Factores de riesgo asociados a omalgia en colecistectomía laparoscópica
| dc.contributor.advisor | Sánchez Medina, Alan Gonzalo | |
| dc.contributor.author | Sánchez Paredes Cristhian Leonardo | |
| dc.contributor.author | Soriano Hernández Albert Andrés | |
| dc.date.accessioned | 2025-01-17T19:30:17Z | |
| dc.date.available | 2025-01-17T19:30:17Z | |
| dc.date.issued | 2025-01-15 | |
| dc.description.abstract | La colecistectomía laparoscópica es una cirugía común, la anestesia general es de elección, la anestesia raquídea ha ganado popularidad por sus ventajas. Sin embargo, presenta desafíos como la omalgia intraoperatoria, que afecta la comodidad del paciente y la eficiencia quirúrgica. Este estudio pretende identificar los factores de riesgo para la omalgia intraoperatoria METODOS Casos y controles propectivo RESULTADOS Casos(21)/Controles(84). 105 pacientes. Se encontraron diferencias significativas en: uso de analgésicos crónicos y presencia de dolor crónico preoperatorio como factores de riesgo. La bupivacaína isobárica demostró ser un factor protector, al igual que niveles anestésicos altos (T4 o superiores) y la ketamina, pero no el fentanilo, Sedantes como el propofol fueron identificados como factores de riesgo para la omalgia. La presión del neumoperitoneo no mostró asociación significativa con la omalgia intraoperatoria. El análisis de regresión binaria destacó la importancia de la clasificación del nivel anestésico, la baricidad, el opioide intratecal, la ketamina, el midazolam y el dolor crónico como variables esenciales del modelo predictivo. CONCLUSIONES Los factores de riesgo son baricidad del anestésico local (bupivacaina hiperbárica), uso crónico de analgésicos, dolor crónico, bloqueo sensitivo bajo y el uso de Propofol. Los factores protectores son el uso de ketamina y bloqueo sensitivo alto. Palabras clave: Dolor de hombro, colecistectomía laparoscópica, anestesia raquídea, factores de riesgo, factores protectores. | |
| dc.description.tableofcontents | Abstract Laparoscopic cholecystectomy is a common surgery, general anesthesia is the choice, spinal anesthesia has gained popularity due to its advantages. However, it presents challenges such as intraoperative omalgia, which affects patient comfort and surgical efficiency. This study aims to identify risk factors for intraoperative omalgia METHODS Cases and controls prospective RESULTS Cases(21)/Controls(84). 105 patients. Significant differences were found in: use of chronic analgesics and presence of chronic preoperative pain as risk factors. Isobaric bupivacaine was shown to be a protective factor, as were high anesthetic levels (T4 or higher) and ketamine, but not fentanyl. Sedatives such as propofol were identified as risk factors for omalgia. Pneumoperitoneum pressure did not show a significant association with intraoperative omalgia. Binary regression analysis highlighted the importance of classification of anesthetic level, baricity, intrathecal opioid, ketamine, midazolam, and chronic pain as essential variables of the predictive model. CONCLUSIONS The risk factors are baricity of the local anesthetic (hyperbaric bupivacaine), chronic use of analgesics, chronic pain, low sensory blockade and the use of Propofol. Protective factors are the use of ketamine and high sensory blockade. | |
| dc.format | application/pdf | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14414/23213 | |
| dc.language.iso | spa | |
| dc.publisher | Universidad Nacional de Trujillo | |
| dc.publisher.country | PE | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Dolor de Hombro | |
| dc.subject | Colecistectomía Laparoscópica | |
| dc.subject | Anestesia Raquídea | |
| dc.subject | Factores de Riesgo | |
| dc.subject | Factores Protectores | |
| dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.00.00 | |
| dc.title | Factores de riesgo asociados a omalgia en colecistectomía laparoscópica | |
| dc.type | info:eu-repo/semantics/bachelorThesis | |
| dc.type.version | info:eu-repo/semantics/updatedVersion | |
| renati.advisor.dni | 40466979 | |
| renati.advisor.orcid | https://orcid.org/0000-0001-7534-3655 | |
| renati.author.dni | 72481194 | |
| renati.author.dni | 71301531 | |
| renati.discipline | 912016 | |
| renati.juror | Salazar Briceño, Luis | |
| renati.juror | García Gutiérrez, Edwin Leonardo | |
| renati.level | https://purl.org/pe-repo/renati/level#tituloProfesional | |
| renati.type | https://purl.org/pe-repo/renati/type#tesis | |
| thesis.degree.discipline | Medicina | |
| thesis.degree.grantor | Universidad Nacional de Trujillo.Facultad de Medicina | |
| thesis.degree.name | Médico Cirujano |