Methods: A controlled, prospective, longitudinal, comparative, randomized and double-blind clinical trial was conducted in adult patients with a contaminated lower-body wound, 2 groups with a total of 87 patients, 40 patients with ropivacaine + fentanyl 100mcg (RF Group) vs 2% ropivacaine + morphine 2mg( RM Group) by peridural route. During the postsurgical period, heart rate, blood pressure, respiratory rate, oxygen saturation, the presence or absence of pruritus, nausea and / or vomiting, visual analogue scale (VAS) were monitored at the first hour, 2 and 4 hours after surgical cleaning. Results: For the RF group (40) and RM (47), in the pain evaluation with the EVA scale, al the first hour with a zero score, the group RF 20 (50%) and the RM 47 group (100%) p = ‹0.000. At 2 hours with a zero score, group RF 6 (15%) and RM 35 (74.5%) p = ‹0.000. At 4 hours on zero score, group RF 4 (10%) and RM 21 (44.7%) p = ‹0.000. Conclusion: The RM group had better analgesia than the RF group.

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