Mi SciELO
Servicios Personalizados
Revista
Articulo
Indicadores
Citado por SciELO
Accesos
Links relacionados
Citado por Google
Similares en SciELO
Similares en Google
Compartir
Revista de la Sociedad Española del Dolor
versión impresa ISSN 1134-8046
Resumen
FLORES ARANA, M. E. y HERNANDEZ GONZALEZ, M. M.. Bupivacaine-buprenorphine vs. caudal bupivacaine as postoperative analgesia for pediatric patients undergoing orthopedic surgery. Rev. Soc. Esp. Dolor [online]. 2011, vol.18, n.2, pp.84-90. ISSN 1134-8046.
Background: postoperative pain in children is a special entity and that the influence various factors, therefore it is an unexpected experience for the child and more difficult to treat. Objective: to evaluate and compare the length and quality of post-operative caudal analgesia and hemodynamic stability and adverse effects between bupivacaine-buprenorphine against bupivacaine. Material and methods: a controlled clinical trial, prospective, longitudinal, comparative study included 40 patients 1-7 years for orthopedic surgery under caudal block in the HTO No 21, of Monterrey, Nuevo Leon, from May 2009 to January 2010. Are assigned at random to two groups: group A 0.25% bupivacaine 1.4 ml/kg, and group B bupivacaine mL/kg 0.25% 1.4 mg/kg of buprenorphine. The intensity of postoperative pain was measured using a VAS, NIPS AND CRIES at 2, 4, 6, 12 and 24 hours later. Statistical analysis: Student t-test, Mann-Whitney and Chi square test. Results: the time of first analgesic administration after surgery was shorter in group A (5.33 vs. 8.46 hours), with a difference in favor of group B (p < 0.05). Rescue doses were lower for the experimental group (22 vs. 17, p < 0.05). Side effects were minimal the most significant urinary retention, nausea and vomiting. Conclusion: the combination of buprenorphine-bupivacaine in children produces a longer postoperative pain-free, with reduced doses of rescue analgesics within 24 hours.
Palabras clave : Bupivacaine-buprenorphine; Bupivacaine; Analgesia; Postoperative pain; Side effects.