Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva
14 páginas
- Autores:
-
González Cárdenas, Víctor Hugo
Arias Cepeda, César Daniel
Lara Portacio, Pablo Andrés
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2023
- Institución:
- Universidad de la Sabana
- Repositorio:
- Repositorio Universidad de la Sabana
- Idioma:
- spa
- OAI Identifier:
- oai:intellectum.unisabana.edu.co:10818/55232
- Acceso en línea:
- https://hdl.handle.net/10818/55232
- Palabra clave:
- Columna vertebral
Anestesia
Analgesia
Ultrasonografía
Conducto inguinal
Dolor agudo
- Rights
- License
- Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva |
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Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva |
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Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva Columna vertebral Anestesia Analgesia Ultrasonografía Conducto inguinal Dolor agudo |
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Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva |
| title_full |
Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva |
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Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva |
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Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva |
| title_sort |
Utilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electiva |
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González Cárdenas, Víctor Hugo Arias Cepeda, César Daniel Lara Portacio, Pablo Andrés |
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Diaz Quijano, Diana Marcela |
| dc.contributor.author.none.fl_str_mv |
González Cárdenas, Víctor Hugo Arias Cepeda, César Daniel Lara Portacio, Pablo Andrés |
| dc.subject.armarc.none.fl_str_mv |
Columna vertebral Anestesia Analgesia Ultrasonografía |
| topic |
Columna vertebral Anestesia Analgesia Ultrasonografía Conducto inguinal Dolor agudo |
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Conducto inguinal Dolor agudo |
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14 páginas |
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2023 |
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2023-05-09T15:42:16Z |
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2023-05-09T15:42:16Z |
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2023-02-18 |
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Diaz Quijano, Diana MarcelaGonzález Cárdenas, Víctor HugoArias Cepeda, César DanielLara Portacio, Pablo Andrés2023-05-09T15:42:16Z2023-05-09T15:42:16Z2023-02-18https://hdl.handle.net/10818/55232291665TE1226014 páginasLa herniorrafia inguinal es un procedimiento ambulatorio común, el cual se asocia a la presencia de dolor agudo postoperatorio de moderada a severa intensidad. En el presente estudio se describe la utilidad del bloqueo del plano del erector de la espina (ESP) en pacientes llevados a herniorrafia inguinal, y una posible relación con reducidos consumos de opioides y en efectos adversos. Métodos: Se describieron treinta y dos pacientes sometidos a herniorrafia inguinal electiva, quienes en su plan analgésico se incluyó el bloqueo ESP. Se realizó valoración al ingreso a la unidad de cuidados postanestésicos (hora 0), y a las horas 1, 3 y 6 del postoperatorio. Se describió la intensidad del dolor mediante escala numérica análoga (ENA), se cuantificaron los rescates de opioides y la presencia de efectos adversos. Resultados: La intensidad del dolor a la hora 0 fue predominantemente moderado (34 %). A la hora 1 el 50 % de los pacientes refirió dolor de intensidad leve, mientras que el 28 % manifestó un dolor de moderada intensidad. A la hora 3 el 66 % de los pacientes presentó dolor leve y el 19 % no refirió dolor. Finalmente, a la hora 6, el 78 % presentó dolor leve, y el 11 % no refirió dolor. 44 % requirieron hidromorfona. Solo hubo efectos adversos leves en tres pacientes. Conclusiones: El bloqueo ESP fue útil en los descritos pacientes sometidos a herniorrafia inguinal electiva. Presentó un buen perfil de seguridad, reducidos requerimientos de opioides y efectos adversos relacionados.Introduction: Inguinal herniorrhaphy is a common outpatient procedure, which is associated with the presence of moderate to severe acute postoperative pain. The present study describes the usefulness of erector spinae plane (ESP) block in patients undergoing inguinal herniorrhaphy, and a possible relationship with reduced opioid consumption and adverse effects in the postoperative period. Methods: Thirty-two patients undergoing elective inguinal herniorrhaphy, whose analgesic plan included ESP block, were described. Assessment was performed at admission to the post-anesthesia care unit (hour 0), and at postoperative hours 1, 3 and 6. Pain intensity was described using the numeric pain rating scale (NRS), opioid rescue and the presence of adverse effects were quantified. Results: Pain intensity at hour 0 was predominantly moderate (34 %). At hour 1, 50 % of the patients reported mild pain intensity, while 28 % reported moderate pain intensity. At hour 3, 66 % of the patients presented mild pain and 19 % did not report pain. Finally, at hour 6, 78 % presented mild pain, and 11 % did not report pain. 44 % required hydromorphone. There were only mild adverse effects in three patients. Conclusions: ESP block was useful in the described patients undergoing elective inguinal herniorrhaphy. It had a good safety profile; it also reduced opioid requirements and related postoperative adverse effects.application/pdfspaUniversidad de La SabanaAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaUtilidad analgésica de bloqueo erector de la espina para el control del dolor postoperatorio en pacientes llevados a herniorrafia inguinal electivaTesis/Trabajo de grado - Especializaciónhttp://purl.org/coar/resource_type/c_7a1fTextoinfo:eu-repo/semantics/otherhttp://purl.org/redcol/resource_type/COtherinfo:eu-repo/semantics/acceptedVersionColumna vertebralAnestesiaAnalgesiaUltrasonografíaConducto inguinalDolor agudoThe HerniaSurge Group. 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Ultrasound guided erector spinae plane block versus oblique subcostal transversus abdominis plane block for postoperative analgesia of adult patients undergoing laparoscopic cholecystectomy: Randomized, controlled trial. J Clin Anesth. 2019;57:31¿6. DOI: 10.1016/j.jclinane.2019.03.012.Greenbaum A, Wilcox H, Teng CH, Petersen T, Billstrand M, Campbell R, et al. Use of erector spinae fascial plane blocks in enhanced recovery for open abdominal surgery. J Surg Res. 2021;268:673¿80. DOI: 10.1016/j.jss.2021.08.008. Chin KJ, Adhikary S, Forero M. Is the erector spinae plane (ESP) block a sheath block? A reply. Anaesthesia. 2017;72(7):916¿7. DOI: 10.1111/anae.13926. El-Boghdadly K, Pawa A. The erector spinae plane block: plane and simple. Anaesthesia. 2017;72(4):434¿8. DOI: 10.1111/anae.13830De Cassai A, Bonvicini D, Correale C, Sandei L, Tulgar S, Tonetti T. Erector spinae plane block: a systematic qualitative review. Minerva Anestesiol. 2019;85(3):308¿19. 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DOI: 10.3389/fmed.2022.812531Vidal E, Giménez H, Forero M, Fajardo M. Erector spinae plane block: A cadaver study to determine its mechanism of action. Rev Esp Anestesiol Reanim (Engl Ed). 2018;65(9):514-519. DOI: 10.1016/j.redar.2018.07.004.De Lara González SJ, Pomés J, Prats-Galino A, Gracia J, Martínez-Camacho A, Sala Blanch X. Anatomical description of anaesthetic spread after deep erector spinae block at L-4. Rev Esp Anestesiol Reanim (Engl Ed). 2019;66(8):409-416. DOI: 10.1016/j.redar.2019.07.001.Kwon H-M, Kim D-H, Jeong S-M, Choi KT, Park S, Kwon H-J, et al. Does erector spinae plane block have a visceral analgesic effect?: A randomized controlled trial. Sci Rep. 2020;10(1):8389. 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