2005, Number 3
<< Back Next >>
Rev Esp Med Quir 2005; 10 (3)
Comparación de la anestesia y analgesia postoperatoria de la ropivacaina vs. ropivacaina con fentanil en pacientes sometidos a cirugía ortopédica de tobillo
Juárez HE, Soto RB, Gordillo PA, Marín RC, Gómez RJP
Language: Spanish
References: 23
Page: 25-29
PDF size: 288.67 Kb.
ABSTRACT
Background. Pain is one the more common symptom in patient under orthopedic surgical procedure. Preventive analgesia is de best postoperative analgesic method in ankle’s surger y; it must begin during presurgical period.
Objective. To know if analgesic efficacy pre and post surger y of ropivacaina plus phentanyl is better administered epidural via in patients under orthopedic surger y of ankle,.
Material and methods. It was evaluated 26 patients, 7 male and 19 female, their ages from 23 to 59 years old, from I to Il grades ASA scale, they were divided in 2 groups (group 1 ropivacaina and group 2 ropivacaina plus phentanyl). The statistical analysis include descriptive statistical and tests by independent groups using the U of Mann White with a smaller value alpha to 0.5.
Results. the latency for the sensitive and motor blockade was similar in both groups, the motor blockade was discreetly more prolonged in the group 1, and the homodynamic changes were not significant differences in both groups.
Discussion and conclusions. postsurger y analgesia was statistically significant difference between two groups, the group 2 got better postsurgery analgesia which during mean12 hrs.(EVA less than 5) group 1 just obtained 6 hrs analgesic efficacy.
REFERENCES
Barash Paul G., Anestesia clinica, 3ª Ed., 1999, Ed Mc Graw Hill Interamericana, Vol 2.
Bertolin O M, Teves L. Bloqueos analgésicos. Rev. Arg. Anest. !995 Vol. 5 pag 312- 328
Miller et al. : Anestesia: Cuarta edición. Ed Harcourt Brace. 1998.
Liu S. y col. Epidural anesthesia and analgesia: their role in postoperative outcome. Anesthesiology 1995, 82: 1474-1506
Lezcano H y Delgado JR. Farmacología de los anestésicos locales. Rev. Arg. Anest. 1995; 53, Supl.: 27-33.
Milligan KR, Convery PN, Weir P, Quinn P, Connolly D. Anesthesia and analgesia. Aug 2000; 91 (2) p393-7.
Benjamín G. Covino., Manual de analgesia y anestesia peridurales 1ª Ed., 1988. Ed. Salvat. p 77-79.
Morgan et al. : Anestesiología clínica. Editorial Manual Moderno. 1998.
Moller-R. Covino-B-G. Cardiac electrophysiologic properties of bupivacaine and lidocaine compared with those of ropivacaine, a new amide local anesthetic. Anesthesiology. 1990 Feb. 72(2). P 322-9.
Aguilar JL, Mendiola MA, Pedrero A. : Ropivacaine. Rev Esp Anestesiologia y Reanimacion 1999 Dec;46(10):453-9
Ingelmo PM. Medici WA. Opioides y otras drogas por vía espinal. En: Paladino MA. Farmacología clínica para anestesiólogos. FAAA. 1997. p. 237-248.
M. González Barón, A. Ordóñez Gallego. Dolor y cáncer Capítulo 6, p 137.
Pleuvry Bj: The endogenas opioid system. System. Anaesthetic farmacology Rev 1:114,1993.
PAC Anestesia II Nuevas anestesias locales isómeros: Ropivacaína y levobupivacaína p. 51.
Mizoguchi H, Tseng Leon F, Suzuki t, Sora Ichiro Differential Mechanism of G- Protein Activation Induced by Endogenous m-Opioid Peptides, Endomorphin and b- Endorphin. Jpn.J.Pharmacol.89, 2002 p: 229-234,
Whizar-Lugo, Corral Cisneros, Chombo-Sanchez. Nuevos anestésicos locales isoméricos:Ropivacaína y levobupivacaína. Revista Virtual Latinoamericana de Anestesia Vol 1 Feb 2003 No 0.
Brockway-M-S. Bannister-J. McClure-J-H. McKeown-D. Wildsmith-J-A. Comparison of extradural ropivacaine and bupivacaine. Br-J-Anaesth. 1991 Jan. 66(1). P 31-7.
Morrison-L-M. Emanuelsson-B-M. McClure-J-H. Pollok-A-J. McKeown-D-W. Brockway-M. Jozwiak-H. Wildsmith- J-A. Efficacy and kinetics of extradural ropivacaine: comparison with bupivacaine. Br-J-Anaesth. 1994 Feb. 72(2). P 164-9.
Jorge Cuencas Dardon. Estudio comparativo del comportamiento clinico de los farmacos anestesicos locales en espacio peridural cervical. Rev Mexicana de Anestesiologia vol 1 No 3 jul-sep 2001
Merkey H, Albe- Fessard DG, Bonica JJ. Pain term a list with definitions and notes on usage. 1979 Pain 6:249.
Naropin (clorhidrato de ropivacaina) monografia, laboratorio Aztra Zeneca, clave Nun -012000 IMED 2
Anthony M, Fauds D. Ropivacaine, a new of its pharmacology and therapeutic use regional anestesia. Drugd 1998,52:3
Ana Angélica Peña Riverón. comparación de tres grupos sometidos a analgesia postoperatoria en infusión epidural continua Rev Mexicana de Anestesiologia vol 25 No 4 octdic 2002.