Camacho VI, Eng RR, López-Chávez DLE, Sánchez QSM, Montero RA

Language: Spanish
References: 13
Page: 1009-1021
PDF size: 321.24 Kb.

ABSTRACT

Introduction: Achieving adequate postoperative analgesia in pediatric surgery has become one of the most important objectives of contemporary anesthesia, for which different methods are used, including blocking sensitive nerves.
Objective: to describe the results of the dorsal nerve blockage of the penis for postoperative analgesia of phymosis surgery.
Method: A prospective comparative descriptive study was carried out at the Hermanos Cordové Pediatric Hospital in the city of Manzanillo in the period from April 2017 to 2018. whose universe consisted of 80 patients entered and surgically surgically surgery electively in phymosis surgery, randomly divided into two groups to which the technique of general anesthesia and blockage of the dorsal nerve of the penis was applied and another group was given the general anesthesia technique combined with opioids.
Results: the ethereal group that had the highest incidence of cases was the 4-6 year in the study group for 52.5%and in the control group of 7-9 years for 47.5%. The average age in the study group was 4.77 with a DE+_1.95 and the control group found an average of 5.95 with a DE +_ 2.16, no complications related to the technique and 36 patients had no pain (90%).
Conclusions: we can consider it to be an anesthetic technique with minimal complications, favoring short-term anesthetic recovery, which is reflected in early discharge, reducing hospital stay and reducing family and institutional costs.

REFERENCES

1. Melman Szteyn E, Zaragoza Lemus G. Anestesia regional en pediatría. Rev Mex Anestesiol 2018; 41(3): 213-27.

2. Nicoletti B, Lauber C, Rodríguez A. Bloqueos para vertebrales torácicos eco guiados en Pediatría: Estudio de series de casos. Anest Analg Reanim 2015; 28(1): 2-2.

3. Tandazo Román WE, Muñoz Martínez R, Borbolla Sala ME. Bloqueo interescalénico por vía posterior en el paciente pediátrico. Salud en Tabasco 2016; 22(1-2): 32-6.

4. Dávila Cabo de Villa E. Anestesiología Clínica. 2ed. La Habana: Ciencias Médicas; 2014.

5. Hamilton TW, Athanassoglou V, Trivella M, Strickland LH, Mellon S, Murray D, Pandit HG. Liposomal bupivacaine peripheral nerve block for the management of postoperative pain. Cochrane Database Syst Rev [Internet]. 2016 [citado 5/8/2019]; (8): Disponible en: https://pubmed.ncbi.nlm.nih.gov/27558150/

6. Carrillo Córdova LD, Carrillo Córdova JR, Villena López EL, Carrillo Hesper R. Bloqueo regional genital en urología. Rev Mex Urol 2017; 77(6): 492-99.

7. Navarro MC, Guerrero Márquez G, de la Mata Navazo S. Manejo del dolor en Atención Primaria. En: AEPap (ed). Curso de Actualización Pediatría 2018. [Internet]. Madrid: Lúa; 2018. [citado 10/3/2019] p. 377-93. Disponible en: https://www.aepap.org/sites/default/files/377-393_manejo_del_dolor_en_ap.pdf

8. Ovalle A, López PJ, Guelfand M, Zubieta R. Circuncisión neonatal con anestesia local. Resultados de un protocolo estandarizado. Revista Chilena de Pediatría 2016; 87(3): 175-79.

9. Ríos Medina AM, Caicedo Salaza J, Vásquez Sadder MI, Aguirre Ospina OD, González MP. Anestesia regional en pediatría – Revisión no sistemática de la literatura. Rev Colom Anestesiol 2015; 43(3): 204-13.

10. Bretón R, Señer RJ, Sierra G. Anestésicos locales. En: Canapé Zache S. Urgencias de Pediatría. 2ed. Madrid: Ergon; 2012. p. 91-8.

11. Busto Aguirre Urreta N, Cía Armendáriz ML, Carrascosa Moreno S. Anestesia locorregional en Pediatría. En: Castilla Moreno M. Manual de Anestesiología Pediátrica para médicos residentes. Madrid: Ergon; 2011. p. 211-21.

12. Vicente Herrero MT, Delgado Bueno S, Bandrés Moyá F, Ramírez Iñiguez de la Torre MV, Capdevila García L. Valoración del dolor. Revisión comparativa de escalas y cuestionarios. Rev Soc Esp Dolor 2018; 25(4): 228-36.

13. Castro G, Castelli S, Hernández A, Cristiani F, López G. Manual básico de bloqueos regionales ecoguiados en anestesia pediátrica. Uruguay: Unidad de Dolor ASSE; 2014.