دورية أكاديمية
ROUX-IN-Y GASTROJEJUNAL BYPASS: WHICH ANESTHETIC TECHNIQUE HAS BEST RESULTS?
| العنوان: | ROUX-IN-Y GASTROJEJUNAL BYPASS: WHICH ANESTHETIC TECHNIQUE HAS BEST RESULTS? |
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| المؤلفون: | Ruzzon A; Postgraduate Program in Principles of Surgery, Mackenzie Evangelical College of Paraná/Medical Research Institute, Curitiba, PR, Brazil.; Rocio Hospital, Campo Largo, PR, Brazil., Nassif PAN; Postgraduate Program in Principles of Surgery, Mackenzie Evangelical College of Paraná/Medical Research Institute, Curitiba, PR, Brazil.; Rocio Hospital, Campo Largo, PR, Brazil., Prigol L; Rocio Hospital, Campo Largo, PR, Brazil., Buzo L, Wendler G; Rocio Hospital, Campo Largo, PR, Brazil., Wendler E, Wendler IBT, Ruzzon I; Rocio Hospital, Campo Largo, PR, Brazil., Goveia CHM, Gonçalves LAP |
| المصدر: | Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2021 May 14; Vol. 34 (1), pp. e1530. Date of Electronic Publication: 2021 May 14. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Colégio Brasileiro de Cirurgia Digestiva Country of Publication: Brazil NLM ID: 9100283 Publication Model: Electronic Cited Medium: Internet ISSN: 2317-6326 (Electronic) Linking ISSN: 01026720 NLM ISO Abbreviation: Arq Bras Cir Dig Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: São Paulo, Brasil : Colégio Brasileiro de Cirurgia Digestiva Original Publication: São Paulo, Brasil : Disciplina de Cirurgia do Aparelho Digestivo do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, |
| مواضيع طبية MeSH: | Analgesia, Epidural*, Anesthetics, Local ; Double-Blind Method ; Humans ; Morphine ; Pain, Postoperative/drug therapy ; Pain, Postoperative/prevention & control ; Ropivacaine |
| مستخلص: | Background: Nausea and vomiting groups x moments. As the number of bariatric operations increases, there is a greater interest in knowledge, experience and skills in the operative and anesthetic management of obese people. Anesthetic recovery is an important point in the therapeutic approach and less adverse effects delaying discharge of these patients are necessary to be kept in mind by the surgical team. Aim: To compare anesthetic-analgesic techniques in the opioid-sparing era through epidural administration of local anesthetic associated with low-dose morphine vs. clonidine and analyze the impact of analgesia on the effectiveness of postoperative recovery by comparing these two techniques. Methods: Randomized, double-blind clinical trial with 66 patients candidates for Roux-en-Y gastrojejunal bypass divided into two groups: morphine group and clonidine group. Multimodal analgesia included epidural anesthesia with 0.375% ropivacaine 20 ml at the eighth thoracic vertebra with the association of morphine (morphine group) at a dose of 15 mcg / kg or clonidine (clonidine group) at a dose of 1 mcg / kg. Results: The groups were homogeneous and statistical significance was found when analyzing the difference in pain between them in the first postoperative period. The pain was higher in the clonidine group, as in this period, analgesic rescue was also better in this group. In the other times, there was no significance in the differences regarding pain and rescue. The return of intestinal motility in the morphine group was earlier in the first postoperative period. Nausea, vomiting and hospital discharge did not show significant differences between groups. Conclusion: Epidural anesthesia with low-dose morphine allowed less pain during the entire hospital stay, with a positive impact on patient recovery. |
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| المشرفين على المادة: | 0 (Anesthetics, Local) 76I7G6D29C (Morphine) 7IO5LYA57N (Ropivacaine) |
| تواريخ الأحداث: | Date Created: 20210519 Date Completed: 20210520 Latest Revision: 20210522 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC8121063 |
| DOI: | 10.1590/0102-672020200002e1530 |
| PMID: | 34008703 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2317-6326 |
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| DOI: | 10.1590/0102-672020200002e1530 |