Relación costo-beneficio de las técnicas anestésicas y el tiempo quirurgico en las cirugias de extremidad superior
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2023
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduado
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Las técnicas anestésicas que generalmente se emplean en las cirugías de extremidad superior son: general, regional o mixta. El presente trabajo de investigación se enfoca en las técnicas de anestesia general y regional. El objetivo de la investigación es analizar la relación costo-beneficio de las técnicas anestésicas y el tiempo quirúrgico en las cirugías de extremidad superior en pacientes mayores de 18 años del Hospital General Luis Vernaza, periodo 2022. El diseño metodológico del presente trabajo es no experimental, con enfoque cuantitativo, prospectivo, transversal, según el tipo de investigación es descriptiva-correlacional. La muestra de estudio fue de 130 pacientes mayores de 18 años sometidos a cirugía de extremidad superior en el HLV. En los resultados se encontró que la técnica anestésica general fue la de mayor frecuencia, mientras que con la anestesia regional se obtuvo menores costos y mayores beneficios durante la cirugía de extremidad superior, ésta reportó menos efectos secundarios y menor consumos de analgésicos en POP inmediato. En conclusión, existe mejor costobeneficio con la anestesia regional que con la anestesia general en los pacientes sometidos a cirugías de extremidad superior. PALABRAS CLAVES: costo-beneficio, técnicas anestésicas; tiempo quirúrgico; cirugías de extremidad superior
The anesthetic techniques that are generally used in upper extremity surgeries are: general, regional or mixed. This research work focuses on general and regional anesthesia techniques. The objective of the research is to analyze the cost-benefit relationship of anesthetic techniques and surgical time in upper extremity surgeries in patients over 18 years of age at the Luis Vernaza General Hospital, period 2022. The methodological design of this work is non-experimental, with a quantitative, prospective, cross-sectional approach, depending on the type of research it is descriptivecorrelational. The study sample consisted of 130 patients older than 18 years who underwent upper extremity surgery in the HLV. I In the results it was found that the general anesthetic technique was the most frequent, while with regional anesthesia lower costs and greater benefits were obtained during upper extremity surgery, it reported fewer side effects and lower consumption of analgesics in immediate POP. In conclusion, there is a better cost-benefit with regional anesthesia than with general anesthesia in patients undergoing upper extremity surgery. KEY WORDS: cost-benefit, anesthetic techniques; surgical time; upper extremity surgeries
The anesthetic techniques that are generally used in upper extremity surgeries are: general, regional or mixed. This research work focuses on general and regional anesthesia techniques. The objective of the research is to analyze the cost-benefit relationship of anesthetic techniques and surgical time in upper extremity surgeries in patients over 18 years of age at the Luis Vernaza General Hospital, period 2022. The methodological design of this work is non-experimental, with a quantitative, prospective, cross-sectional approach, depending on the type of research it is descriptivecorrelational. The study sample consisted of 130 patients older than 18 years who underwent upper extremity surgery in the HLV. I In the results it was found that the general anesthetic technique was the most frequent, while with regional anesthesia lower costs and greater benefits were obtained during upper extremity surgery, it reported fewer side effects and lower consumption of analgesics in immediate POP. In conclusion, there is a better cost-benefit with regional anesthesia than with general anesthesia in patients undergoing upper extremity surgery. KEY WORDS: cost-benefit, anesthetic techniques; surgical time; upper extremity surgeries
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ANESTESIA, EXTREMIDAD SUPERIOR, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL LUIS VERNAZA, CANTON GUAYAQUIL, ECUADOR, ANALISIS COSTO BENEFICIO, CIRUGIA, TIEMPO QUIRURGICO, ESTUDIOS PROSPECTIVOS