Efectividad y seguridad entre sevoflurano y propofol en la sedación para tomografía en pacientes pediátricos
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Date
2025-01-10
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Universidad Nacional de Trujillo
Abstract
Comparar la efectividad y seguridad entre el sevoflurano y el propofol en la sedación de pacientes pediátricos para tomografía.
Métodos: Estudio de cohorte prospectivo en pacientes pediátricos en los que se realizó tomografías bajo sedación en el Hospital de Alta Complejidad “Virgen de la Puerta” de Trujillo en el año 2023. Se incluyeron 28 pacientes que recibieron propofol y 28 sevoflurano. Se evaluó el tiempo de inducción, tiempo de despertar, tiempo de recuperación, requerimiento de dosis adicional y los parámetros hemodinámicos durante y después del procedimiento.
Resultados: Ambos grupos tuvieron características clínicas basales similares. El tiempo de inducción fue significativamente menor para quienes recibieron propofol en comparación de quienes recibieron sevoflurano. El tiempo de despertar, el tiempo de recuperación y el requerimiento de dosis adicional del hipnótico fueron similares para ambos grupos. Los parámetros hemodinámicos no mostraron diferencias significativas durante y después del procedimiento entre los grupos, a excepción de la frecuencia cardiaca que fue significativamente mayor en el grupo de propofol durante el procedimiento.
Conclusión: La efectividad y la seguridad de la anestesia con propofol y sevoflurano fue similar en pacientes pediátricos sometidos a tomografía.
Palabras clave: Propofol; Sevoflurano; Anestesia Pediátrica; Tomografía
Abstract To compare the effectiveness and safety between sevoflurane and propofol in the sedation of pediatric patients for tomography. Methods: Prospective cohort study in pediatric patients who underwent tomography under sedation at the Hospital de Alta Complejidad “Virgen de la Puerta” of Trujillo in the year 2023. Twenty-eight patients who received propofol and 28 sevoflurane were included. Induction time, awakening time, recovery time, additional dose requirement and hemodynamic parameters during and after the procedure were evaluated. Results: Both groups had similar baseline clinical characteristics. Induction time was significantly shorter for those who received propofol compared to those who received sevoflurane. Awakening time, recovery time and requirement of additional hypnotic dose were similar for both groups. Hemodynamic parameters showed no significant differences during and after the procedure between the groups, except for heart rate which was significantly higher in the propofol group during the procedure. Conclusion: The effectiveness and safety of propofol and sevoflurane anesthesia was similar in pediatric patients undergoing tomography.
Abstract To compare the effectiveness and safety between sevoflurane and propofol in the sedation of pediatric patients for tomography. Methods: Prospective cohort study in pediatric patients who underwent tomography under sedation at the Hospital de Alta Complejidad “Virgen de la Puerta” of Trujillo in the year 2023. Twenty-eight patients who received propofol and 28 sevoflurane were included. Induction time, awakening time, recovery time, additional dose requirement and hemodynamic parameters during and after the procedure were evaluated. Results: Both groups had similar baseline clinical characteristics. Induction time was significantly shorter for those who received propofol compared to those who received sevoflurane. Awakening time, recovery time and requirement of additional hypnotic dose were similar for both groups. Hemodynamic parameters showed no significant differences during and after the procedure between the groups, except for heart rate which was significantly higher in the propofol group during the procedure. Conclusion: The effectiveness and safety of propofol and sevoflurane anesthesia was similar in pediatric patients undergoing tomography.
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Keywords
Propofol, Sevoflurano, Anestesia Pediátrica, Tomografía