<?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>S1028-48182020000501009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bloqueo del nervio dorsal del pene en la analgesia postoperatoria en la cirugía de fimosis. Hospital Pediátrico Hermanos Cordové. Abril 2017-2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Dorsal nerve block of the penis in postoperative analgesia in phimosis surgery. Hermanos Cordové Pediatric Hospital. April 2017-2018]]></article-title>
<article-title xml:lang="pt"><![CDATA[Bloqueio do nervo dorsal do pênis na analgesia pós-operatória em cirurgia de fimose. Hospital Pediátrico Hermanos Cordové. Abril 2017-2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho Véliz.]]></surname>
<given-names><![CDATA[Idalmis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Eng Rodríguez.]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Chávez Díaz.]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Quesada.]]></surname>
<given-names><![CDATA[Susanne Maylen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montero Reyes.]]></surname>
<given-names><![CDATA[María de los Angeles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Pediátrico Hermanos Cordové ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>5</numero>
<fpage>1009</fpage>
<lpage>1021</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182020000501009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182020000501009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182020000501009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  lograr una adecuada analgesia posoperatoria en la cirugía pediátrica se ha convertido en uno de los objetivos más importantes de la anestesia contemporánea, para lo cual se emplean diferentes métodos, entre estos el bloqueo de los nervios sensitivos.  Objetivo: describir los resultados del bloqueo del nervio dorsal del pene para la analgesia posoperatoria de la cirugía de fimosis.  Métodos:  se realizó un estudio descriptivo comparativo prospectivo en el Hospital Pediátrico Hermanos Cordové de la ciudad de Manzanillo en el periodo comprendido desde abril 2017 a 2018. cuyo universo estuvo conformado por 80 pacientes ingresados e intervenidos quirúrgicamente de forma electiva en cirugía de fimosis, divididos aleatoriamente en dos grupos a los cuales se les aplicó la técnica de anestesia general y bloqueo del nervio dorsal del pene y a otro grupo se le aplicó la técnica anestesia general combinada con opioides.  Resultados:  el grupo etáreo que más incidencia de casos tuvo fue el de 4-6 años en el grupo estudio para un 52.5%y en el grupo control de 7-9 años para 47.5%.El promedio de edad en el grupo de estudio fue de 4.77con una DE+_1.95 y en el grupo de control se constató una media de 5.95 con una DE +_ 2.16, no se presentaron complicaciones relacionadas con la técnica y 36 paciente no tuvieron dolor (90%).  Conclusiones: podemos considerar que es una técnica anestésica con mínimas complicaciones, favoreciendo la recuperación anestésica a corto plazo, lo que se refleja en el alta temprana, disminuyendo la estancia hospitalaria y reduce los costos familiares e institucionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Achieving adequate postoperative analgesia in pediatric surgery has become one of the most important objectives of contemporary anesthesia, for which different methods are used, including blocking sensitive nerves.  Objective:  to describe the results of the dorsal nerve blockage of the penis for postoperative analgesia of phymosis surgery.  Methods:  A prospective comparative descriptive study was carried out at the Hermanos Cordové Pediatric Hospital in the city of Manzanillo in the period from April 2017 to 2018. Whose universe consisted of 80 patients entered and surgically surgically surgery electively in phymosis surgery, randomly divided into two groups to which the technique of general anesthesia and blockage of the dorsal nerve of the penis was applied and another group was given the general anesthesia technique combined with opioids.  Results:  the ethereal group that had the highest incidence of cases was the 4-6 year in the study group for 52.5%and in the control group of 7-9 years for 47.5%. The average age in the study group was 4.77 with a DE+_1.95 and the control group found an average of 5.95 with a DE +_ 2.16, no complications related to the technique and 36 patients had no pain (90%).  Conclusions:  we can consider it to be an anesthetic technique with minimal complications, favoring short-term anesthetic recovery, which is reflected in early discharge, reducing hospital stay and reducing family and institutional costs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  obter analgesia pós-operatória adequada em cirurgia pediátrica tornou-se um dos objetivos mais importantes da anestesia contemporânea, para a qual diversos métodos são utilizados, entre eles o bloqueio dos nervos sensoriais.  Objetivo:  descrever os resultados do bloqueio do nervo dorsal peniano para analgesia pós-operatória após cirurgia de fimose.  Método:  estudo descritivo prospectivo comparativo realizado no Hospital Pediátrico Hermanos Cordové da cidade de Manzanillo no período de abril de 2017 a 2018, cujo universo foi constituído por 80 pacientes internados e operados eletivamente em cirurgia de fimose, divididos aleatoriamente em dois grupos aos quais foi aplicada a técnica de anestesia geral e bloqueio do nervo dorsal do pênis e em outro grupo foi aplicada a técnica de anestesia geral combinada com opioides.  Resultados:  a faixa etária com maior incidência de casos foi de 4 a 6 anos no grupo estudo para 52,5% e no grupo controle de 7 a 9 anos para 47,5%. A idade média no grupo de estudo foi 4,77 com DP + _1,95 e no grupo controle foi encontrada uma média de 5,95 com DP + _ 2,16, não houve complicações relacionadas à técnica e 36 pacientes não teve dor (90%).  Conclusões:  podemos considerá-la uma técnica anestésica com complicações mínimas, favorecendo a recuperação anestésica em curto prazo, que se reflete na alta precoce, reduzindo o tempo de internação e reduzindo os custos familiares e institucionais.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pene]]></kwd>
<kwd lng="es"><![CDATA[Fimosis]]></kwd>
<kwd lng="es"><![CDATA[Analgesia]]></kwd>
<kwd lng="es"><![CDATA[Bloqueo nervioso]]></kwd>
<kwd lng="en"><![CDATA[Penis]]></kwd>
<kwd lng="en"><![CDATA[Phimosis]]></kwd>
<kwd lng="en"><![CDATA[Analgesia]]></kwd>
<kwd lng="en"><![CDATA[Nerve block]]></kwd>
<kwd lng="pt"><![CDATA[Pênis]]></kwd>
<kwd lng="pt"><![CDATA[Fimose]]></kwd>
<kwd lng="pt"><![CDATA[Analgesia]]></kwd>
<kwd lng="pt"><![CDATA[Bloqueio nervoso]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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