Postoperative analgesic for superior abdomen surgery
Abstract
A descriptive study was done to know the behaviour of the peridural analgesia technic through the catheter insertion with the use of fractioned doses of fentanyl at a rate of 2 mcg per Kg body weight in 10ml of saline solution when pain got 2 in an individual analogous scale (IAS) in patients whowere operated on superior hemioabdomen the highest frequency of operated patients corresponded to female sex, the most common pathology were cholecystitis. Anesthesiq internal was from 5 to 5.59 hours increasing with new dosis. The hemodynamic parameters were stable and in the respiratory ones there were varations, catheter obstruction was the more frequent complications associated the analgesic with fentanyl on intermitent bolus though the cathers was tge more adequate method in the postoperative pain control.Downloads
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References
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2. Castañeda Casado FJ, Chamorro C, Rubio JJ, Romera MA. Sedación y analgesia en el paciente grave. Madrid: Clinica Puerta de Hierro; 1994.
3. Cecil Gray T, Jun EJ, Utting EJ. Anestesia General. 4 ed. t.2. Ciudad de la Habana: ECIMED; 1986.
4. Chapman CR. Factores psicológicos en el dolor postoperatorio. En: Smith, G, Corino BG. Ed. Dolor agudo. Ciudad de la Habana: ECIMED;1999.
5. Solis E, Nieto C, Caballero A, Bécquer E, Mendez J. Analgesia peridural con morfina con el paciente grave. Programa- Resúmenes. Anestesiología.
6. Carrillo R, Laredo C, Arizpe D, Ramírez J. Bloqueo de la respuesta neuroendocrina a la anestesia y a la cirugía. Rev Anest Mex 1989; 1(2): 75-82.
7. Trujillo EC, Luna OK, Soto RB. Bupremorfina epidural para el manejo del dolor postoperatorio. Rev Mex Anest 1995; 18: 3-6.
8. Arakawa M, Hoka S. Consideration of the optimalepidural fentanyl doses in abdominal surgery. Anest 1998; 10(6): 551-556.
9. Roussel JR, Heindel L. Effects of intrathecal fentanyl on duration. Naval. Hospital. Camp Pendleton. Calif 1999; 67(4): 337-243.
10. Coe A, Sarginson R, Russel GM. Pain following thoracotomy, arandomized, double-blind comparison of lumbar vs thoracic epidural fentanyl. Anestesia.; 46(7): 918-921, 1991.
11. Herrera Ponton J, Téllez Rodríguez. Epidural catheters implantation for long periods of time. Rev Colomb Anestesiol 1990; 16(4):149-152.
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Montero Álvarez R, Montero Álvarez L, González Catá A. Postoperative analgesic for superior abdomen surgery. Mediciego [Internet]. 2004 Dec. 4 [cited 2025 Feb. 2];10(2). Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/2682
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