Analgesia multimodal postoperatoria en cirugía ortognática

Abstract

Objectives: To evaluate postoperative analgesia effi cacy in undergoing orthognathic surgery patients. Material and methods: Prospective, randomized and observational study of 30 patients undergoing orthognathic surgery at the Rio University Hospital, Cuenca, Ecuador, in the period from July to September 2012 with patients aged between 17 and 40 years old. The protocol was performed as follows: general anesthesia, settling in trans-surgery ketorolac (0.9 mg/kg/dose) dexamethasone (0.1 mg/kg/ dose) ondansetron (0.1 mg/kg/dose) tranexamic acid 10 mg/kg/dose. Infi ltrated through the surgery team lidocaine with 1:200,000 epinephrine to 2% in the maxilla and mandible. We measured the intensity of postoperative pain through verbal analog scale (VAS). Results: The results in pain relief assessed by VAS in postoperative is under 3/10 points. Conclusions: We found adequate control of postoperative pain in our patients without requiring additional opioid drugs.