Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos
ABSTRACT: Background: Ischemic limb pain (ILP) associated with peripheral vascular disease is severe and causes significant morbidity. Axonal blocks with local anesthetics have an excellent analgesic effect and decrease adverse effects associated with opioid monotherapy. We aim to assess the analges...
- Autores:
-
Santana Vélez, Carolina
- Tipo de recurso:
- Tesis
- Fecha de publicación:
- 2022
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- spa
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/29650
- Acceso en línea:
- https://hdl.handle.net/10495/29650
- Palabra clave:
- Nervio ciático
Sciatic nerve
Isquemia
Ischemia
Anestesia local
Anesthesia, local
Analgésicos opioides
Analgesics, opioid
Manejo del dolor
Pain management
Enfermedades vasculares periféricas
Peripheral vascular diseases
https://id.nlm.nih.gov/mesh/D012584
https://id.nlm.nih.gov/mesh/D007511
https://id.nlm.nih.gov/mesh/D000772
https://id.nlm.nih.gov/mesh/D000701
https://id.nlm.nih.gov/mesh/D059408
https://id.nlm.nih.gov/mesh/D016491
- Rights
- openAccess
- License
- https://creativecommons.org/licenses/by-nc-sa/4.0/
| id |
UDEA2_270d9343123c1aec55fe0ae42e3fc888 |
|---|---|
| oai_identifier_str |
oai:bibliotecadigital.udea.edu.co:10495/29650 |
| network_acronym_str |
UDEA2 |
| network_name_str |
Repositorio UdeA |
| repository_id_str |
|
| dc.title.spa.fl_str_mv |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos |
| dc.title.translated.spa.fl_str_mv |
Longitudinal approach for continuous sciatic nerve block in the management of ischemic limb pain: Case Series |
| title |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos |
| spellingShingle |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos Nervio ciático Sciatic nerve Isquemia Ischemia Anestesia local Anesthesia, local Analgésicos opioides Analgesics, opioid Manejo del dolor Pain management Enfermedades vasculares periféricas Peripheral vascular diseases https://id.nlm.nih.gov/mesh/D012584 https://id.nlm.nih.gov/mesh/D007511 https://id.nlm.nih.gov/mesh/D000772 https://id.nlm.nih.gov/mesh/D000701 https://id.nlm.nih.gov/mesh/D059408 https://id.nlm.nih.gov/mesh/D016491 |
| title_short |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos |
| title_full |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos |
| title_fullStr |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos |
| title_full_unstemmed |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos |
| title_sort |
Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos |
| dc.creator.fl_str_mv |
Santana Vélez, Carolina |
| dc.contributor.advisor.none.fl_str_mv |
Cadavid Puentes, Adriana Margarita |
| dc.contributor.author.none.fl_str_mv |
Santana Vélez, Carolina |
| dc.contributor.researcher.none.fl_str_mv |
Camelo Rincón, Julio Ernesto Vásquez Gómez, Oscar Iván Tovar Gutiérrez, Alejandro |
| dc.contributor.researchgroup.spa.fl_str_mv |
GAF (Grupo de Alimentos Funcionales) |
| dc.subject.mesh.none.fl_str_mv |
Nervio ciático Sciatic nerve Isquemia Ischemia Anestesia local Anesthesia, local Analgésicos opioides Analgesics, opioid Manejo del dolor Pain management Enfermedades vasculares periféricas Peripheral vascular diseases |
| topic |
Nervio ciático Sciatic nerve Isquemia Ischemia Anestesia local Anesthesia, local Analgésicos opioides Analgesics, opioid Manejo del dolor Pain management Enfermedades vasculares periféricas Peripheral vascular diseases https://id.nlm.nih.gov/mesh/D012584 https://id.nlm.nih.gov/mesh/D007511 https://id.nlm.nih.gov/mesh/D000772 https://id.nlm.nih.gov/mesh/D000701 https://id.nlm.nih.gov/mesh/D059408 https://id.nlm.nih.gov/mesh/D016491 |
| dc.subject.meshuri.none.fl_str_mv |
https://id.nlm.nih.gov/mesh/D012584 https://id.nlm.nih.gov/mesh/D007511 https://id.nlm.nih.gov/mesh/D000772 https://id.nlm.nih.gov/mesh/D000701 https://id.nlm.nih.gov/mesh/D059408 https://id.nlm.nih.gov/mesh/D016491 |
| description |
ABSTRACT: Background: Ischemic limb pain (ILP) associated with peripheral vascular disease is severe and causes significant morbidity. Axonal blocks with local anesthetics have an excellent analgesic effect and decrease adverse effects associated with opioid monotherapy. We aim to assess the analgesia of an ultrasound-guided continuous sciatic nerve block to treat ILP. Methods: Fourteen patients from our Acute/Chronic Pain Service: adults with ILP who underwent CSNB by Ilfeld´s technique. Prospective data collection: sensory block, pain level, adverse effects, opioid consumption, complications, and satisfaction. Results: We observed a successful blockage with clinically important reduction of pain level from severe to absent or mild in all patients. Mean of 4.4 days. Morphine milligram equivalent (MME) and opioid-related adverse effects were reduced. Catheter migration occurred in 7.1 % of the patients. There were no adverse effects associated with the technique. Discussion and Conclusions: In this case series of ILP managed with Ilfeld´s technique, an ultrasound guided CSNB provides a high rate of analgesic efficacy, reduce adverse effects associated with opioid consumption and was easily performed with a duration longer than the axial approach previously described. |
| publishDate |
2022 |
| dc.date.accessioned.none.fl_str_mv |
2022-07-11T15:32:17Z |
| dc.date.available.none.fl_str_mv |
2022-07-11T15:32:17Z |
| dc.date.issued.none.fl_str_mv |
2022 |
| dc.type.spa.fl_str_mv |
Tesis/Trabajo de grado - Monografía - Especialización |
| dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_46ec |
| dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/COther |
| dc.type.coarversion.spa.fl_str_mv |
http://purl.org/coar/version/c_b1a7d7d4d402bcce |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/other |
| dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/draft |
| format |
http://purl.org/coar/resource_type/c_46ec |
| status_str |
draft |
| dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/10495/29650 |
| url |
https://hdl.handle.net/10495/29650 |
| dc.language.iso.spa.fl_str_mv |
spa |
| language |
spa |
| dc.rights.uri.spa.fl_str_mv |
https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| dc.rights.accessrights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
| dc.rights.coar.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-sa/4.0/ http://purl.org/coar/access_right/c_abf2 |
| eu_rights_str_mv |
openAccess |
| dc.format.extent.spa.fl_str_mv |
11 |
| dc.format.mimetype.spa.fl_str_mv |
application/pdf |
| dc.publisher.spa.fl_str_mv |
Universidad de Antioquia |
| dc.publisher.place.spa.fl_str_mv |
Medellín - Colombia |
| dc.publisher.faculty.spa.fl_str_mv |
Facultad de Medicina. Especialización en Anestesiología y Reanimación |
| institution |
Universidad de Antioquia |
| bitstream.url.fl_str_mv |
https://bibliotecadigital.udea.edu.co/bitstreams/4f4c269c-7aed-4412-a36f-687d734ba05d/download https://bibliotecadigital.udea.edu.co/bitstreams/7776016c-2142-4180-a877-8c652b8aa289/download https://bibliotecadigital.udea.edu.co/bitstreams/e6d4ee99-bf38-4b91-ad2a-66729959978d/download https://bibliotecadigital.udea.edu.co/bitstreams/c67c9d39-aa8c-4771-979f-4135dfe928af/download |
| bitstream.checksum.fl_str_mv |
57193779213331ee8cf58faa1aa175cb 8a4605be74aa9ea9d79846c1fba20a33 40885e8ebec4dda918834d5e66731cec d8017920922574055e1bfdb122b3d477 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio Institucional de la Universidad de Antioquia |
| repository.mail.fl_str_mv |
aplicacionbibliotecadigitalbiblioteca@udea.edu.co |
| _version_ |
1851052647731167232 |
| spelling |
Cadavid Puentes, Adriana MargaritaSantana Vélez, CarolinaCamelo Rincón, Julio ErnestoVásquez Gómez, Oscar IvánTovar Gutiérrez, AlejandroGAF (Grupo de Alimentos Funcionales)2022-07-11T15:32:17Z2022-07-11T15:32:17Z2022https://hdl.handle.net/10495/29650ABSTRACT: Background: Ischemic limb pain (ILP) associated with peripheral vascular disease is severe and causes significant morbidity. Axonal blocks with local anesthetics have an excellent analgesic effect and decrease adverse effects associated with opioid monotherapy. We aim to assess the analgesia of an ultrasound-guided continuous sciatic nerve block to treat ILP. Methods: Fourteen patients from our Acute/Chronic Pain Service: adults with ILP who underwent CSNB by Ilfeld´s technique. Prospective data collection: sensory block, pain level, adverse effects, opioid consumption, complications, and satisfaction. Results: We observed a successful blockage with clinically important reduction of pain level from severe to absent or mild in all patients. Mean of 4.4 days. Morphine milligram equivalent (MME) and opioid-related adverse effects were reduced. Catheter migration occurred in 7.1 % of the patients. There were no adverse effects associated with the technique. Discussion and Conclusions: In this case series of ILP managed with Ilfeld´s technique, an ultrasound guided CSNB provides a high rate of analgesic efficacy, reduce adverse effects associated with opioid consumption and was easily performed with a duration longer than the axial approach previously described.RESUMEN: Antecedentes: El dolor por isquemia crítica (DIC) en la extremidad asociado a la enfermedad vascular periférica es severo y causa morbilidad significativa. Los bloqueos axonales con anestésicos locales tienen eficacia analgesica y reducen los efectos adversos comparados con la monoterapia opioide. Evaluamos en este estudio la analgesia del bloqueo continuo del nervio ciático (BCNC) guiado por ultrasonido para tratar el DIC. Casos: Catorce pacientes adultos del servicio de dolor del hospital San Vicente Fundación Medellín con DIC de la extremidad inferior fueron sometidos a BCNC guiado por ecografía con técnica descrita por llfield. Se evalúo de manera prospectiva el bloqueo sensitivo, analgesia, duración, efectos adversos, consumo de opioides, complicaciones y satisfacción. Resultados: Se observó una reducción clínicamente importante del dolor de severo a leve o ausente en todos los pacientes. Duración de 4.4 días (media) ,reducción del consumo de opioide (equivalente miligramos de morfina, EMM) y de efectos secundarios asociados a opioide. La migración del catéter ocurrió en 7.1 % de los casos. No se reportaron eventos adversos asociados a la técnica. Conclusiones: En una serie de casos de pacientes con DIC de la extremidad, la técnica de Ilfeld para BCNC guiado por ecografía tiene alta tasa de eficacia analgésica con reducción del consumo de opioides y efectos adversos. Se encontró fácil de realizar y tuvo una duración de la analgesia superior al abordaje axial previamente descrito.EspecializaciónAnestesióloga11application/pdfspaUniversidad de AntioquiaMedellín - ColombiaFacultad de Medicina. Especialización en Anestesiología y Reanimaciónhttps://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Nervio ciáticoSciatic nerveIsquemiaIschemiaAnestesia localAnesthesia, localAnalgésicos opioidesAnalgesics, opioidManejo del dolorPain managementEnfermedades vasculares periféricasPeripheral vascular diseaseshttps://id.nlm.nih.gov/mesh/D012584https://id.nlm.nih.gov/mesh/D007511https://id.nlm.nih.gov/mesh/D000772https://id.nlm.nih.gov/mesh/D000701https://id.nlm.nih.gov/mesh/D059408https://id.nlm.nih.gov/mesh/D016491Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casosLongitudinal approach for continuous sciatic nerve block in the management of ischemic limb pain: Case SeriesTesis/Trabajo de grado - Monografía - Especializaciónhttp://purl.org/coar/resource_type/c_46echttp://purl.org/redcol/resource_type/COtherhttp://purl.org/coar/version/c_b1a7d7d4d402bcceinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/draftPublicationORIGINALSantanaCarolina_2022_LongitudinalApproachContinous.pdfSantanaCarolina_2022_LongitudinalApproachContinous.pdfTrabajo de grado de especializaciónapplication/pdf291158https://bibliotecadigital.udea.edu.co/bitstreams/4f4c269c-7aed-4412-a36f-687d734ba05d/download57193779213331ee8cf58faa1aa175cbMD52trueAnonymousREADLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstreams/7776016c-2142-4180-a877-8c652b8aa289/download8a4605be74aa9ea9d79846c1fba20a33MD53falseAnonymousREADTEXTSantanaCarolina_2022_LongitudinalApproachContinous.pdf.txtSantanaCarolina_2022_LongitudinalApproachContinous.pdf.txtExtracted texttext/plain19789https://bibliotecadigital.udea.edu.co/bitstreams/e6d4ee99-bf38-4b91-ad2a-66729959978d/download40885e8ebec4dda918834d5e66731cecMD54falseAnonymousREADTHUMBNAILSantanaCarolina_2022_LongitudinalApproachContinous.pdf.jpgSantanaCarolina_2022_LongitudinalApproachContinous.pdf.jpgGenerated Thumbnailimage/jpeg13071https://bibliotecadigital.udea.edu.co/bitstreams/c67c9d39-aa8c-4771-979f-4135dfe928af/downloadd8017920922574055e1bfdb122b3d477MD55falseAnonymousREAD10495/29650oai:bibliotecadigital.udea.edu.co:10495/296502025-03-27 01:37:03.269https://creativecommons.org/licenses/by-nc-sa/4.0/open.accesshttps://bibliotecadigital.udea.edu.coRepositorio Institucional de la Universidad de Antioquiaaplicacionbibliotecadigitalbiblioteca@udea.edu.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 |