<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182019000100022</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Analgesia post operatoria con morfina intratecal en cirugía proctológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Post-operative analgesia with intrathecal morphine in proctologic surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tarancón Serrano]]></surname>
<given-names><![CDATA[Israel Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrer Fernández]]></surname>
<given-names><![CDATA[Angélica María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Docente Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>22</fpage>
<lpage>33</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182019000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182019000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182019000100022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el dolor postoperatorio es la queja más frecuente de los pacientes que han sufrido una intervención quirúrgica, no es el resultado &#8220;obligado&#8221; de una intervención, sino de una insuficiente analgesia; cuando se asume este por los anestesiólogos de forma estable y estructurada, el uso de los analgésicos y anestésicos locales es más racional y eficaz, no sólo por mayor conocimiento de los mismos, sino porque se incrementan las vías de administración más efectivas.  Objetivo:  determinar los beneficios del uso de la morfina intratecal en los pacientes quirúrgicos de proctología.  Método:  se realizó un estudio observacional, descriptivo longitudinal, retrospectivo, en el periodo comprendido del 1ro de enero al 30 de junio 2017. La muestra quedó constituida por 50 pacientes portadores de afecciones ano rectales, a las cuales se les aplico anestesia regional con morfina intratecal. Se excluyeron pacientes con patologías dolorosas crónicas, hipersensibilidad conocida al medicamento y/o anestésicos locales y contraindicaciones para la anestesia espinal. Los datos se procesaron por números y porcientos.  Resultados:  predominaron en el estudio los pacientes con edades de 31-40 años, (46%), el sexo masculino; (58%), los efectos adversos comunes fueron el prurito,(20%), y nausea /vómitos; (8%).  Conclusiones:  se logró buena analgesia con prolongación de hasta 20 horas en la mayoría de los pacientes con muy baja frecuencia de efectos adversos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  postoperative pain is the most frequent complaint of patients who have undergone surgery, it is not the "forced" result of an intervention, but of an insufficient analgesia; When this is assumed by anesthesiologists in a stable and structured way, the use of local anesthetics and analgesics is more rational and effective, not only because of greater knowledge of them, but also because the most effective administration routes are increased.  Objective:  to determine the benefits of the use of intrathecal morphine in surgical proctology patients.  Method:  an observational, descriptive, longitudinal, retrospective study was carried out in the period from January 1 to June 30, 2017. The sample consisted of 50 patients with anus rectal affections, to whom regional morphine anesthesia was applied. intrathecal We excluded patients with chronic painful pathologies, known hypersensitivity to the medication and / or local anesthetics and contraindications for spinal anesthesia. The data was processed by numbers and percents.  Results:  patients aged 31-40 years (46%), male sex, predominated in the study; (58%), the common adverse effects were pruritus, (20%), and nausea / vomiting; (8%).  Conclusions:  good analgesia was achieved with prolongation of up to 20 hours in the majority of patients with very low frequency of adverse effects.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Analgesia]]></kwd>
<kwd lng="es"><![CDATA[Morfina]]></kwd>
<kwd lng="es"><![CDATA[Inyecciones Espinales]]></kwd>
<kwd lng="es"><![CDATA[Dolor Posoperatorio]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Posoperatorios]]></kwd>
<kwd lng="es"><![CDATA[Cirugía Colorrectal]]></kwd>
<kwd lng="en"><![CDATA[Analgesia]]></kwd>
<kwd lng="en"><![CDATA[Morphine]]></kwd>
<kwd lng="en"><![CDATA[Spinal Injections]]></kwd>
<kwd lng="en"><![CDATA[Postoperative Pain]]></kwd>
<kwd lng="en"><![CDATA[Postoperative Care]]></kwd>
<kwd lng="en"><![CDATA[Colorectal Surgery]]></kwd>
</kwd-group>
</article-meta>
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