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2009, Number 1

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Rev Mex Anest 2009; 32 (1)

Multimodal medication managed with local anesthesia in order to relieve post-operative pain in inguinal plasty

Mejía-Ortiz MA, Olvera-Morales G, Martínez-Segura RT, Silva-Jiménez A

Language: Spanish
References: 13
Page: 34-40
PDF size: 157.15 Kb.


ABSTRACT

Objective: To demonstrate that multimodal pre-anesthetic analgesia offers a decrease in pain perception in those patients subjected to inguinal plasties. Material and methods: Forty-four patients, ASA I and ASA II, subjected to free-of-tension inguinal plasty, and managed through local peridural anesthesia, were included in this study. The patients were divided into two groups: the Group 2 received dexmedetomidine IV (1 µg/kg) and celecoxib 200 mg orally, 30 minutes before entering the operating room. They were also infiltrated with ropivacaine (0.75%) before the incision. The Group 1 received ketorolaco IV (1 mg/kg) during the transanesthetic period. Pain perception was evaluated by VAS (Visual Analogue Scale) and vital signology in the post-operative period every 30 minutes up to their discharge and at 24 hours. Results: Vital signology (blood pressure and cardiac frequency) and the VAS presented significant differences in the stay period at UPCA, and at 24 hours. The B Group required rescue analgesia in the 73% of the cases, while the A Group required rescue analgesia in the 81% of the cases, while in the A Group, the 73% presented analgesia. Conclusion: Multimodal analgesia based upon dexmedetomidine and celecoxib, along with local infiltration of ropivacaine (0.75%) decrease post-operative pain perception.


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