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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2005, Number 1

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Rev Esp Med Quir 2005; 10 (1)

Eficacia entre paracetamol e ibuprofeno en el manejo del dolor postoperatorio, en niños programados para cirugía abdominal del HR. “General Ignacio Zaragoza” del I.S.S.S.T.E.

Santaella HEE, Rodríguez CR

Language: Spanish
References: 21
Page: 19-24
PDF size: 135.28 Kb.


ABSTRACT

Objective. To determine security and efficacy of ibuprofen vs. paracetamol orally plus regional anesthesia in the postoperative pain management in pediatrics patients. Material and Methods. We study 30 patients from 3 to 8 years old, both genders, ASA I and II, programmed to ambulatory abdominal surgery and under caudal block, they were separated in two groups. Group I Paracetamol PO as preoperative treatment, and group II with Ibuprofen, to evaluate the most efficient medicine as postoperative analgesia, the method employed was the Oucher’s scale in the recovery room at 1, 2, 3 and 4 hours postoperative . We monitored the patient with a cardioscope in DII, pulse oximeter, heart rate, precordial stethoscope during the anesthesia and perform caudal block. In the recovery room we evaluate the pain with Oucher’s scale, equal or higher to 6, and the apparition time, to determine the analgesic time of each medicine analyzed with Chi square. Results. The analgesic time for group one was 200-220 minutes, and group II of 220-240 minutes (P=0.234), without a significant difference in both groups. In group I, 4 patients (26.6%) had pain higher than 6 points, which wasn’t present in group II, results from the hospital “General Ignacio Zaragoza” in a pediatrics population. Conclusions. We conclude that both medicine provide similar analgesia time for ambulatory pediatric surgery, we observed that the pain could have a sudden appearance with paracetamol but not with ibuprofen.


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