Fentanilo y midazolam versus propofol en colonoscopia
Fecha
2024
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Introducción: La sedoanalgesia logra reducir niveles de estrés y ansiedad en pacientes sometidos a procedimientos cortos (endoscopias o olonoscopias), brindando bienestar al paciente y facilidad al médico; logrando resultados óptimos. La colonoscopia causa dolor y otros efectos, por lo cual se usan varios tipos de fármacos sedantes o anestésicos, es importante establecer las diferencias entre los medicamentos usados, para facilitar la elección del médico.
Objetivo: Establecer diferencias entre fentanilo y midazolam versus propofol durante la sedación de pacientes sometidos a colonoscopias en el Hospital Luis Vernaza. Metodología: Estudio de tipo descriptivo, relacional, no experimental de corte transversal; en pacientes que
acuden a colonoscopias en la Unidad de Gastroenterología, del hospital Luis Vernaza. Resultados: La edad media de la población fue de 69 años con predominio de mujeres, los niveles de sedación alcanzados fueron de moderado a profundo, el uso de fentanilo con midazolam alcanzó una sedación Nivel 3 en un 50% y Nivel 4 en 44% de pacientes; mientras que el propofol alcanzó un Nivel 6 en 80% de los pacientes. Se evidenció asociación entre el fármaco usado y el nivel de sedación (p 0,001), así como entre hipotensión arterial y propofol (p 0,001). Existieron pocos efectos adversos, siendo más frecuentes los efectos adversos gastrointestinales. Conclusión: Los pacientes que emplearon propofol presentaron mayores niveles de sedación, así como de hipotensión arterial. Midazolam y fentanilo registraronasociación con efectos gastrointestinales
Introduction: Sedoanalgesia manages to reduce stress and anxiety levels in patients undergoing short procedures (endoscopies or colonoscopies), providing well-being to the patient and ease to the doctor; achieving optimal results. Colonoscopy causes pain and other effects, which is why several types of sedative or anesthetic drugs are used. It is important to establish the differences between the medications used to facilitate the doctor's choice. Objective: To establish differences between fentanyl and midazolam versus propofol during the sedation of patients undergoing colonoscopies at the Luis Vernaza Hospital. Methodology: Descriptive, relational, non-experimental analytical cross-sectional study; in patients who attend colonoscopies in the Gastroenterology Unit of the Luis Vernaza hospital. Results: The mean age of the population was 69 years with a predominance of women, the levels of sedation achieved were moderate to deep, the use of fentanyl with midazolam reached Level 3 sedation in 50% and Level 4 in 44%. patients; While propofol reached Level 6 in 80% of patients. An association was evident between the drug used and the level of sedation (p < 0.001), as well as between arterial hypotension and propofol (p < 0.001). There were few adverse effects, with gastrointestinal adverse effects being more frequent. Conclusion: Patients who used propofol presented higher levels of sedation, as well as arterial hypotension. Midazolam and fentanyl were associated with gastrointestinal effects.
Introduction: Sedoanalgesia manages to reduce stress and anxiety levels in patients undergoing short procedures (endoscopies or colonoscopies), providing well-being to the patient and ease to the doctor; achieving optimal results. Colonoscopy causes pain and other effects, which is why several types of sedative or anesthetic drugs are used. It is important to establish the differences between the medications used to facilitate the doctor's choice. Objective: To establish differences between fentanyl and midazolam versus propofol during the sedation of patients undergoing colonoscopies at the Luis Vernaza Hospital. Methodology: Descriptive, relational, non-experimental analytical cross-sectional study; in patients who attend colonoscopies in the Gastroenterology Unit of the Luis Vernaza hospital. Results: The mean age of the population was 69 years with a predominance of women, the levels of sedation achieved were moderate to deep, the use of fentanyl with midazolam reached Level 3 sedation in 50% and Level 4 in 44%. patients; While propofol reached Level 6 in 80% of patients. An association was evident between the drug used and the level of sedation (p < 0.001), as well as between arterial hypotension and propofol (p < 0.001). There were few adverse effects, with gastrointestinal adverse effects being more frequent. Conclusion: Patients who used propofol presented higher levels of sedation, as well as arterial hypotension. Midazolam and fentanyl were associated with gastrointestinal effects.
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COLONOSCOPIA, EPIDEMIOLOGIA DESCRIPTIVA, MIDAZOLAM, PROPOFOL, FENTANILO, HOSPITAL LUIS VERNAZA, CANTON GUAYAQUIL, ECUADOR