Analgesia epidural frente a analgesia endovenosa en cirugía ginecológica oncológica
Chen LM, Weinberg VK, Chen C, Powell CB, Chen LL, Chan JK, et al. Perioperative outcomes comparing patient controlled epidural versus intravenous analgesia in gynecologic oncology surgery. Gynecol Oncol 2009; 115: 357-61.
DOI:
https://doi.org/10.30445/rear.v2i8.524Keywords:
analgesia epidural, Anestesia general, dolor, epidural, partoAbstract
La cirugía ginecológica oncológica se asocia a dolor moderado-severo en el postoperatorio, así como a potenciales complicaciones como la pérdida sanguínea, eventos tromboembólicos e íleo paralítico, que incrementan la estancia hospitalaria.
La analgesia epidural ha demostrado ser efectiva en el control del dolor tras cirugía mayor abdominal, sin embargo existen múltiples controversias con respecto a la combinación óptima de fármacos a emplear, el nivel neuroaxial en el que situar el catéter o su repercusión en el postoperatorio de la cirugía oncológica ginecológica.
References
1.- Chen LM, Weinberg VK, Chen C, Powell CB, Chen LL, Chan JK, et al. Perioperative outcomes comparing patient controlled epidural versus intravenous analgesia in gynecologic oncology surgery. Gynecol Oncol 2009; 115: 357-61.
2.- Liang Y, Wang S, Gu M. Should epidural analgesia be dismissed in gynecologic oncology surgery? Gynecol Oncol 2010. [Epub ahead of print]
3.- Ferguson SE, Malhotra T, Seshan VE, Levine DA, Sonoda Y, Chi DS, Barakat RR, Abu-Rustum NR. A prospective randomized trial comparing patient-controlled epidural analgesia to patient-controlled intravenous analgesia on postoperative pain control and recovery after major open gynecologic cancer surgery. Gynecol Oncol 2009; 114: 111-6.
4.- Blythe JG, Hodel KA, Wahl TM, Miller RN, Mayfield WR, Schneider SL. Continuous postoperative epidural analgesia for gynecologic oncology patients. Gynecol Oncol 1990; 37: 307-10.
5.- Wattwil M, Thorén T, Hennerdal S, Garvill JE. Epidural analgesia with bupivacaine reduces postoperative paralytic ileus after hysterectomy. Anesth Analg. 1989; 68: 353-8.
2.- Liang Y, Wang S, Gu M. Should epidural analgesia be dismissed in gynecologic oncology surgery? Gynecol Oncol 2010. [Epub ahead of print]
3.- Ferguson SE, Malhotra T, Seshan VE, Levine DA, Sonoda Y, Chi DS, Barakat RR, Abu-Rustum NR. A prospective randomized trial comparing patient-controlled epidural analgesia to patient-controlled intravenous analgesia on postoperative pain control and recovery after major open gynecologic cancer surgery. Gynecol Oncol 2009; 114: 111-6.
4.- Blythe JG, Hodel KA, Wahl TM, Miller RN, Mayfield WR, Schneider SL. Continuous postoperative epidural analgesia for gynecologic oncology patients. Gynecol Oncol 1990; 37: 307-10.
5.- Wattwil M, Thorén T, Hennerdal S, Garvill JE. Epidural analgesia with bupivacaine reduces postoperative paralytic ileus after hysterectomy. Anesth Analg. 1989; 68: 353-8.
Published
2010-08-31
How to Cite
Gómez Ríos, M. Ángel. (2010). Analgesia epidural frente a analgesia endovenosa en cirugía ginecológica oncológica: Chen LM, Weinberg VK, Chen C, Powell CB, Chen LL, Chan JK, et al. Perioperative outcomes comparing patient controlled epidural versus intravenous analgesia in gynecologic oncology surgery. Gynecol Oncol 2009; 115: 357-61. Revista Electrónica AnestesiaR, 2(8), 1. https://doi.org/10.30445/rear.v2i8.524
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Critical reviews of articles
Revista Electrónica AnestesiaR by 