Tramadol comparado con dexametasona en la profilaxis de temblor postoperatorio en pacientes sometidos a anestesia raquídea en el hospital belén de Trujillo, durante el periodo de julio a diciembre 2022
No Thumbnail Available
Date
2022-08-25
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Nacional de Trujillo
Abstract
El temblor postoperatorio es un síndrome que involucra contracciones oscilatorias involuntarias de los músculos esqueléticos, es un efecto secundario común y desafiante de la anestesia y la modulación de la temperatura dirigida; son una respuesta fisiológica a la exposición al frío y el siguiente paso del cuerpo en la conservación del calor después de la vasoconstricción periférica1. Este fenómeno es una ocurrencia común se ha descrito una incidencia del 5% al 65% en anestesia general y del 30% al 33% en epidural2, suele ser una complicación que habitualmente se diagnostica con poca frecuencia, sin embargo es responsable de un considerable componente de morbilidad dependiendo del grado de severidad de esta complicación, en este sentido resulta pertinente evaluar aquellas estrategias farmacológicas que puedan tener algún efecto protector en la aparición de temblor postoperatorio y que formen parte de los medicamentos que se apliquen de manera rutinaria en los pacientes expuestos a anestesia regional, en este sentido existe evidencia de la utilidad del tramadol y de la dexametasona aplicados por vía intravenosa en cuanto a su capacidad para mitigar la aparición de este efecto adverso, es por ello que nos proponemos comparar el efecto de ambas exposiciones.
El temblor postoperatorio es una actividad muscular oscilatoria involuntaria durante la recuperación temprana después de la anestesia, se definen como la fasciculación de la cara, la mandíbula, la cabeza o la hiperactividad muscular que dura un periodo mayor a 15 segundos3.
Abstract Postoperative tremor is a syndrome involving involuntary oscillatory contractions of skeletal muscles, it is a common and challenging side effect of anesthesia and targeted temperature modulation; they are a physiological response to exposure to cold and the body's next step in conserving heat after peripheral vasoconstriction. This phenomenon is a common occurrence; an incidence of 5% to 65% has been described in general anesthesia and 30% to 33% in epidural, it is usually a complication that is usually diagnosed infrequently, however it is responsible for a considerable component of morbidity depending on the degree of severity of this complication, in this sense it is pertinent to evaluate those pharmacological strategies that may have some protective effect on the appearance of postoperative tremor and that are part of the medications that are applied routinely in patients exposed to regional anesthesia, in this sense there is evidence of the usefulness of tramadol and dexamethasone applied intravenously in terms of their ability to mitigate the appearance of this adverse effect, which is why we propose to compare the effect of both exposures. Postoperative tremor is an involuntary oscillatory muscle activity during early recovery after anesthesia, defined as fasciculation of the face, jaw, head or muscle hyperactivity that lasts for a period greater than 15 seconds.
Abstract Postoperative tremor is a syndrome involving involuntary oscillatory contractions of skeletal muscles, it is a common and challenging side effect of anesthesia and targeted temperature modulation; they are a physiological response to exposure to cold and the body's next step in conserving heat after peripheral vasoconstriction. This phenomenon is a common occurrence; an incidence of 5% to 65% has been described in general anesthesia and 30% to 33% in epidural, it is usually a complication that is usually diagnosed infrequently, however it is responsible for a considerable component of morbidity depending on the degree of severity of this complication, in this sense it is pertinent to evaluate those pharmacological strategies that may have some protective effect on the appearance of postoperative tremor and that are part of the medications that are applied routinely in patients exposed to regional anesthesia, in this sense there is evidence of the usefulness of tramadol and dexamethasone applied intravenously in terms of their ability to mitigate the appearance of this adverse effect, which is why we propose to compare the effect of both exposures. Postoperative tremor is an involuntary oscillatory muscle activity during early recovery after anesthesia, defined as fasciculation of the face, jaw, head or muscle hyperactivity that lasts for a period greater than 15 seconds.
Description
Keywords
Temblor postoperatorio, Anestesia raquídea, Hipotermia, Dolor, Actividad muscular