Tesis Especializaciones (Ciencias Médicas)

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Analgesia epidural con bupivacaína en el trabajo de parto en multíparas del Hospital Vicente Corral Mosoco 1995-1996
(1997) Washco Castro, Wilson Fabián; Auquilla Tacuri, Martha Cecilia; Andrade Iglesias, Luis Bolívar; Cárdenas Herrera, Oswaldo José; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime Rodrigo
Analgesia postcesárea con 10 mg de bupivacaína al 0,5% más 0,15mg de morfina vs 10 mg de bupivacaína al 0,5%, en anestesia subaracnoidea, Hospital Vicente Corral Moscoso, Cuenca 2010
(2012) Urgilés González, Paola Xiomara; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván Eladio
Objective. To compare the analgesia posoperatoria and indirect effect produced by 10 mgs of bupivacaína to 0.5% + 150 micrograms of morphine versus 10 mgs of bupivacaína to 0.5%, in subarachnoid anesthesia for Cesarean. Material and methods. With an experimental design maternal ones programmed for Cesarean were included 150, divided in two equal groups group VM it received 10 mgs of bupivacaína + 150 micrograms of morphine and group B 10 mgs of bupivacaína to 0.5%. The analgesia in a scale EAV of four dimensions was moderate (without pain, slight pain, moderate pain and severe pain), to 2, 6, 12, 24 and 48 h of the surgery and registered the indirect effect. Results. During the first 6 hours 94.7% of patients of group VM and 8% of group B, did not have pain (P < 0.0001), but to the 12 and 24 hours the pain was similar in both groups. To the 48 hours P were more patients with slight pain in group VM (= 0.012) although in no of the groups there was moderate nor severe pain. The nausea incidence was significantly greater in the patients than they received morphine and was prurito in 60% of this group. Discussion. The results of the work differ from the published ones that report major time of analgesia. The indirect effect were similar to the described ones in Literature. DeCS: COMPARATIVE STUDY; MORPHINE-THERAPEUTIC USE; BUPIVACAINE- THERAPEUTIC USE; PAIN, POSTOPERATIVE-THERAPY; ANESTHESIA, SPINAL-METHODS
Analgesia postoperatoria con bloqueo de plexo braquial con: L-bupivacaina al 0,25% VS bupivacaina al 0,25% en pacientes mayores de 18 años, Hospital Vicente Corral Moscoso, 2009-2010
(2010) Molina Neira, Sofía Marcela; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván Eladio
Objective. Compare produced by L-bupivacaine sensitive block time and frequency motor lock compared with bupivacaine, to the same concentration and dose administered to patients in whom was blocking brachial plexus for upper limb surgery. Materials and methods. With an experimental design included 90 patients of both sexes, age 18, divided into two equal groups to receive either 30-40 ml of L-bupivacaine 0.25% (n = 45) or 30-40 ml of 0.25% bupivacaine (n = 45). Measured time sensitive lock postoperative, frequency motor lock, hemodynamic behavior and secondary reactions to drugs. Results. Groups were comparable in demographic characteristics and the control variables. There was also significant differences in hemodynamic behavior of groups but was detected transient tachycardia in 8.9% (n = 4) of the group that received bupivacaine (P = 0,041). The average time sensitive lock was 637,3 ± 72.6 min (range 540-840) for the group to receive L-bupivacaine and 314.8 ± 51,1 min (range 180-420) for the group that received bupivacaine (P < 0.01). There was no engine block in the group receiving L-bupivacaine but yes in 80% (n = 36) of the group that received bupivacaine (P < 0.01). Conclusions. L-bupivacaína is as effective as bupivacaine for brachial plexus block when required surgery of the upper limb in patients 18 years of age or older. L-bupivacaine relevant feature is its long time sensitive lock and the lower frequency motor lock as bupivacaine. Key words: L-bupivacaine, bupivacaine, brachial plexus, sensitive block, motor block.
Anestesia espinal en cesárea con bupivacaína 0.5 por ciento: estudio comparativo entre la solución isobárica e hiperbárica
(1997) Salcedo Serrano, Claus Augusta; Lema, Luis; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime Rodrigo
Bicarbonato de sodio 8,4% vs fentanilo para disminuir la latencia del bloqueo epidural con bupivacaína 0.5% en cesáreas. Hospital Vicente Corral Moscoso. 2014 - 2015
(2016) Palacios Pérez, Galo Adrián; Araujo Astudillo,Juan Diego; Arévalo Peláez, Carlos Eduardo
Introduction: Epidural anesthesia is a widely used technique because of its favorable operating conditions, mild respiratory depressionand gives a calmer postoperative recovery. As main disadvantage long latency time, for which the use of additives or alkalinization is recommended. Objetive: To determine the efficacy of sodium bicarbonate 8.4% vs fentanyl to decrease latency Epidural Block with Bupivacaine 0.5% in caesarean sections Materials and methods: Clinical single-blind randomized controlled trial. We randomly selected 180 patients, pregnant women, between 18 to 45 years, ASA II - III, without contraindications to epidural anesthesia for emergency cesarean section. Group A (Bupivacaine), Group B (bupivacaine / fentanyl) and Group C (Bupivacaine / Sodium Bicarbonate): Three groups were studied. Latency, sensory block, motor, and adverse hemodynamic changes were studied. Results: There were statistically significant p = 0.000 latency differences. Thus, latency for group A (Bupivacaine), average 20.42 minutes (SD: 1.29), group B (bupivacaine / fentanyl) 15.08 minutes (SD: 0.89) and group C (Bupivacaine / Sodium Bicarbonate) 8.68 minutes (DS: 0.83). Statistically significant differences in mean arterial pressure and heart rate, at 15, 30, 45 and 60 minutes but that did not compromise the life of the mother or baby; a greater number of adverse effects on the group B 88.33%, following the 31.7% group C and group A smaller proportion 3.3% Conclusions: Bupivacaine plus sodiumbicarbonate produces a shorterlatency time and fewersideeffects
Bloqueo del plexo braquial por vía supraclavicular como técnica anestésica para cirugía de miembro superior, Hospital Vicente Corral, Cuenca 2005
(2007) Daquilema Izquierdo, María Salomé; Mosquera Rodríguez, Fernando Patricio; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván Eladio
Bloqueo motor y sensitivo en anestesia epidural con l-bupivacaína vs Bupivacaína en cesáreas. Hospital Vicente Corral Moscoso. Cuenca 2013
(2016) Cabrera Córdova, Patricia Eugenia; Morales García, Henry Paúl; Arévalo Peláez, Carlos Eduardo
ABSTRACT Introduction: When considering the use of a local anesthetic, it is important to think about the physiological effects, indications and contraindications of various anesthetic techniques for cesarean section. Whatever the technical and drug used, it must strive to preserve the maternal-fetal homeostasis. Objective: To compare the intensity of motor block and the duration of sensory block produced by L-bupivacaine + fentanyl vs bupivacaine + fentanyl in epidural anesthesia for cesarean sections. Material and methods: We conducted a controlled clinical study randomized single-blind study with 236 maternal divided into two equal groups. Group A (n = 118) received L-bupivacaine + 150 µg of fentanyl, group B (n = 118) received bupivacaine + 150 µg of fentanyl. Was compared in both groups immediately after surgery, the intensity of motor block with the Bromage scale in the recovery room until discharge of patients to the floor of gynecology for about two hours and duration of sensory block every ten minutes until this absence. The incidence of nausea, vomiting, hypotension and hemodynamic changes that occurred in the two groups was quantified. Expected Results: The motor block according to Bromage scale is lower with L-bupivacaine, p = 0.000; no cases of motor block 2 or 3, which was observed when 3.4% bupivacaine. A sensitive lock 5.5 hours in the group of l-bupivacaine compared with 3.8 hours in the bupivacaine group, p = 0.000 was obtained. No major differences in the two groups regarding the heart rate and side effects were observed p = 0.624. The percentage of patients who achieved a level of sensitive blockade with L-T4 bupivacaine is 72.9% compared to 54.2% in the bupivacaine group. (p = 0.011). The frequency of hypotension in the group with l-bupivacaine is 34.7% compared to 63.6% of bupivacaine group (p = 0.028). Conclusions: the use of l-bupivacaine presents better clinical indicators compared with bupivacaine for cesarean section
Bloqueos regionales comunes en pediatría realizados en el Hospital Regional Vicente Corral Moscoso
(1998) Darquea Arias, Carlos Humberto; Barzallo Correa, Luis Felipe; Barzallo Sacoto, Jorge Eduardo; Cañizares Aguilar, Aurelio Ernesto
Bupivacaína al 0.5% mas buprenorfina vs bupivacaína al 0.5% más morfina para el manejo del dolor postoperatorio en anestesia peridural en cesárea electiva
(2016) Maldonado Córdova, Yesenia Jhoanna; Morales García, Henry Paúl; Arévalo Peláez, Carlos Eduardo
Introduction :The surgical pain after cesarean section interferes with the mother-son, with negative consequences for this important binomial (1). Opioids are the most drugs used in the treatment of pain and morphine is the most commonly used in epidural anesthesia to alleviate the intra- and postoperative pain (2). Objective. Compare the degree and duration of postoperative analgesia between 200 ug of buprenorphine and 2 mg of morphine associated with bupivacaine in epidural anesthesia in elective cesarean section Methodology This is a controlled clinical trial randomized single-blind study in patients undergoing cesarean section with epidural anesthesia. We studied two equal groups: group A (n= 84) received bupivacaine more buprenorphine 200 ug track epidural and group B (n= 84) received bupivacaine plus 2 mg of morphine. RESULTS: The percentage of patients with moderate and severe pain is greater in the group A. The averages of the intensity of the pain were lower in group B, p<0.05. There were no statistically significant differences in the averages of the heart rate, oxygen saturation and blood pressure. There is a higher frequency of side effects in the group to 20 (11.9 %) in relation to group B 6 (3.6 %). RR 1,707; 95% CI 1.183 - 2,109; p-value=0.003. The nausea was more frequent in the group to 14 (8.6 %), p-value=0.046. We didn’t observed in the two groups cases of respiratory depression, urinary retention or headache. There were 7 (4.3 %) patients with pruritus in group A. Conclusions: the use of buprenorphine in the epidural anesthesia provides better analgesia, and minor side effects
Dosis vs volumen de 75 mb de L-bupivacaina + 100 mcg de fentanil en anestesia epidural para cesárea. Hospitales José Carrasco y Vicente Corral, Cuenca 2009
(2010) Morocho Malla, Rosa Balbina; Vega Crespo, Bernardo José; Orellana Cabrera, Iván Eladio
Eficacia anestésica y duración analgésica de la bupivacaína al 0.25% + morfina vs bupivacaína al 0.25% en bloqueo del plexo braquial para cirugía de miembro superior en pacientes del Hospital Vicente Corral Moscoso, Cuenca 2014
(2016) Espinoza Bernal, Flora Judith; Morales Paredes, Miguel Leonardo; Arévalo Peláez, Carlos Eduardo
Introduction: Surgery of men in certain cases can be a challenge to the anesthesiologist that warrants of the domain of certain techniques of regional anesthesia and management of complications and analgesia in the first 24-48 hours. Objective : To compare the effectiveness between anesthetic bupivacaine 0.25% + morphine and 0.25 % bupivacaine alone in the blockade of the brachial plexus for surgery of the upper limb at the Hospital Vicente Corral Moscoso, Cuenca 2014. Methodology: design a randomized clinical study single-blind, to assess the effect of the addition of bupivacaine more morphine vs. bupivacaine alone in patients older than 18 years operated with supraclavicular brachial plexus block. The Group I patients received bupivacaine 0.25 % 75 mg in a total volume of 30 ml and the patients of the Group II were treated with 0.25 % bupivacaine 75 mg + morphine 50 ug/kg in a total volume of Results: the study groups were comparable in age, sex, type of intervention, weight, height and surgical time. A significant difference was found in the average latency of 7.05 minutes. The latency time is greater in the group of bupivacaine 11.16 minutes in relation to the group that received bupivacaine + morphine 4.11 minutes, p-value=0.000 . Similarly, the addition of bupivacaine + morphine provides more than double the time of 915.79 minutes analgesia when compared with the single administration of bupivacaine 280.53 minutes, p-value=0.000 . Side effects such as vomiting were higher for the addendum bupivacaine and morphine
Eficacia de bupivacaína 2mg/kg- buprenorfina 0.5mcg/kg Vs bupivacaíana 2mg/kg por vía caudal para analgesia postoperatoria en paciente pediátrico. Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga, Cuenca, 2014
(2016) Ochoa Guillén, Adriana Lucía; Araujo Astudillo,Juan Diego; Arévalo Peláez, Carlos Eduardo
Introduction: The regional anesthesia by caudal epidural block in the pediatric patient is more appropriate for lumbar block, by the relative ease of access once identified the anatomical points. At the end of the surgical procedure, postoperative pain can be treated effectively. To use this track it is possible to administer drugs that together with the effect of the local anesthetic will favor the patient and remain for a longer time without severe pain. Objective: To compare the postoperative analgesia of the caudal block with bupivacaine 2mg/kg Vs Bupivacaine 2mg/kg - Buprenorphine 0.5mcg/kg in the pediatric patient. Material and methods: controlled clinical trial randomized single-blind. This study will be carried out at Vicente Corral Moscoso and José Carrasco Arteaga Hospital. We randomly selected 84 pediatric patients, ASA physical status I and II, with no contraindications for flow anesthesia, scheduled elective way and emergency surgeries for lower abdominal and found the intensity of the pain through the scale and EVA CHEOPS; hemodynamic changes and the incidence of side effects. Analysis of variance ANOVA to compare the mean, it was considered results statistically to the values of p<0.05. Results: It was determined that the Bupivacaine 2mg/kg Buprenorphine+ 0.5mcg/kg is better to control the pain compared to Bupivacaine 2mg/kg in caudal block in children. Averages were obtained of pain intensity and lower for a longer time, values of p<0.05. There were no significant changes in averages of the heart rate with the use of bupivacaine alone. No significant changes were found with the mean systolic blood pressure, diastolic and oxygen saturation. The incidence of side effects was minimal, no significant differences were observed between the groups, p-value >0.05. Conclusions: with the use of bupivacaine 2mg/kg Buprenorphine+ 0.5mcg/kg is a better control of the intensity of the pain and for a longer time, with minimal side effects
Eficacia del esquema hannallah vs armitage en cirugías de abdomen inferior en niños de los Hospitales Vicente Corral Moscoso y José Carrasco Arteaga 2013
(2014) Torres Orellana, Mónica Andrea; Gárate Osorio, Germania Yolanda; Morocho Malla, Manuel Ismael
Objective: To determine the efficacy in controlling the trans and postoperative pain of the Hannallah and Armitage caudal block techniques. Materials and Methods: With a randomized controlled clinical design, two analgesic schemes of regional anesthesia were included. Group one consisted of sixty four participants and group two consisted of sixty two participants from one to eleven years old. Group 1: Hannallah blocking. The dose was calculated to 2mg per kg of 0,5 % bupivacaine and volume of 0.5ml, 0.75 or 1ml/kg to the desired dermatome. Group 2: Armitage blocking. The volume was used at 0.5, 0.75 or 1ml /kg according to the desired dermatome with 0,25 % bupivacaine in patients of the pediatric ward of Vicente Corral Moscoso and José Carrasco Arteaga Hospitals. Hemodynamic changes, analgesic efficacy in trans and postoperative, potential adverse effects, quality control pain for 2 and a half hours were measured. Results: The groups were comparable on the variables of age, sex, and weight. Both schemes have demonstrated effective control of pain in the trans and postoperative with (p of 0,50). ). Heart rate in the trans-surgical and the recovery remained in (p 0.63 and 0.94) respectively. Blood pressure did not show a significant difference with (p 0.74 and 0.85) in the trans and postoperative. With respect to side effects, the incidence was similar with (p 0.078). Discussion: The controversy between these two schemes is not given, as it can be clearly seen that the two blocks control efficiently and safely pain, with minimal adverse effects KEY WORDS: HANNALLAH BLOCKING; ARMITAGE BLOCKING; CAUDAL BLOCK; BUPIVACAINE; PEDIATRIC; VICENTE CORRAL MOSCOSO HOSPITAL; JOSE CARRASCO ARTEAGA HOSPITAL; CUENCA.
Nalbufina, bupivacaina, y su combinación para el control del dolor en pacientes sometidos a colecistectomía laparoscópica, Hospital Vicente Corral Moscoso, Cuenca 2010
(2010) Ojeda Orellana, Silvana Magaly; Figueroa Morales, Francisco Efraín; Merchán Bueno, Miguel Oswaldo
Acute pain post-laparoscopic cholecystectomy is complex and different assessment, however the goal of treatment should be to get the comfort of patients undergoing surgical procedures. Objective: To determine the Nalbuphine and Bupivacaine preincisional periportal infiltration efficacy in patients undergoing laparoscopic cholecystectomy. Methodology: A randomized single-blind experimental study was performed, 99 patients are included, which compared the Bupivacaine and Nalbuphine effect with their separate effects in patients undergoing laparoscopic cholecystectomy. Three groups sere formed: A receiving Nalbuphine 10 mg intravenous preincisional, in B group, bupivacaine 0.25% periportal infiltration was administered, and C group (experimental group), receiving the combination 10 mg of Nalbuphine preincisional and bupivacaine periportal infiltration. The pain was assessed by visual analogue scale (VAS) using Nalbuphine as an analgesic supplement. Results: The Nalbuphine group had less pain than the experimental group and especially the buoivacaine group, so the Bupivacaine need more supplementary doses of analgesia (2.88 ± 0.89) on the Nalbuphine ( 1.55 ± 0.71) and experimental group (2.12 ± 0.78). Conclusions: Preemptive analgesia with Nalbuphine obtains better scores in comparison to Nalbuphine and bupivacaine combination. Bupivacaine alone does not have good results on pain control postcholecystectomy laparoscopy, and need more supplementary doses of analgesia Key words: Nalbuphine, Bupivacaine, Laparoscopic cholecystectomy, postoperative pain, patient controlled analgesia

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Browsing Tesis Especializaciones (Ciencias Médicas) by Subject "Bupivacaina"