Tafoya-Olivos RO, Dosta-Herrera JJ, Morales-Soto BL

Language: Spanish
References: 15
Page: 21-28
PDF size: 268.72 Kb.

ABSTRACT

Objective: To compared the efficacy of postoperative analgesia in patients receiving kidney transplantation. One group were treated with ilioinguinal, iliohypogastric and intercostal blockade low, and the other group of patients receiving renal transplantation not. Material and methods: Trial controlled, prospective, longitudinal, comparative, double blind of 60 patients receiving kidney transplant. They were randomized for received the blockade: ilioinguinal, iliohypogastric, and intercostal low, with bupivacaine 50 mg 0.5% and epinephrine 100 μg, at the end of surgery. Hemodynamic variables were measured: mean arterial pressure, central venous pressure and heart rate, as well as the visual analog scale to assess postoperative pain since final of surgery to 4, 8, 12 and 24 hours. Statistical analysis: χ² and repeated measures ANOVA, with statistically significant differences p ‹ 0.001. Results: The control group showed, a greater need for rescue analgesics with systemic opioid, highest score in the visual analog scale, and increased heart rate during all measurements in the first 24 hours after surgery. Conclusion: Blocking the ilioinguinal, iliohypogastric and intercostal nerves under, it is effective in controlling postoperative pain in kidney transplant recipients in the first 24 hours of postoperative.

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