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Revista Cubana de Anestesiología y Reanimación

2013, Number 3

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Revista Cubana de Anestesiología y Reanimación 2013; 12 (3)

Preventive analgesia with nonsteroidal anti-inflammatory drugs in emergency abdominal surgical procedures

Muñoz CM

Language: Spanish
References: 20
Page: 222-230
PDF size: 61.16 Kb.


ABSTRACT

Introduction: the arsenal of drugs a doctor can use to relieve pain is very wide. Many of them are at hand and it is only required to have the knowledge to use them properly. NSAIDs are the most commonly used drugs.
Objective: to elaborate preventive analgesia protocols for the patient who is going to undergo emergency abdominal surgical procedures.
Method: a prospective longitudinal, comparative, double-blind study of 120 emergency patients operated on. Variables: age, preoperative diagnosis, personal pathological antecedents, duration of surgery, postoperative pain evaluation, patient satisfaction. Method of the Mathematical Statistical Level: the data obtained through a data collector model were processed by statistical programs SPSS version 11.0 for Windows, involved studies of frequency, percentage and mean, results were presented in contingency tables, with a reliability index of 95.0%. Chi-square (x2) was used.
Results: preventive analgesia with methimazole and diclofenac is effective, safe and reduces the need for anesthetics.
Conclusions: the use of methimazole and diclofenac as analgesics in the immediate postoperative period gives satisfactory results; its combined use makes postoperative analgesia more effective. Diclofenac presented its analgesic effect in greater time. Rescue dose was required in most of the Group 1 patients, in contrast to patients in the rest of the groups.


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