Abstract

ROSA DIAZ, Jorge; ECHAZABAL MARTINEZ, Joel  and  NAVARRETE ZUAZO, Víctor. Multimodal analgesia for postoperative pain in patients undergoing emergency appendectomy. Rev Cub Med Mil [online]. 2012, vol.41, n.3, pp.262-270. ISSN 0138-6557.

Introduction: acute pain is common among patients with disorders requiring emergency surgery, and its relief is one of the greatest challenges in such circumstances. Multimodal postoperative pain relief therapy has proven to be more effective than the use of a single analgesic. Objective: compare the use of multimodal analgesia with analgesic monotherapy for the management of postoperative pain in patients undergoing emergency appendectomy. Methods: a comparative study was conducted of 40 patients randomly distributed into two groups, each composed of 20 patients. After the induction of analgesia, patients in Group I received intravenous dipyrone, and those in Group II additionally received tramadol and ketamine. The following parameters were observed: quality of analgesia, need of rescue analgesia, complications and adverse effects. Results: pain intensity was lower in Group II. Rescue analgesia was required only in Group I. The adverse effects were nausea, vomiting and dizziness in Group I. No complications occurred in the study groups. Conclusions: multimodal analgesia is more effective than analgesic monotherapy as a method to control postoperative pain in patients undergoing emergency appendectomy.

Keywords : analgesia; multimodal; preventive; pain; postoperative.

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