%0 Journal Article
%T Analgesia multimodal postoperatoria en cirug¨ªa ginecol¨®gica y obst¨¦trica urgente
%A Vasallo Comendeiro
%A V¨ªctor Jos¨¦
%A Arjona Fonseca
%A Susel
%J Revista Cubana de Anestesiolog£¿-a y Reanimaci£¿3n
%D 2011
%I Scientific Electronic Library Online
%X introduction: the pain after surgery is frequent and in urgent gynecological and obstetrics processes it appears in a persistent way. objective: to assess the effectiveness of postoperative multimodal analgesia using opioids and non-steroid anti-inflammatory drugs in gynecological and obstetric surgery. methodological design: an analytical and observational of prospective cohort study was conducted in 50 patients operated on due to gynecological and obstetric emergency, which were divided in a study group of 25 tramadol/diclofenac patients and another including 25 pethidine/dipyrone patients as control at the "luis d¨ªaz soto" military central hospital between january, 2008 and january, 2010 to assess the postoperative pain level, the course after surgery and the associated adverse effects. results: the mean age was of 23 years and the more frequent diagnosis was the ectopic pregnancy (21 cases). although they had a similar analgesia in immediate postoperative period (p= 0,061), in time it was better combined with tramadol/diclofenac (p = 0,00) than with pethydine and dipyrone. the course after surgery was better in a similar group with earlier mobilization and a better cooperation with health staff all this with scarce adverse effects. conclusions: the combination of tramadol and sodium diclofenac offered a better analgesia after surgical procedure in study patients being a therapeutic alternative to take into account.
%K multimodal analgesia
%K gynecological and obstetric emergences
%K tramadol
%K pethydine
%K dipyrone
%K sodium diclofenac.
%U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1726-67182011000300005&lng=en&nrm=iso&tlng=en