Bernal BBC, Olivares MH, Tomás RC, Hernández RC, Rojas ZEM, Arriola CJ

Language: Spanish
References: 13
Page: 29-35
PDF size: 215.22 Kb.

ABSTRACT

Pain after a thoracotomy is produced by different etiologies, such as surgical incision, costal separation, intercostal nerves elongation, muscle mass section, inflammation of the chest wall, lung parenchyma manipulation, pleural abrasion and placement of one or more chest tubes. Multimodal analgesia produces optimal pain relief in several ways. The combination of techniques and analgesic drugs has a synergistic or additive effect and reduces the requirement for individual medication and its adverse effects. Objective: To demonstrate that combined anesthesia with multimodal analgesia brings better postoperative analgesia than a general anesthesia without a regional blockade in patients submitted to thoracotomy procedures. To determine if combined anesthesia with multimodal analgesia shortens the length of stay and the need for additional analgesics. From a total of 133 procedures, only 50 met the criteria to be analyzed. Of the 50 patients included, 30 (60%) underwent general anesthesia and 20 (40%) used combined anesthesia with multimodal analgesia. A larger proportion of the patients receiving general anesthesia needed the administration of analgesics (60%), versus 20% of those using combined anesthesia with multimodal analgesia. Combined anesthesia with multimodal analgesia was shown to be more efficient than general anesthesia to reduce the need for rescue analgesia postoperatively. There were no differences in the analgesic drugs used for rescue. We found a shorter length of stay in patients in combined anesthesia with multimodal analgesia, with a reduction of two days, a significant statistical difference.

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