¿Qué adyuvante es mejor en la anestesia regional: sufentanyl o fentanyl en cirugía ortopédica de miembros inferiores?
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| Title: | ¿Qué adyuvante es mejor en la anestesia regional: sufentanyl o fentanyl en cirugía ortopédica de miembros inferiores? |
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| Authors: | Oriol-López, Salomé Alejandra1, Hernández-Bernal, Clara E.1, Rodríguez-Rosales, Asael2 |
| Source: | Revista Mexicana de Anestesiología. abr-jun2013, Vol. 36 Issue 2, p85-92. 8p. 4 Charts, 3 Graphs. |
| Subjects: | OPIOIDS, ANESTHESIA research, ANESTHETICS, PHARMACODYNAMICS, EPIDURAL analgesia, LIDOCAINE, BENZODIAZEPINES, CONDUCTION anesthesia |
| Abstract (English): | The use of epidural opioid in regional anesthesia is occasional, which leads to the use of rescue doses of epidural anesthetic and intravenous drugs to sedate the patient. Numerous studies have compared the efficacy of sufentanyl against fentanyl via epidural in obstetric and postoperative analgesia, the first being five times more potent (epidural dose 21 µg); however, there are no significant differences. Methodology: Compare the anesthesia with lidocaine and sufentanyl (20 µg) contrasted with lidocaine + fentanyl (50 µg) in 70 patients for lower limbs surgery (orthopedics), measuring the amount of local anesthetic, opioid, benzodiazepines, atropine, ephedrine, as well as heart rate, systolic blood pressure, diastolic and mean, the Bromage and diffusion level obtained. Results: Hemodynamic stability is similar in both groups, the differences were found in the use of subsequent local anesthetic, number of doses, epidural opioid, benzodiazepines and intravenous opioid, even when sufentanyl's dose is less than the reported as useful in this way. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | En anestesia regional se utiliza poco el opioide por vía epidural, lo que conlleva el empleo de dosis de rescate de anestésico epidural y fármacos endovenosos para sedar al paciente. Numerosos estudios han comparado la efi cacia del sufentanyl contra fentanyl por vía epidural en analgesia obstétrica y postoperatoria, siendo cinco veces más potente el primero (dosis epidural 21 µg); no obstante, no hay diferencias significativas. Metodología: Se comparó la anestesia obtenida con lidocaína + sufentanyl (20 µg) contrastada con lidocaína + fentanyl (50 µg) en 70 pacientes para cirugía de miembros inferiores (ortopedia), midiéndose la cantidad de anestésico, opioide, benzodiacepinas, atropina, efedrina, así como la frecuencia cardíaca, presiones arteriales sistólica, diastólica y media, el Bromage y nivel de difusión obtenido. Resultados: La estabilidad hemodinámica es similar en ambos grupos; las diferencias se encontraron en el uso del anestésico local subsecuente, número de dosis, de opioide epidural, así como de benzodiacepinas y opioide endovenoso, aun cuando la dosis de sufentanyl es menor a la reportada como útil por esta vía. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 91533975 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: ¿Qué adyuvante es mejor en la anestesia regional: sufentanyl o fentanyl en cirugía ortopédica de miembros inferiores? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Oriol-López%2C+Salomé+Alejandra%22">Oriol-López, Salomé Alejandra</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hernández-Bernal%2C+Clara+E%2E%22">Hernández-Bernal, Clara E.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Rodríguez-Rosales%2C+Asael%22">Rodríguez-Rosales, Asael</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Mexicana+de+Anestesiología%22">Revista Mexicana de Anestesiología</searchLink>. abr-jun2013, Vol. 36 Issue 2, p85-92. 8p. 4 Charts, 3 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22OPIOIDS%22">OPIOIDS</searchLink><br /><searchLink fieldCode="DE" term="%22ANESTHESIA+research%22">ANESTHESIA research</searchLink><br /><searchLink fieldCode="DE" term="%22ANESTHETICS%22">ANESTHETICS</searchLink><br /><searchLink fieldCode="DE" term="%22PHARMACODYNAMICS%22">PHARMACODYNAMICS</searchLink><br /><searchLink fieldCode="DE" term="%22EPIDURAL+analgesia%22">EPIDURAL analgesia</searchLink><br /><searchLink fieldCode="DE" term="%22LIDOCAINE%22">LIDOCAINE</searchLink><br /><searchLink fieldCode="DE" term="%22BENZODIAZEPINES%22">BENZODIAZEPINES</searchLink><br /><searchLink fieldCode="DE" term="%22CONDUCTION+anesthesia%22">CONDUCTION anesthesia</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: The use of epidural opioid in regional anesthesia is occasional, which leads to the use of rescue doses of epidural anesthetic and intravenous drugs to sedate the patient. Numerous studies have compared the efficacy of sufentanyl against fentanyl via epidural in obstetric and postoperative analgesia, the first being five times more potent (epidural dose 21 µg); however, there are no significant differences. Methodology: Compare the anesthesia with lidocaine and sufentanyl (20 µg) contrasted with lidocaine + fentanyl (50 µg) in 70 patients for lower limbs surgery (orthopedics), measuring the amount of local anesthetic, opioid, benzodiazepines, atropine, ephedrine, as well as heart rate, systolic blood pressure, diastolic and mean, the Bromage and diffusion level obtained. Results: Hemodynamic stability is similar in both groups, the differences were found in the use of subsequent local anesthetic, number of doses, epidural opioid, benzodiazepines and intravenous opioid, even when sufentanyl's dose is less than the reported as useful in this way. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: En anestesia regional se utiliza poco el opioide por vía epidural, lo que conlleva el empleo de dosis de rescate de anestésico epidural y fármacos endovenosos para sedar al paciente. Numerosos estudios han comparado la efi cacia del sufentanyl contra fentanyl por vía epidural en analgesia obstétrica y postoperatoria, siendo cinco veces más potente el primero (dosis epidural 21 µg); no obstante, no hay diferencias significativas. Metodología: Se comparó la anestesia obtenida con lidocaína + sufentanyl (20 µg) contrastada con lidocaína + fentanyl (50 µg) en 70 pacientes para cirugía de miembros inferiores (ortopedia), midiéndose la cantidad de anestésico, opioide, benzodiacepinas, atropina, efedrina, así como la frecuencia cardíaca, presiones arteriales sistólica, diastólica y media, el Bromage y nivel de difusión obtenido. Resultados: La estabilidad hemodinámica es similar en ambos grupos; las diferencias se encontraron en el uso del anestésico local subsecuente, número de dosis, de opioide epidural, así como de benzodiacepinas y opioide endovenoso, aun cuando la dosis de sufentanyl es menor a la reportada como útil por esta vía. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=91533975 |
| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 8 StartPage: 85 Subjects: – SubjectFull: OPIOIDS Type: general – SubjectFull: ANESTHESIA research Type: general – SubjectFull: ANESTHETICS Type: general – SubjectFull: PHARMACODYNAMICS Type: general – SubjectFull: EPIDURAL analgesia Type: general – SubjectFull: LIDOCAINE Type: general – SubjectFull: BENZODIAZEPINES Type: general – SubjectFull: CONDUCTION anesthesia Type: general Titles: – TitleFull: ¿Qué adyuvante es mejor en la anestesia regional: sufentanyl o fentanyl en cirugía ortopédica de miembros inferiores? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Oriol-López, Salomé Alejandra – PersonEntity: Name: NameFull: Hernández-Bernal, Clara E. – PersonEntity: Name: NameFull: Rodríguez-Rosales, Asael IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: abr-jun2013 Type: published Y: 2013 Identifiers: – Type: issn-print Value: 04847903 Numbering: – Type: volume Value: 36 – Type: issue Value: 2 Titles: – TitleFull: Revista Mexicana de Anestesiología Type: main |
| ResultId | 1 |
