Postoperative analgesia with fast-acting opioid during videolaparoscopic cholecystectomy

Authors

  • Víctor José Vasallo Comendeiro HMC Dr.Luis Diaz Soto. La Habana.
  • Yunierkis Riveron Acosta HMC Dr.Luis Diaz Soto. La Habana.
  • Marbelis Cabrera Garachipe HMC Dr.Luis Diaz Soto. La Habana.
  • Patricia Vasallo Valdés HMC Dr.Luis Diaz Soto. La Habana.

Keywords:

pain, fast-acting opioid, Visual Analogous Scale, intranasal fentanyl

Abstract

Introduction: Videolaparoscopic surgery has benefits for patients. Interventions with reduced times involve anesthetic techniques adjusted to them, which determines many difficulties when pain manifests in the care practice. The finding of patients with immediate postoperative pain motivated the study.
Objective: To evaluate the effectiveness of a fast-acting opioid as an immediate postoperative analgesic administered by intranasal way.
Method: A quasiexperimental study was developed, with two groups of patients (100 each) who underwent laparoscopic cholecystectomy at "Dr. Luis Díaz Soto" Central Military Hospital. The hundred patients under study were administered fentanyl 50 mcg as intranasal drops upon arriving at the postoperative care room. The study variables included pain according to the Visual Analogue Scale (VAS), the onset time of opioid action, and the analgesia achieved, as well as the effects derived from its use.
Results: The average age was 51 ± 2, the male sex predominated with 55 % of the cases, an average VAS of all the initial cases was evidenced in three. At discharge, 100 % of the patients in the study group had excellent analgesia (VAS 2), whereas the controls had an average VAS in 5. Pruritus was the most frequent adverse event after the administration of intranasal fentanyl.
Conclusions: The use of a fast-acting opioid (fentanyl) is an excellent and safe postoperative pain control measure.

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Author Biography

Víctor José Vasallo Comendeiro, HMC Dr.Luis Diaz Soto. La Habana.

Medico Anestesiologo, Doctor en Ciencias Medicas, Especialista de 2do Grado en Anestesiologia y Reanimacion, Profesor Asistente, Investigador Auxiliar.

 

 

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Published

2019-03-17

How to Cite

1.
Vasallo Comendeiro VJ, Riveron Acosta Y, Cabrera Garachipe M, Vasallo Valdés P. Postoperative analgesia with fast-acting opioid during videolaparoscopic cholecystectomy. Rev Cub Anest Rean [Internet]. 2019 Mar. 17 [cited 2024 Dec. 26];18(3). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/500

Issue

Vol. 18 No. 3 (2019): september - december

Section

Original articles

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