Tesis Especializaciones (Ciencias Médicas)

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Analgesia del bloqueo ecoguiado del plano transverso del abdomen como coadyuvante en anestesia general para apendicectomía laparoscópica. Hospital “José Carrasco Arteaga”. Cuenca - Ecuador, 2020– 2021
(Universidad de Cuenca, 2022-09-06) Valdivieso Díaz, Angie Cecibel; Espinoza León, Juan Carlos
Background: the transversus abdominis plane (TAP) block is a multimodal analgesia technique, with proven efficacy in abdominal surgery; the ultrasound-guided technique in real time allows to reduce complications. General objective: to determine the analgesic degree of ultrasound-guided TAP in laparoscopic appendectomy. Methods: observational, descriptive, cross-sectional. 118 patients who underwent laparoscopic appendectomy and TAP block participated. A survey was applied in which postoperative pain was assessed at 5 and 120 minutes using the Visual Analog Scale for pain (VAS) and the need for rescue analgesia. Descriptive statistics and personalized tables were extracted to record the information. Results: according to the VAS at 5 min at rest, 50% of patients were categorized with a grade 0, followed by 36.4% in level 2; at 2 hours, 69%, 18.6%, and 15.3% are classified as grade 0, 4, and 2, respectively. It was reduced that 13.6% and the participants required rescue analgesia upon postoperative awakening and 33.9% in the Post Anesthesia Care Unit (PACU). In PACU, opioids were the drugs most used in rescue analgesia, since 3 out of 10 patients were managed with these drugs. The prevalence of complications of the transversus abdominis block was only 0.8%, detailing that there was intoxication by local anesthetic. Conclusions: The TAP block contributed to the fact that patients undergoing laparoscopic appendectomy presented postoperative pain intensity values between mild and moderate according to VAS, in addition, a low prevalence of rescue analgesia with minimal complications was evidenced.
Beneficios de la infusión intravenosa de lidocaína perioperatoria sobre la función gastrointestinal en pacientes sometidos a cirugía abdominal. Revisión sistemática
(Universidad de Cuenca, 2022-03-11) Jaramillo Monge, Kadir Paul; Cevallos Sacoto, Francisco Antonio
Introduction: The return of gastrointestinal function is a critical determinant in the recovery of patients after surgery. Several studies have determined that lidocaine has several benefits to restore intestinal transit. Objective: to determine the benefits of perioperative lidocaine infusion on bowel function in patients undergoing abdominal surgery, through a systemic review. Methods: observational systematic review study. Articles between quartile one to four of Scimago Journal and Country Rank were included. The information search was carried out in the qualified electronic databases such as: Pubmed, Cochrane, Library Plus, Scielo, Medline, Embase, Scopus, Latindex and academic Google. The search was extended using keywords and Boolean operators "AND", "OR" and "NOT", without language restrictions. For data collection, the PICO strategy was used. Results: there is a significant reduction in postoperative paralytic ileus with the administration of intravenous lidocaine p=0.02. Mean time to first bowel movement after abdominal surgery ranged from 5 to 61.4 hours, and intravenous lidocaine significantly reduced bowel movement p < 0.5. Likewise, the time to the first passage of flatus was shorter p <0.05. There were limited data on the occurrence of first bowel sounds. Conclusions: perioperative intravenous lidocaine is effective in improving the recovery of gastrointestinal function after a surgical procedure, which could promote faster recovery in patients.
Caracterización clínica de la cefalea pospunción dural en obstetricia. Hospital José Carrasco Arteaga. Cuenca. 2019
(Universidad de Cuenca, 2022-03-04) Mejía Sevilla, Pablo Esteban; Cabrera Córdova, Patricia Eugenia
Introduction: Post-dural puncture headache is a common complication, there are studies that have described risk factors which, if they can be identified, serve to reduce this adverse event. Objective: To determine the characteristics of post-dural puncture headache after anesthesia in obstetric procedures at the José Carrasco Arteaga Hospital in the city of Cuenca Ecuador in 2019. Methodology: Descriptive, retrospective study, the data were obtained from the AS400 system of the José Carrasco Arteaga Hospital in the city of Cuenca, using a form, the data was analyzed using descriptive statistics and tables using the SPSS version 22 software. Results: An incidence of 1.88% was obtained during 2019 in obstetric patients who had spinal anesthesia. On average: it started in 62.25 hours, lasted 18 hours, with an intensity of 5.75, located in the occipital area, accompanied by tinnitus. Conservative treatment with paracetamol and corticosteroids was used, there were no patients with interventional treatment. Conclusions: The incidence of post-dural puncture headache has decreased. The clinical characteristics of the headache coincided with the data from other studies, there was no need to use interventional treatment.
Caracterización de la anestesia subaracnoidea con levobupivacaina en pacientes de cirugía abdominal baja y miembro inferior. Hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Cuenca – Ecuador, 2020-2021.
(Universidad de Cuenca, 2022-03-10) Reinoso Herrera, Jessica Maribel; Bernal Asmal, Angélica Patricia
Background: levobupivacaine is an anesthetic that reversibly blocks nerve conduction; it has less cardiotoxicity and allows a rapid recovery of motility after subarachnoid application. Objective: to characterize subarachnoid anesthesia with levobupivacaine in patients with lower abdominal and lower limb surgery at the Vicente Corral Moscoso and José Carrasco Arteaga hospitals in the city of Cuenca. Methodology: observational, descriptive study. 276 patients who met the inclusion criteria were included; the sample was calculated based on an infinite universe with a confidence interval of 95%, an error of 5% and a proportion of 22%. The anesthesiologist monitored the latency time, duration, level of block, and side effects of levobupivacaine. The information was processed in the SPSS program version 15. For qualitative variables, frequencies and percentages were applied, for the quantitative mean and standard deviation. The results were presented in tables. Results: most of patients were men between 30 and 39 years old with overweight and ASA II, admitted by emergency. The mean sensitive latency time was 5.89 minutes and the motor 12.69 minutes. A duration of the sensitive block was observed> 200 minutes, that of the motor ranged between 81 to 160 minutes. Most of participants reached a sensitive level T6. 1 in 10 patients had collateral effects. Conclusions: levobupivacaine produces a prolonged sensory block, with a shorter duration of motor block. Hypotension is the most common side effect.
Determinación de la localización anatómica de línea de Tuffier mediante ultrasonografía en pacientes sometidos a bloqueo neuroaxial en posición decúbito lateral. Hospital Vicente Corral Moscoso. Cuenca 2021.
(Universidad de Cuenca, 2023-05-04) Armijos Quichimbo, Sandra Natividad; Peñafiel Martínez, Nadia Rosalía
The Tuffier line for anesthesiologists is the reference point in neuroaxial anesthesia, not being a reliable data due to common variations that occur in its position. Objectives: To determine the exact anatomical location of Tuffier's line through ultrasonography in patients operated under neuraxial anesthesia in lateral decubitusat Hospital Vicente Corral Moscoso. Method: The present work is a cross-sectional analytical study, the sample was 334patients undergoing scheduled surgery under neuraxial anesthesia at the Vicente Corral Moscoso hospital, a form was designed and collected sociodemographic, clinical data and the location of the Tuffier Line. To determine the degree ofassociation, the PR and its 95% confidence interval were obtained. To determine statistical significance, the p value was obtained by chisquare, considering a p value < 0.05 statistically significant. Results: 334 patients were included, with a proportion of demarcation with Tuffier'sline above L4 in 41.3% of patients. In individuals aged 65 or over, an association was found with a location on L4 (p value = 0.006; PR 1.61; 95% CI = 1.20 - 2.14). There were no significant differences for sex, weight, height and nutritional status. Conclusions: Palpation as a single method is imprecise for the location of Tuffier's line, it must be confirmed by ultrasonography to avoid damage to the neuroeje.
Determinación del diámetro traqueal con ultrasonido y su relación con la fórmula de cálculo del tubo en niños de 1 a 12 años. Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, 2020-2021
(Universidad de Cuenca, 2022-03-10) Serrano Oleas, María José; Cevallos Sacoto, Francisco Antonio
Background: formulas used to determine the number of ETT are inaccurate, using new methods such as US seems promising. Objectives: to determine the tracheal diameter by ultrasound in children aged 1-12 years and its relationship with the formulas. Methods: observational, descriptive and cross-sectional study, January 2020 to December 2021, 140 patients aged 1 to 12 years undergoing scheduled and emergency surgery. The sample was based on: confidence level 95%, precision 5%, variance 0.2, inclusion criteria were met, sociodemographic and clinical variables were analyzed and as a result variable the correlation between the tracheal diameter determined by US with determined by formulas, the data were analyzed by descriptive statistics, using the mean, standard error, CI, standard deviation, Pearson's correlation and Pearson's r coefficient. Results: the following variables prevailed: age 3, 11 and 12 years (12.9%), male sex (69.3%), ASA I (73.6%), normal nutritional status (70.7%), showed that in the following groups there was no linear increase in tracheal diameter by US with respect to their age: 0-11 months 4.58 mm, with CI between 3.60 - 5.56 mm, 6 years 6.58 mm , with a CI between 5.67-7.49 mm, at 7 years 7.14 mm, with a CI between 6.24-8.05 mm and at 9 years 8.21 mm, with a CI between 7.67 -8.77mm It was correlated with the formulas and a Pearson's r coefficient of 82.2% was obtained. Conclusions: very high correlation.
Determinación preanestésica del volumen gástrico por ecografía en apendicectomías. Hospital José Carrasco Arteaga. Cuenca, 2020 – 2021
(Universidad de Cuenca, 2022-03-14) Benavides Calle, Daniela Fernanda; Palacios Reinoso, Carlos Santiago
Background: Breathing of gastric contents into the airways is a serious complication that can occur during local anesthesia; especially in emergency surgeries, such as appendectomies, where preoperative fasting is not always reliable and it is considerade full stomach. Ultrasound is a useful tool to measure gastric volume, predicting the risk of breathing into the airways, and to choose accurate anesthetic management. Objective: To determine the preanesthetic gastric volume by ultrasound in patients who are going to undergo appendectomy at the José Carrasco Arteaga Hospital. Methods: A descriptive observational study. The population consisted of adult patients undergoing appendectomy at the José Carrasco Hospital. The sample was calculated according to an unknown universe, obtaining 174 participants. The results were processed in SPSS V27, and expressed in measures of frequency, central tendency and dispersion according to the type of variable. A histogram was used for a general visualization of the behavior of the gastric volume. Results: the majority of patients were men, between 30 and 39 years old, overweight and ASA 1. The mean gastric volume was 41.88 ± 23.92 ml The average fasting time was 9.5 hours, 42.5% took clear liquids for the last time. 21.3% are considered to have “at risk stomach” condition and 1.7% have high risk of breathing into the airways. There was a change in anesthetic induction in 4.6%. Conclusions: the gastric volume measured by ultrasound was highly variable, the majority of patients had a low risk of aspiration and no association was found with any pharmacological or pathological factors that alter gastric emptying.
Eficacia terapéutica en hipotensión arterial obstétrica inducida por anestesia subaracnoidea. Revisión sistemática
(Universidad de Cuenca, 2022-03-15) Márquez Uyaguari, Gabriela Fernanda; Viteri León, Octavio Enrique
Background: subarachnoid anesthesia is the technique of choice used in pregnant women undergoing cesarean section. Maternal-fetal hypotension is the main adverse effect, with an incidence of up to 70%. Currently, there are controversies regarding its therapeutic management. Objective: to evaluate the therapeutic efficacy in obstetric arterial hypotension after subarachnoid anesthesia. Methods: observational systematic review study. Randomized controlled trials, analytical, cohort, case-control studies and descriptive studies of current scientific articles from the last 5 years and that met the inclusion and exclusion criteria were included. The search strategy consisted of placing keywords and combining with the Boolean operators "AND", "OR" and "NOT" without language restriction. The information was obtained through the search engines: Hinari, Scopus, Redalyc, Scielo, Pubmed, Springer, NJM, BMJ, Cochrane Latindex and academic Google. Results: the left lateral position reduces the frequency of hypotension p <0.05. The administration of colloid solutions is associated with shorter periods of hypotension in relation to crystalloids p <0.05 and is associated with a lower need for vasopressors p <0.05. The use of norepinephrine is associated with fewer episodes of hypotension, as is fetal bradycardia p <0.05. Conclusions: there is a lower incidence of maternal hypotension secondary to spinal anesthesia with measures such as left lateralization of the uterus, administration of colloid solutions, and finally, norepinephrine is considered a vasopressor that provides greater stability in obstetric hypotension.
Factores asociados al despertar intraoperatorio. Revisión sistemática
(Universidad de Cuenca, 2022-03-11) Ordoñez Castro, Amanda Elizabeth; López Torres, Guillermo Teodoro
Introduction: intraoperative awareness during surgery is a rare adverse effect, however, its appearance can cause serious and long-term disabling psychological disorders. Objective: to determine the factors associated with intraoperative awakening in patients undergoing surgical interventions, through a systematic review. Methods: observational study of literature review. Original scientific articles with quality of evidence in category Q1 to Q4 of Scimago Journal and Country Rank during the last 10 years were included. The information was obtained through the search engines: Hinari, Scopus, Redalyc, Scielo, Pubmed, Springer, NJM, BMJ, Cochrane, Latindex and Google Scholar. It consisted of placing keywords with the combination of these through Boolean operators. For data collection, the PICOs strategy was used. The information was consolidated in personalized tables for this purpose. Results: the prevalence of intraoperative awakening ranged from 0.0095% to 8.2%. The risk factors identified with statistical significance were age <60 years, women, obesity, low weight, ASA III-IV, history of prior intraoperative awareness, prolonged interventions, high-risk and emergency surgeries, general anesthesia, and lack of pre medication. Sedation and the application of perioperative analgesia are protective factors. Conclusions: intraoperative awareness is a rare complication during the surgical act, the risk factors were due to determinants related to the patient, the type of surgical intervention and the anesthetic technique.
Incidencia de eventos adversos de intubación traqueal con fibrobroncoscopio en pacientes de 20-65 años sometidos anestesia general. hospitales José Carrasco Arteaga y Vicente Corral Moscoso, área de quirófano. Cuenca, 2019
(Universidad de Cuenca, 2021-11-11) Chamba Guiracocha, Mayra Marcela; Espinoza León, Juan Carlos
Background: tracheal intubation with fiber optic bronchoscope is a technique used in patients with difficult airways; it also allows the appropriate management of cases with normal or pathological airways. However, it is not exempt from presenting conflicts and limitations, which is why, in certain cases, failed actions occur (2). Objective: to determine the incidence and characteristics of adverse events with the use of fibrotic bronchoscope in patients between 20 and 65 years of age who underwent tracheal intubation, José Carrasco Arteaga and Vicente Corral Moscoso Hospitals, January to December 2019. Methodology: cross-sectional observational study carried out in the Department of Surgery and Anesthesiology (operating rooms) of the José Carrasco Arteaga Hospital (IESS) and the Vicente Corral Moscoso Hospital, in the city of Cuenca. The study carried out on a sample of 229 patients from the selected health units with an age between 20 and 65 years who underwent tracheal intubation with fibrotic bronchoscope under general anesthesia. A questionnaire applied based on the Mallampati scale. Results: 68% presented hypoxemia, epistaxis, laceration of the respiratory mucosa and bradycardia. Age is not a risk factor for presenting adverse effects, however, the variables duration of intubation and number of attempts are risk variables. Conclusions: the adverse effects with the use of fiber optic bronchoscope in patients aged 20 to 65 years undergoing tracheal intubation are hypoxemia, epistaxis, laceration of the respiratory mucosa and bradycardia; intubation and number of attempts are risk factors.
Nivel de conocimiento del consentimiento informado de anestesiología en los pacientes del Hospital José Carrasco Arteaga– periodo enero diciembre 2021
(Universidad de Cuenca, 2023-05-03) Becerra Palacios, Miryam Cristina; Tenezaca Mogrovejo, Janeth Isabel
Background: Informed consent is a legal medical document that needs to be signed prior to any medical procedure. Through it, the risks and benefits of the procedure are known. This is carried out and adapted to medical ethical principles. Objective: To determine the level of knowledge about the anesthetic informed consent that the patients of the José Carrasco Arteaga Hospital have in the period January to December 2021. Materials and method: an analytical cross- sectional study was carried out. The sample was 359. The variables studied were age, sex, origin, residence, educational level, work activity, type of surgery, knowledge of informed consent. Tables and graphs were made with frequency and percentage for qualitative variables and average and standard deviation for the quantitative ones. OR was obtained, with its 95% CI and the p value. Results: the mean age was 52.58 (±) 14.45 years, 61.6% were women and 37% men, 84.7% of Sierra origin, living in rural areas 57.9% with secondary education 37%, work activity on 51.3%. Knowledge of informed consent in the population is 45% and is related to the demographic variables age under 61 years (OR 3.6, p 0.000, IC95% 2.2-6), basic education (OR 0.28,p 0.000, IC95% 0.17-0.44), assets (OR 1.8, p 0.006, CI95% 1.18-2.74), rural residence (OR 2.03, p 0.001, CI95% 1.32-3.3). Conclusions: as in studies carried out in other countries, it is evident that patients do not adequately understand informed consent.
Percepción del dolor a la administración de propofol utilizando: remifentanilo y lidocaína como medidas preventivas. Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, 2020
(Universidad de Cuenca, 2022-01-31) Pinos Brito, María Carmen; Espinoza Juela, Miguel Ignacio
Introduction Propofol is the most widely used inducer in anesthesia. The pain produced at the time of administration is a frequent complication, therefore several pharmacological interventions are used to prevent it. Objective To measure the response to pain in surgical patients to the administration of propofol using remifentanil and lidocaine as preventive measures. Methodology Descriptive observational study, the study population consisted of patients with scheduled surgeries under general anesthesia at the Vicente Corral Moscoso and José Carrasco Arteaga Hospitals from November 2019 to October 2020. Data was collected according to remifentanil infusion and lidocaine administered before propofol; remifentanil infusion plus lidocaine premixed with propofol and remifentanil infusion. A form and a database were filled out in the SPSS V.15 program, descriptive and inferential statistics were used for the analysis. Results 267 patients were collected, mean 38.41 ± 12.19 years, the majority women. In the remifentanil plus lidocaine group separately there were fewer patients with pain 73.09%, when remifentanil alone was used 8.99% of patients indicated severe pain. There was a higher percentage of female patients with moderate (23.80%) and severe pain (3.10%). When the catheter was in the back of the hand, 36.60% of the patients had moderate pain. Conclusions Pain in the studied population was present in the three types of interventions, the most effective was remifentanil infusion plus propofol with unmixed lidocaine. Female patients, urban residence, secondary studies, peripheral venous catheter in the back of the hand were the groups with the most patients who reported pain.
Prevalencia y factores de riesgo asociados a hipotensión arterial inducida por anestesia raquídea en la cesárea en los hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca 2021
(Universidad de Cuenca, 2023-05-03) Siguencia Siguencia, Angélica Gabriela; Pacheco Baculima, Juan Pablo
Background: Spinal anesthesia is the most used neuraxial technique in cesarean section, its frequent adverse effect is hypotension. There are risk factors associated with maternal hypotension such as: non-rupture of the amniotic sac, high sensory blockade, high product weight, overweight and obesity, among others; that by identifying them could be prevented or treated in a timely manner. General Objective: To determine the prevalence and risk factors associated with arterial hypotension induced by spinal anesthesia in cesarean section at the Vicente Corral Moscoso and José Carrasco Arteaga Hospitals. Materials and methods: A cross-sectional study was carried out in 338 pregnant patients at term who underwent cesarean section under spinal anesthesia. The variables studied were: arterial hypotension, age, nutritional status, history of hypertension or hypotension, basal heart rate, amniotic sac rupture, multiple gestation, newborn weight, sensory level. Data were recorded in the form and processed in SPSS version 15. The prevalence ratio was obtained with a 95% CI, x2 with the p value. Results: The prevalence of arterial hypotension induced by spinal anesthesia in cesarean section was 60.40%. Arterial hypotension had a statistically significant association with age >35 years (PR of 1.78 with a CI 95%: 1.03-3.12), non-rupture of the amniotic sac (PR of 2.48 with a CI 95%: 1.09-5.66) and the sensitive level between T1-T4 (PR of 2.77 with a 95% CI of 1.05-5.84). Conclusions: the prevalence of maternal hypotension induced by spinal anesthesia is high, similar to that obtained in other international studies.
Relación entre la ubicación del tubo endotraqueal y distancia de la protuberancia mentoniana al ángulo de Louis, Hospital Vicente Corral Moscoso, Hospital José Carrasco Arteaga. Cuenca. 2019-2020
(Universidad de Cuenca, 2021-05-06) Serrano Béjar, Leonardo Alfredo; Peñafiel Martínez, Nadia Rosalía
Introduction: The management of the airway is important for all physicians, a fundamental part is to know the depth of the endotracheal tube, therefore, methods must be developed to avoid causing damage by selective intubation or extubation. Objective: To determine if there is a relationship between the location of the endotracheal tube and the distance from the chin protrusion to the Louis angle with the head in a neutral position in adults. Methodology: Observational, descriptive, cross-sectional and correlational study of 151 patients at the Vicente Corral Moscoso and José Carrasco Arteaga Hospitals in Cuenca Ecuador. The data was collected using a form from March 2019 to March 2020. The tabulation and analysis was done in the IBM-SPSS 20 software with descriptive measures, correlations and linear regression. Results: The most important measurements of the airway of the 151 patients from the dental arch are: to the vocal cords 13.0742 ± (1.36262) cm, to the carina with the head in neutral position 23.3159 ± (1,97859) cm; from the chin protrusion to the angle of Louis with the head in a neutral position 12.9921 ± (1.67954) cm. A Pearson R of 0.509 (p <0.05) was obtained, the following formula was developed: Endotracheal tube depth = (15.531 + (0.599 x protuberance at Louis angle) - 3) Conclusions: In the studied population there was a moderate correlation between the studied measures, a statistically significant formula and recommendations for the depth of the endotracheal tube were developed.
Test predictivos para intubación orotraqueal difícil en laringoscopia directa. Revisión sistemática
(Universidad de Cuenca, 2022-01-28) Montes Fernández, Bety Belén; Espinoza Juela, Miguel Ignacio
Background: The difficult intubation is a clinically relevant scenario in the field of health, due to the impact of its possible negative consequences. Despite a great deal of information on models and prediction scales for difficult intubation, a synthesis of this information has not been carried out. Objective: To determine the prognostic performance of the different predictive tests to identify the existence of difficult intubation in direct laryngoscopy in adults. Materials and methods: A systematic review was carried out, based on the PRISMA, STARD and QUADAS guidelines of publications in English and Spanish, using different databases such as: LILACS, Pubmed, ClinicalKey, ScienceDirect, Scopus, Dynamed, Scielo, EMBASE, Medline , Springer Link, Virtual Health Library, EBSCO, UpToDate, MEDION, Cochrane, and Google Scholar for the past five years. The studies were: prosthetic, cohort and analytical and included an adult population without anatomical malformations of the airway with difficult orotracheal intubation before direct laryngoscopy. Summary measures were used such as: percentages, p-value, relative risk, ods ratio, sensitivity, specificity, positive and negative predictive values. Results: In the 8 articles analyzed, a significant difference was found in Cormack-Lehane grades III/IV, with the tests: upper lip bite (p=0.001), Wilson scale (p=0.001), thyromental height (p =0.002), Mallampati (p=0.009). Most of the predictive tests obtained results with little sensitivity to identify difficult intubation, except for the tests: thyromental height (84.95%) and Mallampati (S: 72.16%). Conclusions: Predictive models are still imperfect as they have a low discriminative capacity. The limitations for this study were: restricted accessibility to articles by economic items for admission. Great variability in studied populations, statistical data by model not evidenced, little information of models in relation to direct laryngoscopy.
Variación de signos vitales en pacientes sometidos a anestesia general balanceada y anestesia total intravenosa en el Hospital Vicente Corral Moscoso, Cuenca, 2019
(Universidad de Cuenca, 2021-12-03) Trochez Alvarado, Amy Yamileth; Cevallos Sacoto, Francisco Antonio
Introduction: few studies describe the existing variability in vital signs when using total intravenous anesthesia (TIVA) and balanced general anesthesia (BGA), being necessary to obtain these data to avoid adverse events. Objective: to describe the variation of vital signs in patients undergoing BGA and TIVA at the Vicente Corral Moscoso Hospital, 2019. Methodology: descriptive observational study, 384 patients, from January to December 2019. The population consisted of patients under BGA or TIVA. Data was transcribed from the clinical history forms and analyzed with the SPSS 22.0 system. Results: 48.20% of the patients were aged between 26 and 45 years, 55.50% were female, and 67.20% belonged to ASA I (classification used by the American Society of Anesthesiologists), 50% to TIVA and 50% to BGA. As for the extubation time with TIVA, 64.06% were extubated between 0 to 5 minutes, and 27.6% with BGA. Comparing the mean blood pressure variability of TIVA (70.80 ± 6.32 mmHg) and AGB (67.80 ± 4.92 mmHg), a significant difference was found with a p < 0.05. When comparing medians of heart rates at all surgical times between the two types of anesthesia, no statistically significant difference was found with p > 0.05. At 32.81% of the patients received inotropic drugs, the majority was with AGB with 27.86%. Conclusions: hemodynamic variability determined by heart rate and blood pressure, the TIVA group showed fewer alterations than the AGB group, in agreement with international studies.

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