Interpleural analgesia with Morphine and Bupivacaine in pneumothorax
Introduction:interpleural block offers postoperative analgesia with significant results in surgical interventions. Objective:to evaluate the benefits of interpleural block with 0.5 % Bupivacaine and Morphine by means of interpleural catheter in patients operated on pneumothorax pain relief. Method...
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| Format: | Article |
| Language: | English |
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Universidad de Ciencias Médicas de Pinar del Río
2019-01-01
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| Series: | Universidad Médica Pinareña |
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| Online Access: | http://revgaleno.sld.cu/index.php/ump/article/view/323 |
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| author | Marcos Osuna Ramos Alejandro Muñoz García Adrián Alejandro Vitón-Castillo Celia Fundora-González Ana Lourdes Martínez Zamora |
| author_facet | Marcos Osuna Ramos Alejandro Muñoz García Adrián Alejandro Vitón-Castillo Celia Fundora-González Ana Lourdes Martínez Zamora |
| author_sort | Marcos Osuna Ramos |
| collection | DOAJ |
| description | Introduction:interpleural block offers postoperative analgesia with significant results in surgical interventions.
Objective:to evaluate the benefits of interpleural block with 0.5 % Bupivacaine and Morphine by means of interpleural catheter in patients operated on pneumothorax pain relief.
Method:an observational, analytical study of cases and controls was carried out in patients undergoing emergency surgery for pneumothorax at Abel Santamaria Cuadrado general teaching hospital, from January to October 2018. The patients were randomized 1:1 (20 cases / 20 controls).
Results:a predominance of patients over 65 years of age was found. Pulmonary emphysema predominated (40 % in the case group / 50 % in the controls). ASA II patients predominated. No significant variations were found in the hemodynamic parameters or their association with the type of analgesia (p> 0,05). It was found that the quality of analgesia evaluated and the type of analgesia applied showed a significant relationship (p = 0,0001). In the case group, nausea (0,5 %) and hypotension (0,5 %) predominated; and in controls the tachycardia (75 %).
Conclusions:the administration of Bupivacaine and Morphine using interpleural catheter in patients operated on pneumothorax presented good results with few complications, stable hemodynamic parameters and satisfactory postoperative analgesia. |
| first_indexed | 2024-03-12T05:42:19Z |
| format | Article |
| id | doaj.art-3d223bc0605c43bfa38b9c0255b41db2 |
| institution | Directory Open Access Journal |
| issn | 1990-7990 |
| language | English |
| last_indexed | 2024-03-12T05:42:19Z |
| publishDate | 2019-01-01 |
| publisher | Universidad de Ciencias Médicas de Pinar del Río |
| record_format | Article |
| series | Universidad Médica Pinareña |
| spelling | doaj.art-3d223bc0605c43bfa38b9c0255b41db22023-09-03T05:55:12ZengUniversidad de Ciencias Médicas de Pinar del RíoUniversidad Médica Pinareña1990-79902019-01-011516675323Interpleural analgesia with Morphine and Bupivacaine in pneumothoraxMarcos Osuna Ramos0Alejandro Muñoz García1Adrián Alejandro Vitón-Castillo2Celia Fundora-González3Ana Lourdes Martínez Zamora4Universidad de Ciencias Médicas de Pinar del Rio. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna"Universidad de Ciencias Médicas de Pinar del Rio. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna"Universidad de Ciencias Médicas de Pinar del Rio. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna"Universidad de Ciencias Médicas de Pinar del Rio. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna"Universidad de Ciencias Médicas de Pinar del Rio. Hospital Provincial General Abel Santamaría Cuadrado.Introduction:interpleural block offers postoperative analgesia with significant results in surgical interventions. Objective:to evaluate the benefits of interpleural block with 0.5 % Bupivacaine and Morphine by means of interpleural catheter in patients operated on pneumothorax pain relief. Method:an observational, analytical study of cases and controls was carried out in patients undergoing emergency surgery for pneumothorax at Abel Santamaria Cuadrado general teaching hospital, from January to October 2018. The patients were randomized 1:1 (20 cases / 20 controls). Results:a predominance of patients over 65 years of age was found. Pulmonary emphysema predominated (40 % in the case group / 50 % in the controls). ASA II patients predominated. No significant variations were found in the hemodynamic parameters or their association with the type of analgesia (p> 0,05). It was found that the quality of analgesia evaluated and the type of analgesia applied showed a significant relationship (p = 0,0001). In the case group, nausea (0,5 %) and hypotension (0,5 %) predominated; and in controls the tachycardia (75 %). Conclusions:the administration of Bupivacaine and Morphine using interpleural catheter in patients operated on pneumothorax presented good results with few complications, stable hemodynamic parameters and satisfactory postoperative analgesia.http://revgaleno.sld.cu/index.php/ump/article/view/323analgesiadolor posoperatoriomorfinabupivacainacirugía torácicaanestesia localanti-bacterial agentspain, postoperativemorphinebupivacainethoracic surgeryanesthesia, local |
| spellingShingle | Marcos Osuna Ramos Alejandro Muñoz García Adrián Alejandro Vitón-Castillo Celia Fundora-González Ana Lourdes Martínez Zamora Interpleural analgesia with Morphine and Bupivacaine in pneumothorax Universidad Médica Pinareña analgesia dolor posoperatorio morfina bupivacaina cirugía torácica anestesia local anti-bacterial agents pain, postoperative morphine bupivacaine thoracic surgery anesthesia, local |
| title | Interpleural analgesia with Morphine and Bupivacaine in pneumothorax |
| title_full | Interpleural analgesia with Morphine and Bupivacaine in pneumothorax |
| title_fullStr | Interpleural analgesia with Morphine and Bupivacaine in pneumothorax |
| title_full_unstemmed | Interpleural analgesia with Morphine and Bupivacaine in pneumothorax |
| title_short | Interpleural analgesia with Morphine and Bupivacaine in pneumothorax |
| title_sort | interpleural analgesia with morphine and bupivacaine in pneumothorax |
| topic | analgesia dolor posoperatorio morfina bupivacaina cirugía torácica anestesia local anti-bacterial agents pain, postoperative morphine bupivacaine thoracic surgery anesthesia, local |
| url | http://revgaleno.sld.cu/index.php/ump/article/view/323 |
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