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2017, Number 2

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Invest Medicoquir 2017; 9 (2)

Total intravenous anesthesia on laparoscopic cholecystestomy

Jiménez TA, Viña GML, Tawfiq GS, Calzado MER

Language: Spanish
References: 38
Page: 177-187
PDF size: 83.49 Kb.


ABSTRACT

Introduction. Cholelithiasis is one of the health problems affecting adults worldwide. Laparoscopic cholecystectomy is the surgical procedure used in these patients. The practice of this surgery involves a number of specific and important pathophysiological changes. These are precisely the characteristics that differentiate it from the open methods that require a very specialized anesthetic procedure. Methods. The universe was made up of 981 patients who underwent cholecystectomy through laparoscopic surgery. The sample was identified through 785/981 (80.0 %) subjects who received total intravenous anesthesia, and received Midazolán as anesthetic premedication. Results. In the analyzed series there was prevalence of the female sex; the most represented age group was 50 - 69 years, in both sexes. The Physical State ASA II was the most represented one. Arterial hypertension, ischemic cardiopathy, and obesity were the most frequent personal antecedents. The most frequent complication was arterial hypotension. With this procedure, there is a low incidence of fatal complications,which improves the quality of the anesthesia used in the patients. Conclusions. Intravenous total anesthesia in laparoscopic cholecystectomy provides a suitable safety to the patient due to the low incidence of complications observed in this study.


REFERENCES

  1. Castro F, Galindo J, Bejarano M. Complicaciones de colecistitis aguda en pacientes operados de urgencia. Rev. Colomb. Cir. 2008; 23(1):16-21.

  2. Gutiérrez-Vega R. Colecistitis aguda y perforación vesicular. Rev. Med. Hosp. Gen. Méx. 2008; 71 (1): 42-48.

  3. Balén E, Herrera J, Miranda C, Tarifa A, Zazpe C, Lera JM. El papel de la laparoscopia en la cirugía abdominal urgente The role of laparoscopy in emergency abdominal surgery Sist. Sanit. Navar. 2005; 28(3): 81-92.

  4. Vega Vega M, Orlich Camarranza C, Gómez Hernández K. Colecistectomía laparoscópica ambulatoria. Reporte preliminar de 100 casos. Acta Med Costarricense 2006; 48(3): 119 -22.

  5. Ministerio de Salud Pública. Anuario Estadístico de Cuba. 2010 [Internet]. La Habana: Dirección Nacional de Registros Médicos y Estadísticas de Salud; 2010(citado el 31 de Oct. 2017). Disponible en: http://files.sld.cu/bvscuba/ /anuario-2010. Pdf.

  6. Flasar M H, Goldberg E. Acute abdominal pain. Med .Clin. Nam 2006 May;90(3):481-503.

  7. Lim KR, Salleh I; Chye NT, Lim SH, Tay KH. Risk Factors for Conversion to Open Surgery in Patients With Acute Cholecystitis Undergoing Interval Laparoscopic Cholecystectomy. Ann Acad Med Singapore 2007; 36(8): 631- 635.

  8. Lim SH, Sallch I, Poh BK, Tay KH. Laparoscopic cholecystectomy: and audit of our training programme. ANZ J Surg. 2005 Apr;75(4):231-3.

  9. GallinderEIu, Likhvantsev VV, Mizikov VM. Anesthesia in mini-invasive (laparoscopic) surgery from a quality management perspective. Anesteziol Reanimatol. 2008 Sep-Oct;(5):68-70.

  10. Daradkeh S. Laparoscopic cholecystectomy: analytical study of 1208 cases. Hepatogastroenterology.2005 Jul-Aug;52(64):1011-4.

  11. Puia IC, Vlad L. Laparoscopic cholecystectomy for porcelain gallbladder. ChirurBugur. 2005 Mar-Apr;100(2):187-9.

  12. Rodríguez Lorenzo Simón, Sánchez Portela Carlos A, Acosta González Luis R, Sosa Hernández Roberto. Costes: colecistectomía laparoscópica frente a colecistectomía convencional. Rev Cubana Cir [Internet]. 2006 Dic [citado 2017 Oct.31); 45(3-4):Disponible en: http://scielo.sld.cu/scielo.php?script=sci _arttext&pid=S0034-74932006000300005&lng=es.

  13. Vitale F, Eigidi R. Criterios de alta en cirugía ambulatoria. Rev Argent Anestesiol. 2007; 65(6):427-31.

  14. Labrada Despaigne A. Anestesia para cirugía de mínimo acceso. Editorial Ciencias Médicas. Ciudad de La Habana 2010; p.19-26.

  15. Barash PG,Cullen BF, Stoeling RK Evaluation of patient and Preoperative Preparation. Handbook of Clinical Anesthesia. 2ed. Philadelphia: Lippincott; 1992. p. 3-15.

  16. Navarrete S, Vallaujo B, López M. La Anestesia Intravenosa. Bases teóricas y experiencias clínicas. Editor Pablo Sepúlveda Voullieme. Grupo INTRAVENOUS TOTAL ANESTHESIA. Chile. Universidad del Desarrollo.1raed.2004. Enero. Pp.12-45.

  17. Howard S. Gaba Factors influencing vigilante and performance of anesthetists. Current Opinion in Anesthesiology 1998 dec; 11(6):65-7.

  18. Goodman Gilman, Alfred. Las Bases Farmacológicas de la Terapéutica. Editorial McGraw-Hill Interamericana. 11a Edición. Tomo l. México, 2006. Pp. 313-15.

  19. Dávila E, Gómez C. Anestesiología Clínica. Editorial Ciencias Médicas. de La Habana, 2006. p.61-73

  20. Muñoz Sánchez S. Anestesiología, Fisiología y Farmacología. Ed. Cali, Colombia; 2008. p. 102.

  21. Cancio LC, Cuenca PB, Walker SC, Shepherd JM. Total intravenous anesthesia for major burn surgery. Int J Burns Trauma. 2013;3(2):108-14.

  22. Longnecker ED. Anesthesiology. New York. 2008; (37):749-752.

  23. Zaba Z, Bienert A, Drobnik L, Dyderski S, Kusza K. Spectral frequency index monitoring during propofol-remifentanil and propofol - alfentanil total intravenous anaesthesia. CNS Drugs. 2007;21(2):165-71.

  24. Sepúlveda P. Pasado-presente-futuro de la anestesia total intravenosa. Aztrazeneca [serie Internet] 2002. [citado 5 Abr 2009]; 4: [aprox. 5 p.]. Disponible:http://www.astrazeneca.cl/revista/2002_4/pasado_presente_futuro.p hp

  25. Suárez Morales M, Mendoza Popota CU. Anestesia total intravenosa en neuroanestesia: Influencia del género y género/edad sobre el consumo de fentanyl. Rev Mex de Anest 2008; 31(3):160-165.

  26. Martínez Quiroz ZI, Goytia GL, Martínez MJ, Rodríguez Esquivel VM. Anestesia total intravenosa con propofol-ketamina: Utilidad de la premedicación con clonidina. Rev Mex de Anest 2006; 29(3):147-151.

  27. Kohn E, Sempol G. Anestesia en un paciente con Síndrome de Pallister-Killian. Anest. Analg. Reanim. [Internet]. 2009 Dic [citado 2017 Nov 01] ; 22( 2 ): 38- 44. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688- 12732009000200006&lng=es.

  28. Litman RS, Flood CD, Kaplan RF, Kim YL, Tobin JR. Postoperative malignant hyperthermia: an analysis of cases from the North American Malignant Hyperthermia Registry. Anesthesilogy 2008:109(5):825-9.

  29. Tsuchiya M, Yamada Y, Asada A. Pleth variability index predicts hypotension during anesthesia induction. Acta anaesthesioloScand 2010; 54(5):596-602.

  30. Botney R. Improving patient safety in anesthesia: a success story? Int J RadiatOncolBiol Phys. 2008; 71(1):S182-S197.

  31. Asuman AO, Baris A, Bilge K, Bozkurt S, Nurullah B, Meliha K, Umit C. Changes in intraocular pressures during laparoscopy: a comparison of propofol total intravenous anesthesia to desflurane-thiopental anesthesia. Middle East J Anesthesiol. 2013;22(1):47-52.

  32. Pachón M. Valoración del riesgo en anestesiología. Rev. Col. Anestesiol. 1995: 23(105).

  33. Alfred Cuschieri. La cirugía laparoscópica en Europa: ¿hacia dónde vamos? Cir Esp. 2006; 79(1):10-21.

  34. Surbatović M, Vesić Z, Djordjević D, Radaković S, Zeba S, Jovanović D, Novaković M. Hemodynamic stability in total intravenous propofolanes thesis with midazolam coinduction versus general balanced anaesthesia in laparoscopic cholecystectomy. Vojnosanit Pregl. 2012 Nov;69(11):967-72.

  35. Graziola E, Elena G, Gobbo M, Mendez F, Colucci D, Puig N. Stress, hemodynamic and immunological responses to inhaled and intravenous anesthetic techniques for video-assisted laparoscopic cholecystectomy. Rev Esp Anestesiol Reanim. 2005;52(4):208-16.

  36. Bannister CF, Brosius KK, Wulkan M. The effect of insufflation pressure on pulmonary mechanics in infants during laparoscopic surgical procedures. PaediatrAnaesth. 2003 Nov;13(9):785-9.

  37. Subrahmanyam M, Sreelakshmi B. Comparison of total intravenous anaesthesia using propofol with or without sufentanil in laparoscopic cholecystectomies.Indian J Anaesth. 2009;53(4):467-74.

  38. Ionescu D, Mărgărit S, Vlad L, Iancu C, Alexe A, Deac D, Răduţ A, Tudorică G, Necula A, Pop T. INTRAVENOUS TOTAL ANESTHESIA-TCI (Total IntraVenous Anesthesia-Target Controlled Infusion) versus isoflurane anesthesia for laparoscopic cholecystectomy. Postoperative nausea and vomiting, and patient satisfaction. Chirurgia (Bucur). 2009;104(2):167-72.




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