Freza DJA, González OSA, Guerro MF, Lagarda CJ

Language: Spanish
References: 28
Page: 48-58
PDF size: 91.71 Kb.

ABSTRACT

Despite the scientific and technological advances in medicine, neither acute nor the chronic pain often receive appropriate treatment for various reasons. Effective treatment of pain is considered a fundamental right of the patient, and an indicator of good clinical practice and quality of care. The gynecological surgeries, especially hysterectomies are performed very frequently, both in public and private hospitals, while the pain generated by this type of intervention is a therapeutic challenge for the multidisciplinary team, and because the different modalities to provide analgesia, we haven´t figure it out the better way of controlling pain. 40-70% of patients report severe pain and this is because the established analgesic schemes fail to achieve adequate plasmatic levels or that these are only limited to NSAIDs. The present work compares the quality of analgesia using a continuous epidural infusion, after abdominal hysterectomy operated under regional anesthesia, in order to propose a useful tool for pain management after surgery in our hospital. Conclusions: The use of fentanyl vs ropivacaine vs nalbuphine with ropivacaine provides satisfactory analgesia conditions. In a closer look nalbuphine present superiority which was statistically significant. The elastomeric infuser ensures continuous administration of medication to avoid «peaks and valleys» in the regular use of intermittent doses.

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