Efectos de la raquianestesia morfínica para cirugía urgente de miembros inferiores. Trinidad. 2006-2007.

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    • Alternate Title:
      Effects of morphinic spinal anestesia for emergent surgery of lower limbs. Trinidad.2006-2007.
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    • Abstract:
      Introduction: Morphinic spinal anesthesia occupies a limited space in the relief of acute postoperative pain during emergency surgery in the trauma of lower limbs. Objective: Describing the effects of the application of morphinic spinal anesthesia in emergency surgery of the lower limbs. Material and Method: A descriptive, prospective and longitudinal study was made in a random sample of 74 patients subjected to trauma surgery of the lower limbs in the General Hospital of Trinidad from January of 2006 to December of 2007; who received spinal anesthesia with 10 mg of isobaric bupivacaine 0.5% plus 0.2 mg of frozen and dehydrated morphine. Variables: Systolic and diastolic arterial tension, heart rate, respiratory rate, pulsatile saturation of oxygen of hemoglobin, intensity of postoperative pain, time of postoperative analgesia, dose of rescue analgesia and adverse effects. Results: It was shown that this analgesic technique had a stable cardiorrespiratory behavior, prolonged relief of postoperative pain, scarce rescue analgesia and an incidence of minor adverse effects.The mean time of postoperative analgesia was prolonged to more than 30 hours and most of the patients didn't demand rescue analgesia in the first 48 hours. Pruritus, nausea and vomiting prevailed as adverse effects. Conclusions: The significant prolongation of analgesia with a scarce demand of rescue analgesia and a stable cardiorrespiratory behavior with an incidence of minor adverse effects make morphinic spinal anesthesia a useful method for patients subjected to urgent trauma surgery of the lower limbs. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Introducción: La anestesia espinal morfínica ocupa un limitado espacio en el alivio del dolor agudo postoperatorio durante la cirugía de urgencia en el trauma de miembros inferiores. Objetivo: Describir los efectos de la aplicación de anestesia espinal morfínica en la cirugía urgente de miembros inferiores. Material y Método: Se realizó un estudio descriptivo, prospectivo y longitudinal en una muestra aleatoria de 74 pacientes sometidos a cirugía traumatológica de urgencia de miembros inferiores en el Hospital General de Trinidad de enero/2006 a diciembre/2007; quienes recibieron anestesia espinal con 10 mg de bupivacaína isobárica 0.5% más 0.2 mg de morfina liofilizada. Variables: Tensión arterial sistólica y diastólica, frecuencia cardíaca, frecuencia respiratoria, saturación pulsátil de oxígeno de la hemoglobina, intensidad del dolor postoperatorio, tiempo de analgesia postoperatoria, dosis de analgesia de rescate y efectos adversos. Resultados: Se mostró como una técnica analgésica con estable comportamiento cardiorrespiratorio, alivio prolongado del dolor postoperatorio, escasa analgesia de rescate e incidencia de efectos adversos menores. La media del tiempo de analgesia postoperatoria se prolongó a más de 30 horas y la mayoría de los pacientes no demandaron analgesia de rescate en las primeras 48 horas. Predominaron el prurito, náuseas y vómitos como efectos adversos.Conclusiones: La prolongación significativa de la analgesia con escasa demanda de analgesia de rescate y un estable comportamiento cardiorrespiratorio con una incidencia de efectos adversos menores, convierten a la anestesia espinal morfínica en un método útil para pacientes sometidos a cirugía traumatológica urgente de miembros inferiores. [ABSTRACT FROM AUTHOR]
    • Abstract:
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