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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2005, Number 2

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Rev Esp Med Quir 2005; 10 (2)

Tratamiento del dolor posquirúrgico con la administración epidural simultánea de Ropivacaina y Fentanil Mediante Bomba de Infusión en Pacientes Sometidas a Histerectomía Total Abdominal

Marín RC, Juárez HE, Soto RB, Gómez RJP, Gordillo PA, González BJA, Rangel GR

Language: Spanish
References: 22
Page: 29-34
PDF size: 232.49 Kb.


ABSTRACT

Introduction. Postoperative pain after a total abdominal hysterectomy has a many causes.
The aim of this study was to evaluate the administration of continuos epidural infusion of ropivacaine/fentanyl (experimental group) versus ropivacaine/fentanyl in bolus on pain scores and side effects.. Methods and material. Clinic controlled assay of patients undergoing a total abdominal hysterectomy. The pain evaluation was with visual analog score (VAS). We used stadistic analysis for non parametric groups with significance 0.05. Results. A total of 30 patients were included, in two groups of 15. In the experimental group the pain was less at 6,12,18 hr (p=0.001, 0.001 y 0.020) in comparision with control group. There were not differences in hemodinamic variables neither on side effects. In conclusion the epidural infusion of ropivacaine/fentanyl apper to be better than bolus administration. Is advisable to increase the sample.


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