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• W251967527 abstract "Introduction: Proper management of pain in the immediate postoperative time in patients taken to laparoscopic cholecystectomy not only influences on patient satisfaction, but also in the decrease of postoperative morbidity and mortality in these patients. Taking into account the well-known syndromes of tolerance and opioid-induced hyperalgesia, intends to determine the impact for the control of pain of a total intravenous anesthesia technique which do not use these drugs (opioids).Objective: Determine the requirements of morphine as analgesic in the first hour of the postoperative period in patients taken to laparoscopic cholecystectomy using two regimens of intravenous anesthesia with remifentanil-propofol vs. dexmedetomidine-propofol-ketamine total.Design: Retrospective descriptive, where and select two groups of study, a group of exposed, patients taken to laparoscopic cholecystectomy with use intravenous anesthetic technique with Propofol - Remifentanil and a group of non-exposed patients taken to laparoscopic cholecystectomy with use of Propofol - Dexmedetomidine - ketamine as anesthesia technique; These groups were followed during his immediate postoperative time up for 1 hour to determine analgesia requirements.Results : In patients undergoing laparoscopic cholecystectomy exposure to the technique of anesthesia with Propofol - Remifentanil is associated with 6 times more pain presenting within 30 minutes of the post-operative laparoscopic cholecystectomy, this conclusion is supported with a RR of 6.3 an IC (3; 11) and a significant p-value. The anesthetic scheme in the non-exposed group where administered Propofol-ketamine-dexmedetomidine becomes a protective factor for the perception of pain at 30 minutes of the post-operative laparoscopic cholecystectomy with a RR:0, 1 CI 0.1, 0.2 and a significant p-value. Within 45 minutes, use of remifentanil is associated with 11 times more that technique with use of dexmedetomidine in the perception of pain is slight in the post-op of cholecystectomy with a RR:11 IC 2.4; 49; in the case of slight pain to moderate not demonstrated Association, became a protective factor with a 0.4 RR CI 0.2; 0,7.Conclusion: These results showed that Propofol-ketamine-dexmedetomidine administration becomes a protective factor for the perception of postoperative pain of laparoscopic cholecystectomy, decreasing the incidence of pain in the first postoperative hour, reducing the requirement for postoperative analgesia measured in milligrams and number of dose, and decreasing the use of propofol in the intraoperative." @default.
• W251967527 created "2016-06-24" @default.
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• W251967527 date "2015-01-22" @default.
• W251967527 modified "2023-09-26" @default.
• W251967527 title "Requerimientos de analgesia postoperatoria utilizándo remifentanil-propofol y propofol-dexmedetomidina-ketamina como técnica de anestesia endovenosa total en pacientes llevados a colecistectomia laparoscópica" @default.
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