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Impacto de la lidocaína endovenosa en el manejo del dolor postoperatorio de prostatectomía radical por cirugía robótica en el Hospital Universitario Fundación Santa Fe de Bogotá de 2017 a 2018

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dc.contributor.advisorHernández Herrera, Gilma Norela
dc.creatorMadrid Díaz, Guillermo Adolfo
dc.creatorDíaz Cortés, Juan Carlos
dc.creator.degreeMagíster en epidemiologíaspa
dc.creator.degreetypeFull timespa
dc.date.accessioned2019-06-18T12:48:25Z
dc.date.available2019-06-18T12:48:25Z
dc.date.created2019-05-21
dc.date.issued2019
dc.descriptionIntroducción. Las técnicas mínimamente invasivas han sido una revolución en la historia de la cirugía, mejorando los desenlaces con menor lesión tisular y mejor control del dolor. Las técnicas multimodales de control del dolor tambien han mostrado una mejor recuperación del paciente quirúrgico. La lidocaína intravenosa es una alternativa como analgesia multimodal, con evidencia en cirugía abdominal, principalmente colectomía y prostatectomía abierta, generando menor consumo de opioides y menos efectos adversos. Poco se sabe acerca del impacto del uso de lidocaína intravenosa en el control del dolor postoperatorio de prostatectomía por robot. Objetivo. Evaluar el impacto de la lidocaína endovenosa en el manejo del dolor post-operatorio de pacientes de prostatectomía radical por técnica mínimamente invasiva (robótica) de 2017-2018 en el Hospital Universitario Fundación Santa Fe de Bogotá. Diseño, materiales y métodos. Estudio de enfoque cuantitativo, observacional analítico, tipo cohorte prospectiva. Pacientes mayores de 18 años llevados a prostatectomía por robot. Como desenlace primario se comparó la intensidad de dolor postoperatorio mediante escala visual análoga entre los grupos de pacientes expuestos o no a lidocaína endovenosa perioperatoria. Resultados. Se recolectaron 92 pacientes. 47 habían recibido lidocaína (51,1%). Se encontró asociación significativa entre uso de lidocaína y menor manifestación de dolor moderado a severo: RR (IC95%): 0,19 (0,10 a 0,37). También se asoció con menor consumo de opioides, pronta deambulación y peristaltismo, y menor estancia hospitalaria (p<0,05). El análisis multivariado para explicar aparición de dolor, mostró como factor protector el uso de lidocaína y como factor de riesgo el IMC (R2 de Nagelkerke 0,597, AUC 88,4%).spa
dc.description.abstractIntroduction. Minimally invasive techniques have been a revolution in the history of surgery, improving outcomes with less tissue injury and better pain control. Multimodal pain control techniques have also shown a better recovery of the surgical patient. Intravenous lidocaine is an alternative as multimodal analgesia, with evidence in abdominal surgery, mainly colectomy and open prostatectomy, generating lower opioid consumption and fewer adverse effects. Little is known about the impact of the use of intravenous lidocaine in the control of postoperative pain of prostatectomy by robot. Objective. To evaluate the impact of intravenous lidocaine in the management of post-operative pain in patients undergoing radical prostatectomy by a minimally invasive (robotic) technique during 2017 and 2018 at the Santa Fe de Bogotá University Hospital. Design, materials and methods. Study of quantitative approach, analytical observational, prospective cohort type. Patients older than 18 years old, taken to prostatectomy by robot. As a primary outcome, the intensity of postoperative pain was compared using a visual analogue scale between the groups of patients exposed or not to intravenous lidocaine. Results 92 patients were collected. 47 had received lidocaine (51.1%). A significant association was found between the use of lidocaine and the lower manifestation of moderate to severe pain: RR (95% CI): 0.19 (0.10 to 0.37). It was also associated with lower opioid consumption, early ambulation and peristalsis, and shorter hospital stay (p <0.05). The multivariate analysis to explain the appearance of pain, showed as protective factor the use of lidocaine, and as a risk factor the BMI (Nagelkerke's R2 0.597, AUC 88.4%). Conclusions.spa
dc.description.embargo2021-06-19 01:01:01: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2021-06-18
dc.description.embargoEndCorreo enviado 18 jun 2019 Hemos realizado la publicación de su documento, el cual puede consultar en el siguiente enlace: http://repository.urosario.edu.co/handle/10336/19863 Usted escogió la opción "Restringido (Temporalmente bloqueado)", por lo que el documento ha quedado con embargo hasta el 18 de junio de 2021, en concordancia con las Políticas de Acceso Abierto de la Universidad. Si usted desea dejarlo con acceso abierto antes de finalizar dicho periodo puede enviar un correo a esta misma dirección realizando la solicitud. Tenga en cuenta que los documentos en acceso abierto propician una mayor visibilidad de su producción académica y científica.spa
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dc.identifier.doihttps://doi.org/10.48713/10336_19863
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/19863
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentMaestría en Actividad Física y Saludspa
dc.publisher.otherUniversidad CESspa
dc.publisher.programMaestría en Epidemiologíaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectLidocaínaspa
dc.subjectAnalgesia multimodalspa
dc.subjectProstatectomíaspa
dc.subjectCirugía robóticaspa
dc.subject.ddcPromoción de saludspa
dc.subject.decsSalud laboralspa
dc.subject.keywordLidocainespa
dc.subject.keywordMultimodal analgesiaspa
dc.subject.keywordProstatectomyspa
dc.subject.keywordRobotic surgeryspa
dc.subject.lembSalud ocupacionalspa
dc.subject.lembDolorspa
dc.subject.lembCirugíaspa
dc.titleImpacto de la lidocaína endovenosa en el manejo del dolor postoperatorio de prostatectomía radical por cirugía robótica en el Hospital Universitario Fundación Santa Fe de Bogotá de 2017 a 2018spa
dc.typemasterThesiseng
dc.type.documentTrabajo de gradospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTesis de maestríaspa
local.department.reportEscuela de Medicina y Ciencias de la Saludspa
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IMPACTO-DE-LA-LIDOCAINA-ENDOVENOSA-EN-EL-MANEJO-DEL-DOLOR-POSTOPERATORIO-DE-PROSTATECTOMIA-RADICAL-POR-CIRUGIA-ROBOTICAEN-EL-HOSPITAL-UNIVERSITARIO-FUNDACION-SANTA-FE-DE-BOGOTA-DE-2017-A-2018-.pdf
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Maestría en Epidemiología