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

Abstract

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.