%0 Journal Article
%T Efectos de la bupivaca¨ªna al 0,1 % en anestesia espinal hipob¨¢rica para cirug¨ªa anorrectal Effects of bupivacaine 0.1 % in hypobaric spinal anesthesia for anorectal surgery
%A Joel Echaz¨¢bal Mart¨ªnez
%A Edwin Garc¨ªa Garc¨ªa
%A Mar¨ªa Esther Raola S¨¢nchez
%A Jorge Rosa D¨ªaz
%J Revista Cubana de Medicina Militar
%D 2007
%I ECIMED
%X La anestesia subaracnoidea hipob¨¢rica es un m¨¦todo regional para cirug¨ªa anorrectal. Con el objetivo de describir los efectos de la bupivaca¨ªna al 0,1 % con este proceder, se estudiaron 50 pacientes programados en el Hospital Militar Central "Dr. Carlos J. Finlay". Se analizaron las variables siguientes: nivel anest¨¦sico, grado de bloqueo motor, calidad, duraci¨®n de la analgesia y complicaciones. Se alcanz¨® un nivel anest¨¦sico bajo (T12) en 45 de los pacientes (90,0 %), con preservaci¨®n de la actividad motora en 46 de estos (92,0 %). La calidad de la analgesia quir¨²rgica fue buena en la totalidad de los pacientes y el tiempo de analgesia posoperatoria promedio fue de 331,2 min. Se presentaron complicaciones en 7 casos (14 %); result¨® la m¨¢s frecuente, la retenci¨®n urinaria. La anestesia hipob¨¢rica con bupivaca¨ªna al 0,1 % es un m¨¦todo eficaz para la anestesia en cirug¨ªa anorrectal. The subarachnoidal hypobaric anesthesia is a regional method for anorectal surgery. In order to describe the effects of bupivacaine 0.1 % with this procedure, 50 patients scheduled in "Dr. Carlos J. Finlay" Military Central Hospital were studied. The following variables were studied: anesthesic level, motor blockage degree, quality, duration of analgesia and complications. A low anesthesic level (T12) was attained on 45 of the patients (90 %), with preservation of the motor activity in 46 of them (92.0 %). The quality of surgical analgesia was good in all the patients, and the average time of postoperative analgesia was 331.2 min. Complications were reported in 7 cases (14 %), and urinary retention was the most common. Hypobaric anesthesia with bupivacine 0.1 % is an efficient method for anesthesia in anorectal surgery.
%K Anestesia subaracnoidea hipob¨¢rica
%K bupivaca¨ªna
%K cirug¨ªa anorrectal
%K Subarachnoidal hypobaric anesthesia
%K bupivacaine
%K anorectal surgery
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572007000400005