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Anestesia intravenosa total: Propofol/remifentanil vs. midazolam/remifentanil en cirugía torácica / Total intravenous anesthesia: propofol/remifentanil vs midazolam/remifentanil in thoracic surgery
Falcón Guerra, Miriam; Orizondo Pajón, Sergio A; Alonso Valdés, Jorge A; Nicolau Cruz, Isis.
  • Falcón Guerra, Miriam; Hospital Docente Clínico Quirúrgico Dr. "Salvador Allende. La Habana. CU
  • Orizondo Pajón, Sergio A; Hospital Docente Clínico Quirúrgico Dr. "Salvador Allende. La Habana. CU
  • Alonso Valdés, Jorge A; Hospital Docente Clínico Quirúrgico Dr. "Salvador Allende. La Habana. CU
  • Nicolau Cruz, Isis; Hospital Docente Clínico Quirúrgico Dr. "Salvador Allende. La Habana. CU
Rev. cuba. anestesiol. reanim ; 19(1): e560, ene.-abr. 2020. tab
Article in Spanish | CUMED, LILACS | ID: biblio-1093126
RESUMEN

Introducción:

Las técnicas de administración de anestesia en cirugía torácica han experimentado gran evolución y mayor fundamento científico. La anestesia intravenosa total basada en la analgesia favorece a que el período perioperatorio transcurra sin dolor y la recuperación sin complicaciones.

Objetivo:

Comparar la efectividad y seguridad de dos técnicas de anestesia intravenosa total en cirugía torácica electiva con remifentanilo como base analgésica.

Métodos:

Estudio causiexperimental, prospectivo realizado en el Hospital Docente Clínico Quirúrgico Dr. Salvador Allende, en el período comprendido entre enero de 2013 a enero de 2015, en 45 pacientes, programados para cirugía torácica electiva, divididos en dos grupos según hipnótico utilizado. Grupo A Propofol/Remifentanil y Grupo B Midazolam/Remifentanil. Se evaluaron variables hemodinámicas en diferentes momentos del período intraoperatorio. Variables de oxigenación (PaO2 y SaO2) durante la ventilación unipulmonar y los tiempos de recuperación anestésica.

Resultados:

Predominaron los pacientes mayores de 60 años en los dos grupos, con estado físico ASA III. No hubo diferencias en la oxigenación arterial entre los grupos. Hubo disminución de la tensión arterial sistólica en el grupo A sin diferencias significativas. La recuperación de la anestesia fue significativamente más demorada en el grupo B.

Conclusiones:

La técnica de anestesia intravenosa total con remifentanil como base analgésica asociado a propofol resultó segura y efectiva en pacientes operados de cirugía torácica(AU)
ABSTRACT

Introduction:

Anesthesia administration techniques in thoracic surgery have undergone great evolution and greater scientific foundation. Total intravenous anesthesia based on analgesia favors the perioperative period without pain and recovery without complications.

Objective:

To compare the effectiveness and safety of two techniques of total intravenous anesthesia in elective thoracic surgery with remifentanil as an analgesic base.

Methods:

Prospective and causiexperimental study carried out at Dr. Salvador Allende Clinical-Surgical Teaching Hospital, in the period from January 2013 to January 2015, with 45 patients scheduled for elective thoracic surgery, who were divided into two groups according to the hypnotic drug used. Group A propofol/remifentanil, and group B midazolam/remifentanil. Hemodynamic variables were evaluated at different times during the intraoperative period. Oxygenation variables (PaO2 and SaO2) during unipulmonary ventilation and anesthetic recovery times.

Results:

Patients older than 60 years predominated in the two groups, with a physical status of ASA III. There were no differences in arterial oxygenation between the groups. There was a decrease in systolic blood pressure in group A without significant differences. The recovery of anesthesia was significantly more delayed in group B.

Conclusions:

The total intravenous anesthesia technique with remifentanil as an analgesic base associated with propofol was safe and effective in patients undergoing thoracic surgery(AU)
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Thoracic Surgery / Midazolam / Propofol / Anesthesia, Intravenous Type of study: Observational study / Risk factors Limits: Aged / Female / Humans / Male Language: Spanish Journal: Rev. cuba. anestesiol. reanim Journal subject: Anesthesiology Year: 2020 Type: Article Affiliation country: Cuba Institution/Affiliation country: Hospital Docente Clínico Quirúrgico Dr. "Salvador Allende/CU

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Full text: Available Index: LILACS (Americas) Main subject: Thoracic Surgery / Midazolam / Propofol / Anesthesia, Intravenous Type of study: Observational study / Risk factors Limits: Aged / Female / Humans / Male Language: Spanish Journal: Rev. cuba. anestesiol. reanim Journal subject: Anesthesiology Year: 2020 Type: Article Affiliation country: Cuba Institution/Affiliation country: Hospital Docente Clínico Quirúrgico Dr. "Salvador Allende/CU