Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática

Antecedentes: El procedimiento de Nuss es la técnica de elección para la corrección del pectus excavatum(PE), sin embargo, los pacientes llevados a este procedimiento suelen presentar dolor de difícil control, por lo que se han propuesto diferentes técnicas para su manejo, entre estas la crioablació...

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Fecha de publicación:
2024
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Universidad del Rosario
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Repositorio EdocUR - U. Rosario
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spa
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oai:repository.urosario.edu.co:10336/43043
Acceso en línea:
https://doi.org/10.48713/10336_43043
https://repository.urosario.edu.co/handle/10336/43043
Palabra clave:
Pectus excavatum
Procedimiento de Nuss
Crioablación
Dolor posoperatorio
Pectus excavatum
Nuss procedure
Cryoablation
Postoperative pain
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id EDOCUR2_98c49e1ff1d961a6713e1a5c6466bcd5
oai_identifier_str oai:repository.urosario.edu.co:10336/43043
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.none.fl_str_mv Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
dc.title.TranslatedTitle.none.fl_str_mv Effectiveness of cryoablation in the management of postoperative pain following nuss procedure: systematic review
title Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
spellingShingle Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
Pectus excavatum
Procedimiento de Nuss
Crioablación
Dolor posoperatorio
Pectus excavatum
Nuss procedure
Cryoablation
Postoperative pain
title_short Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
title_full Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
title_fullStr Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
title_full_unstemmed Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
title_sort Efectividad de la crioablación en el manejo de dolor postoperatorio del procedimiento de nuss: revisión sistemática
dc.contributor.advisor.none.fl_str_mv Martínez del Valle, Anacaona
Parrado, Raphael
dc.contributor.none.fl_str_mv Rodríguez Van Strahlen, Jorge Andrés
Garavis Montagut, Isabella
dc.subject.none.fl_str_mv Pectus excavatum
Procedimiento de Nuss
Crioablación
Dolor posoperatorio
topic Pectus excavatum
Procedimiento de Nuss
Crioablación
Dolor posoperatorio
Pectus excavatum
Nuss procedure
Cryoablation
Postoperative pain
dc.subject.keyword.none.fl_str_mv Pectus excavatum
Nuss procedure
Cryoablation
Postoperative pain
description Antecedentes: El procedimiento de Nuss es la técnica de elección para la corrección del pectus excavatum(PE), sin embargo, los pacientes llevados a este procedimiento suelen presentar dolor de difícil control, por lo que se han propuesto diferentes técnicas para su manejo, entre estas la crioablación de nervio intercostal(CNI). Objetivo: Comparar la crioablación de nervio intercostal con otras estrategias analgésicas en los pacientes pediátricos llevados a procedimiento de Nuss. Metodología: Se realizó una búsqueda sistemática en Pubmed, SCOPUS, Lilacs, IBECS y Medline de estudios que compararan la crioablación de nervio intercostal versus otras intervenciones analgésicas para manejo de dolor postoperatorio en pacientes pediátricos llevados a procedimiento de Nuss. Resultados: Después de tamizar 211 referencias, se incluyeron 11 estudios que cumplían con los criterios de selección. De estos solo 4 incluyeron el dolor postoperatorio como desenlace sin demostrar diferencia significativa, sin embargo, el 72% de los estudios demostraron una disminución en el uso de opiáceos y el 90% demostraron una disminución en la estancia hospitalaria. Conclusión: El uso de crioablación de nervio intercostal asociada o no a otras estrategias analgésicas demostró una disminución en el uso de opiáceos intrahospitalarios y la duración de la estancia hospitalaria, sin demostrar impacto en el primer día de dolor postoperatorio. Se requiere más estudios en esta área para confirmar estos hallazgos.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-07-17T02:43:10Z
dc.date.available.none.fl_str_mv 2024-07-17T02:43:10Z
dc.date.created.none.fl_str_mv 2024-07-02
dc.type.none.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv Revisión sistemática
dc.type.spa.none.fl_str_mv Trabajo de grado
dc.identifier.doi.none.fl_str_mv https://doi.org/10.48713/10336_43043
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/43043
url https://doi.org/10.48713/10336_43043
https://repository.urosario.edu.co/handle/10336/43043
dc.language.iso.none.fl_str_mv spa
language spa
dc.rights.*.fl_str_mv Attribution-NonCommercial-ShareAlike 4.0 International
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.none.fl_str_mv Abierto (Texto Completo)
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
rights_invalid_str_mv Attribution-NonCommercial-ShareAlike 4.0 International
Abierto (Texto Completo)
http://creativecommons.org/licenses/by-nc-sa/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.extent.none.fl_str_mv 41 pp
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad del Rosario
Universidad CES. Facultad de Medicina
dc.publisher.department.none.fl_str_mv Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv Especialización en Epidemiología
publisher.none.fl_str_mv Universidad del Rosario
Universidad CES. Facultad de Medicina
institution Universidad del Rosario
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spelling Rodríguez Van Strahlen, Jorge AndrésGaravis Montagut, IsabellaMartínez del Valle, Anacaonaa418862e-ed7c-4a1b-a1e3-728e0d592167-1Parrado, Raphael7e747825-5847-4b72-a40e-84539ef5efa4-1Camargo Areyanes, María Isabel CristinaEspecialista en Epidemiología (en Convenio con el CES)Especialización2ce471be-c87d-4b6d-aae4-8488f617adcf-12024-07-17T02:43:10Z2024-07-17T02:43:10Z2024-07-02Antecedentes: El procedimiento de Nuss es la técnica de elección para la corrección del pectus excavatum(PE), sin embargo, los pacientes llevados a este procedimiento suelen presentar dolor de difícil control, por lo que se han propuesto diferentes técnicas para su manejo, entre estas la crioablación de nervio intercostal(CNI). Objetivo: Comparar la crioablación de nervio intercostal con otras estrategias analgésicas en los pacientes pediátricos llevados a procedimiento de Nuss. Metodología: Se realizó una búsqueda sistemática en Pubmed, SCOPUS, Lilacs, IBECS y Medline de estudios que compararan la crioablación de nervio intercostal versus otras intervenciones analgésicas para manejo de dolor postoperatorio en pacientes pediátricos llevados a procedimiento de Nuss. Resultados: Después de tamizar 211 referencias, se incluyeron 11 estudios que cumplían con los criterios de selección. De estos solo 4 incluyeron el dolor postoperatorio como desenlace sin demostrar diferencia significativa, sin embargo, el 72% de los estudios demostraron una disminución en el uso de opiáceos y el 90% demostraron una disminución en la estancia hospitalaria. Conclusión: El uso de crioablación de nervio intercostal asociada o no a otras estrategias analgésicas demostró una disminución en el uso de opiáceos intrahospitalarios y la duración de la estancia hospitalaria, sin demostrar impacto en el primer día de dolor postoperatorio. Se requiere más estudios en esta área para confirmar estos hallazgos.Background: Pectus excavatum repair is often associated with significant postoperative pain. Over the years, surgical technique has progressed to the Nuss Repair with pain adjuncts such as intercostal nerve block and more recently cryoablation. Objective: To compare intercostal nerve cryoablation with other analgesic strategies in pediatric patients undergoing Nuss procedure. Methodology: A systematic review of Pubmed, SCOPUS, Lilacs, IBECS and Medline was made to compare intercostal nerve cryoablation versus other analgesic adjuncts for postoperative pain management in pediatric patients undergoing a Nuss procedure. Results: After screening 211 references, 11 studies were enrolled. Only 4 studies included postoperative pain as an outcome without showing a significant difference, however, opioid consumption was decreased in 72% of the studies and 90% indicated a decrease in hospital length of stay. Conclusion: The use of intercostal nerve cryoablation with or without other analgesic strategies showed a reduction in opioid consumption and length of stay, without showing an impact on the first day of postoperative pain. Further research is encouraged to confirm and extend this finding to a longer postoperative period and after discharge.41 ppapplication/pdfhttps://doi.org/10.48713/10336_43043 https://repository.urosario.edu.co/handle/10336/43043spaUniversidad del RosarioUniversidad CES. Facultad de MedicinaEscuela de Medicina y Ciencias de la SaludEspecialización en EpidemiologíaAttribution-NonCommercial-ShareAlike 4.0 InternationalAbierto (Texto Completo)EL 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. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. 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