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2003, Number 3

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Rev Mex Anest 2003; 26 (3)

Manejo del Dolor Postoperatorio en el Hospital General de Zona No.36, Ciudad Cardel, Veracruz

Fabián VV, Córdoba AF, Orueta ÁME, Hernández LD

Language: Spanish
References: 22
Page: 154-157
PDF size: 140.87 Kb.


ABSTRACT

Objectives: Determine the handling of the postoperative pain in the General Hospital number 36 of Cd. Cardel Ver. Material and methods: We was carried out a descriptive investigation in patient postoperative, selecting the sample in the operating-theatre area, demographic data of the patient one, vital signs, analgesic and dose administered in the recovery room were captured, measuring the pain with the Visual Analogue Scale (VAS), you continuous determining these parameters for shift during the first 24 hrs. Results: 92 patients were studied, with an age of 44 ± 15 years, with prevalence of the feminine sex (70.6%) intervened surgically by cholecystectomy 33% and caesarian 13%, the anesthetic technique in 53.3% with general anesthesia, during the first 24 hours, the analgesic handling, employment single metamizol in 85%, with a dose average of 22 mg/kg, single Ketorolaco in 8% with a dose of 0.4 mg/kg and single nalbufina in 1% with a dose of 0.1 mg/kg. The intensity of the pain measure by of VAS of 0-2 reports in the 28%, of 3-5 the 50% and of 6-10 the 22%. Conclusions: One VAS of 3 at 5 indicate moderate pain which see predominant and a VAS from 6 to 10 indicates intense pain that which is observed in the 22% the patients; the used doses are below the recommended in the literature, what indicates that the analgesic handling should improve.


REFERENCES

  1. Cabral AR. Conceptos históricos del dolor. Ciencias 1993;31:21-7.

  2. Reyes BB, Corona T, Estañol B. Fisiopatología del dolor. Rev Med IMSS 1990;20:121-4.

  3. León OM. Los péptidos opioides y la filogenia de la nocicepción. Ciencias 1993;31:33-8.

  4. Fugarolas GW, Carballar LAB, Prado PF, Cano OF, Odor GA. Control del dolor postoperatorio. Rev Mex Anest 1990;13:79-100.

  5. Jayr C. Repercussion of postoperative pain, benefits attending to treatment. Ann Fr Anesths Reanim 1998;6:540-54.

  6. Carr DB, Goudas LC. Acute pain. Lancet 1999;353:2051-8.

  7. Donnadieu S, Djian MC. Pain Therapy. Presse Medicale 1998;27:2062-9.

  8. Thomas T, Robinson C, Champios S, McKell M, Pell M. Prediction and assessment of the severity of postoperative pain and of satisfaction with management. Pain 1998;75:177-85.

  9. Kehlet, Wernen M, Perkins E. Balanced analgesics what is it and what its advanges in postoperative pain? Drugs 1999;58:793-7.

  10. Lehman KA. Patient-controlled analgesia: An efficient therapeutic tool in the postoperative setting. Eur Surg Res 1999;31:112-21.

  11. Stamer UM, Grond S, Maier C. Responders and non responders to postoperative pain treatment: the loading predicts analgesic needs. Eur Journal Anesth 1999;16:103-10.

  12. Lebedeva RN, Nikoda VV, Maiachkin RB. The problem of adequate analgesia in the postoperative period. Anesthesiol Reanimatol 1999;5:66-9.

  13. Navarro NC, Pacheco CM. Transcutaneous electric stimulation (TENS) to reduce pain after cesarean section. Ginecol Obstet Mex 2000;68:60-3.

  14. Flecher D. Prevention of operative pain. Ann Fr Anesth Reanim 1998;17:622-32.

  15. Gall O. Does a means exist for prevention of postoperative pain? Ann Fr Anesth Reanim 1998;17:527-33.

  16. Osipova NA. Antinociceptive components of general anesthesia and postoperative analgesia. Anesteziologia i Reanimatiologiig 1998;5:11-5.

  17. Miaskowski C, Crews J, Ready LB, Paul SM, Ginsberg B. Anesthesia based pain services improve the quality of postoperative pain management. Pain 1999;80:23-9.

  18. Rosenberg J, Kehlet H. Does Effective postoperative pain management influence surgical morbidity? Eur Sur Research 1999;31:133-7.

  19. Delbos A. Management of postoperative pain in surgical units. Ann Fr Anesth Reanim 1998;17:649-62.

  20. Chauvin M. Postoperative patient management. Pain after surgical intervention. Presse Medicale 1999;28:203-11.

  21. Filos KS, Lehmann KA. Current concepts and practice in postoperative pain management: need for a change? Eur Surg Research 1999;31:97-100.

  22. Frenette L. The acute pain service. Critical Care Clinics 1999;15:143-50.




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