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Browsing Especializaciones by Subject "Aborto Incompleto"

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    Estudio de la aspiración manual endouterina en el aborto incompleto en el Hospital Vicente Corral Moscoso y elaboración de un autoinstructivo para multimedia
    (2006) Jordán Cevallos, Lorena Fabiola; Monsalve Vela, César Alfonso; Naula Sanay, Sara Elizabeth; Cárdenas Herrera, Oswaldo José
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    Remifentanilo como analgesia complementaria en bloqueo paracervical para aspiración manual endouterina. Hospital Vicente Corral Moscoso. Cuenca, 2013
    (2013) Espinoza Juela, Miguel Ignacio; Pacheco Baculima, Juan Pablo; Morocho Malla, Manuel Ismael
    Objective. To decrease the pain caused by the the Manual Vacuum Aspiration (MVA) in patients undergoing surgery from paracervical block. Methodology. With a blind randomized controlled trial, eighty patients -two groups of forty- were selected for the treatment of incomplete abortion by Manual Vacuum Aspiration in the Department of Gynecology and Obstretrics in Vicente Corral Moscoso Hospital. Group “B” (n=40) underwent the paracervical block procedure. Besides paracervical block treatment, group “A” (n=40) received 1mcg/kg of intravenous remifentanil as an initial dose followed by 0,5mcg/ kg of bolus every four minutes. Pain intensity was measured using the visual analog scale of 10 points, haemodynamic changes and side effects. Results. There is not a significant difference between the study groups related to age (p=0,118), weight (p = 0,522), height (p = 0,114), IMC (p = 0,668), level of education (p = 0,699). The use of remifentanil decreased the pain according to the visual analog scale (VAS) from 7,58 group “B” to 2,98 in group “A” (p = 0,000). There were not significant changes regarding mean arterial pressure and heart rate (p > 0,05). The side effect that showed a significant difference between the groups was the nausea (p = 0,001) which was higher in group “B” Discussion. The use of remifentanil to paracervical block decresaed the VAS pain by 46% with major changes in hemodynamics and with fewer side effects than the control group having nausea (92.3% with p 0.001) KEY WORDS. INCOMPLETE ABORTION, ANALGESIA, INTERMITTENT BOLUS, REMIFENTANIL, PARACERVICAL BLOCK LIDOCAINE, MVA, VAS PAIN