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Revista Cubana de Anestesiología y Reanimación

versão On-line ISSN 1726-6718

Resumo

VASALLO COMENDEIRO, Víctor José; RIVERON ACOSTA, Yunierkis; CABRERA GARACHIPE, Marbelis  e  VASALLO VALDES, Patricia. Postoperative analgesia with fast-acting opioid during videolaparoscopic cholecystectomy. Rev cuba anestesiol reanim [online]. 2019, vol.18, n.3, e500.  Epub 06-Dez-2019. ISSN 1726-6718.

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.

Palavras-chave : pain; fast-acting opioid; Visual Analogous Scale; intranasal fentanyl.

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