Anestesia raquidea vs anestesia general en pacientes pediátricos sometidos a cirugías de abdomen inferior, región anoperineal, genital y de miembros inferiores en el Hospital Isidro Ayora Loja, periodo 2013.

The present investigation corresponds to a clinical, prospective design that aims to meet and establish a differential analysis between spinal anesthesia and anesthesia general in pediatric patients undergoing lower abdomen region anoperineal, genital surgeries and of limbs in the Hospital Isidro Ayora Loja. El objective was to assess stability hemodynamics, intraoperative anesthetic conditions and immediate postoperative analgesia. This included 60 patients, divided into two groups each of 30 children, who met criteria for the inclusion of the surgeries. With the permission of the parent for the procedure, obtained in the pre-anesthesia visit. As a result, is evidencio there hemodynamic stability, valued with average average Arterial pressure and cardiac frequency average, both general anesthesia and spinal anesthesia, being better in patients with spinal anesthesia. Under general anesthesia, 37% had complications, of which 17% respiratory depression, coughing and vomiting in 7%, headache and nausea 3%; While only 10% of patients with spinal anestestesia, being the more frequent pain at the site of puncture headache and 7% 3%. Analgesia valued with the scale of FLACC used in children younger than 4 years, 100% not presented pain in spinal anesthesia to 45% difference in procedures under general anesthesia; on the other hand rating with the visual analog scale (VAS) applied to children older than 4 years, 53% of patients with general anesthesia did not give pain and spinal anesthesia with 100% of patients did not show pain. It is concluded that the two types of anesthesia provide adequate security to the pediatric patient, but spinal anesthesia, has fewer hemodynamic changes and provides better analgesia that general anesthesia.

• Главный автор: Martínez Espinosa, Byron Eduardo (author)
• Формат: masterThesis
• Язык: spa
• Опубликовано: 2014
• Предметы: ANESTESIA PEDIÁTRICA; ANESTESIAS
• Online-ссылка: http://dspace.unl.edu.ec/jspui/handle/123456789/18928