Esquema de tratamiento para dolor agudo postoperatorio aplicado por médicos residentes de gineco-obstetricia, pediatría y cirugía del Hospital “Vicente Corral Moscoso” octubre 2013

Abstract

The postoperative pain control is the mainstay of adjuvant treatment as a guarantee of quality health care. Currently there is little information in Ecuador on a unified approach to the treatment of acute postoperative pain scheme. Several clinical guidelines in countries like Spain, Mexico, Colombia, which serve as a reference, so that an internal evaluation of the pharmacological therapy of postoperative pain is necessary.

Objective: To describe the pharmacological treatment for acute postoperative pain applied by resident doctors of Surgery, Gynecology and Obstetrics and Pediatrics Hospital "Vicente Corral Moscoso," October 2013.

Materials and methods: A descriptive cross-sectional study to be performed in patients 10 to 65 years of age, undergoing elective surgery "Vincent Mosco Corral" Hospital, during the month of October 2013.

Results: In the treatment of acute postoperative pain used by surgical residents and gynecology, was based Tramadol (94.2%) at a dose of 100mg. Pain perception was moderate (VAS 4-7) at 12 hours of analgesic therapy and pain 96.5% at 24 hours. The most frequent combination was more Ketorolac Tramadol (72.3%) followed by Tramadol more Diclofenac (12.3%). Pediatric residents became more Diclofenac Tramadol at similar doses than adults. Conclusions: The treatment scheme used based Tramadol was not satisfactory in the first 12 hours of patient outcome, compared with 24 hours, where it was seen that 96.5% of patients did not perceive any pain.

KEYWORDS: SCHEME, PAIN, POSTOPERATIVE; ANALGESIC OPIOIDS; NSAIDS; VINCENT CORRAL MOSCOSO HOSPITAL