2017, Number 3
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Gac Med Mex 2017; 153 (3)
Eficacia de la dexametasona como adyuvante en la analgesia preventiva para el dolor postoperatorio de cirugía abdominal
Valdivia-Sánchez CG, Prieto-Duarte ML
Language: Spanish
References: 18
Page: 390-396
PDF size: 94.51 Kb.
ABSTRACT
Objective: To determine the effectiveness of adjuvant dexamethasone in preemptive analgesia for postoperative pain in
patients undergoing abdominal surgery. Materials and methods: This was an experimental, comparative, prospective and
longitudinal study. It included 92 patients scheduled for elective abdominal surgery, who participated with prior informed
consent. They were divided in two groups of 46 patients. For statistical analysis of results, we used descriptive statistics and
Chi square and Student t. Results: 92 patients were evaluated with an average age of 47 years; 15% corresponded to ASA
I, 56% ASA II, and 21% ASA III. With the visual analog scale (VAS), it was possible to observe that the mean difference between
the groups was 0.91; both groups showed a minimum of zero and a maximum eight points. In comparison, we obtained
p < 0.05 at the first hour, second hour, and at 24 hours of VAS assessment. Conclusion: Dexamethasone better controlled
postsurgical pain and had adequate hemodynamic stability.
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