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Comparación entre analgesia epidural continua vs bloqueo nervio periférico en niños llevados a cirugía múltiple de miembros inferiores

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dc.contributor.advisorTrillos Vera, Julio Efraín
dc.creatorTrillos Vera, Julio Efraín
dc.creatorMontes, Felix Ramon
dc.creatorQuintero Beltran, Oscar
dc.creatorTurriago, Camilo
dc.creatorMedina, Astrid
dc.creator.degreeEspecialista en Anestesiología FCI
dc.date.accessioned2013-11-18T12:13:35Z
dc.date.available2013-11-18T12:13:35Z
dc.date.created2013-11-01
dc.date.issued2013
dc.descriptionLas cirugías reconstructivas múltiples de miembros inferiores son intervenciones quirúrgicas que implican un difícil manejo analgésico en el postoperatorio, actualmente la técnica analgésica usada es la analgesia peridural; sin embargo los efectos adversos asociados a esta no la hacen una técnica ideal para manejo de dolor. Los bloqueos de nervio periférico han aparecido como una alternativa para el manejo del dolor; pero no se ha difundido ampliamente su uso. Se pretende evaluar la disminución de efectos adversos con el uso de bloqueos de nervio periférico sobre la analgesia epidural. Este estudio piloto inicial se realizo para verificar efectividad técnicas a usar y problemas que se pudieran presentar. Se aplico el protocolo en 23 pacientes que fueron llevados a cirugía de miembros inferiores, se dividieron en 2 grupos 11 recibieron bloqueos de nervio periférico y 12 analgesia epidural. Se les realizo seguimiento por 48 horas y se evaluó el control del dolor, consumo de opioides y efectos adversos. El tiempo de colocación del bloqueo fue similar en ambos grupos, el grupo de bloqueos presento menos episodios de dolor y menos episodios de dolor severo. No se presento retención urinaria en ningún paciente pero en el grupo de epidural se presento mayor incidencia de nausea y vomito (60% vs 45%). Se encontró que los bloqueos de nervio periférico son una adecuada opción para el manejo del dolor en este tipo de cirugías; y al parecer disminuye la incidencia de eventos adversos asociados a la analgesia epidural.spa
dc.description.abstractMultiple reconstructive surgeries of lower limbs involve a difficult postoperative analgesia management; analgesic technique currently used is epidural analgesia , but the adverse effects associated with this do not make it an ideal technique for pain management . Peripheral nerve blocks have emerged as an alternative for pain management , but is not widely use. We intended to evaluate the decrease of adverse effectes with the use of peripheral nerve blocks vs epidural analgesia . This initial pilot study was conducted to verify effectiveness of the techniques used and problems that may arise . Protocol was applied in 23 patients who underwent surgery of the lower limbs who were divided into 2 groups 11 received peripheral nerve blocks and 12 epidural analgesia . Patients were followed for 48 hours and evaluated for control of pain and opioid effects. The block placement time was similar in both groups , the group of blocks presented fewer episodes of pain and fewer episodes of severe pain . Urinary retention is not present in any patient but in the epidural group had higher incidence of nausea and vomiting ( 60 % vs 45 % ) . We found that peripheral nerve blocks are an appropriate choice for pain management in this type of surgery , and appears to reduce the incidence of adverse events associated with epidural analgesia .eng
dc.description.sponsorshipFundacion Cardioinfatil Instituto de Cardiologiaspa
dc.format.mimetypeapplication/pdf
dc.format.tipoDocumentospa
dc.identifier.doihttps://doi.org/10.48713/10336_4798
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4798
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Anestesiología FCIspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectanalgesia periduralspa
dc.subjectbloqueos nervio periféricospa
dc.subjectdolorspa
dc.subjectcirugía ortopédica infantilspa
dc.subjectretención urinariaspa
dc.subjectnausea y vomitospa
dc.subject.decsANALGESIA EPIDURALspa
dc.subject.decsBLOQUEO NERVIOSOspa
dc.subject.decsCIRUGÍA ORTOPÉDICAspa
dc.subject.keywordepidural analgesiaeng
dc.subject.keywordperipheral nerve blockeng
dc.subject.keywordPaineng
dc.subject.keywordpediatric orthopedic surgeryeng
dc.subject.keywordUrinary retentioneng
dc.subject.keywordnausea and vomitingeng
dc.titleComparación entre analgesia epidural continua vs bloqueo nervio periférico en niños llevados a cirugía múltiple de miembros inferioresspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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