Eficacia analgésica de la asociación de Ketamina y Tramadol: experiencia en 100 casos. Instituto Oncológico Nacional - SOLCA - Dr. Juan Tanca Marengo 2010
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2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El tratamiento del dolor postoperatorio es un tema cuyo abordaje debe comprometer a todo el equipo de salud involucrado en la atención de los pacientes quirúrgicos, es una entidad a la que los anestesiólogos se enfrentan a diario, el manejo es complejo debido a que el dolor es una sensación subjetiva, que varía de sujeto a sujeto y no es posible cuantificarlo con exactitud. El propósito del estudio fue comprobar la eficacia y seguridad de la combinación ketamina – tramadol en la analgesia de pacientes oncológicos quirúrgicos con anestesia general, atendidos en recuperación post operatoria, del Servicio de Anestesiología del ION SOLCA, Dr. Juan Tanca Marengo. La población estuvo constituida por los pacientes de los servicios quirúrgicos que requieren de cirugía con anestesia general y la muestra fue por conveniencia (no probabilística) con pacientes que cumplieron los criterios de inclusión. La investigación fue de tipo descriptiva – correlacional y diseño no experimental – transversal, de enero a diciembre del 2010. Los pacientes fueron sub-divididos en 2 grupos, el A que recibió en el periodo intra y post operatorio Tramadol + Ketamina IV y el B que recibió en los mismos períodos sólo Tramadol. En el postoperatorio inmediato se midió la intensidad dolorosa utilizando la escala análoga visual una vez recuperados de la anestesia. Con los resultados Se demostró que la asociación Tramadol y Ketamina IV disminuyó los requerimientos anestésicos necesarios y produjo valores hemodinámicos más bajos en el grupo de pacientes que lo recibió. En cuanto a la calidad de la analgesia se registraron diferencias estadísticamente significativas, siendo la intensidad del dolor y los requerimientos analgésicos menores en los pacientes que recibieron el protocolo uno. Se puede concluir que la asociación Tramadol + Ketamina IV es una combinación efectiva para la aplicación de analgesia preventiva en los pacientes oncológicos intervenidos por patologías quirúrgicas con anestesia general
Treatment of postoperative pain is an issue whose approach must commit the entire health team involved in the care of surgical patients, is an entity which anesthesiologists are faced daily management is complex because the pain is a subjective sensation, which varies from subject to subject and it is not possible to quantify it accurately. The purpose of the study was to verify the efficacy and safety of the ketamine combination - tramadol in analgesia for surgical cancer patients with general anesthesia, treated in recovery post-operative of the Anesthesiology service of ION SOLCA, Dr. Juan Tanca Marengo. The population consisted of patients in surgical services that require surgery with general anesthesia and the show was for convenience (not probability) with patients who met the inclusion criteria. The research was descriptive - correlational study and non-experimental design-.correlational and not experimental design - transversal, from January to December 2010. Patients were sub-dividends into 2 groups, to that received in the period intra and post-operative Tramadol + ketamine IV and B that received in the same periods only Tramadol. In the immediate postoperative period painful intensity was measured using visual analog scale once recovered from anesthesia. The quality of analgesia is statistically significant differences found, being the intensity of the pain and the analgesic requirements lower in patients who received the one protocol. Conclusion: the Association Tramadol + ketamine IV is an effective combination for the implementation of preventive analgesia in cancer patients treated by surgical pathologies with general anesthesia
Treatment of postoperative pain is an issue whose approach must commit the entire health team involved in the care of surgical patients, is an entity which anesthesiologists are faced daily management is complex because the pain is a subjective sensation, which varies from subject to subject and it is not possible to quantify it accurately. The purpose of the study was to verify the efficacy and safety of the ketamine combination - tramadol in analgesia for surgical cancer patients with general anesthesia, treated in recovery post-operative of the Anesthesiology service of ION SOLCA, Dr. Juan Tanca Marengo. The population consisted of patients in surgical services that require surgery with general anesthesia and the show was for convenience (not probability) with patients who met the inclusion criteria. The research was descriptive - correlational study and non-experimental design-.correlational and not experimental design - transversal, from January to December 2010. Patients were sub-dividends into 2 groups, to that received in the period intra and post-operative Tramadol + ketamine IV and B that received in the same periods only Tramadol. In the immediate postoperative period painful intensity was measured using visual analog scale once recovered from anesthesia. The quality of analgesia is statistically significant differences found, being the intensity of the pain and the analgesic requirements lower in patients who received the one protocol. Conclusion: the Association Tramadol + ketamine IV is an effective combination for the implementation of preventive analgesia in cancer patients treated by surgical pathologies with general anesthesia
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ANESTESIA GENERAL, DOLOR POSOPERATORIO, KETAMINA, TRAMADOL, HOSPITAL SOLCA DE GUAYAQUIL, CANTON GUAYAQUIL, ECUADOR, Resultado del tratamiento