Dolor postoracotomia: criocoagulacion o/y neurotripsia versus infiltracion intercostal o/y analgesia general
Post-thoracotomy pain, cryocoagulation and/or neurotrypsy versus intercostal infiltration and/or general analgesia
F. Sebastián Quetglás, D. Luna Sabaté, C. Hernández Ortiz, F. Romay Díez, N. Mújica Atorrasagasti, P. Teller Justes
Servicios de Cirugía Torácica de Neumología. Hospital N.a S.a de Aránzazu San Sebastián
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Hernández Ortiz, F. Romay Díez, N. Mújica Atorrasagasti, P. Teller Justes" "autores" => array:6 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Sebastián Quetglás" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Luna Sabaté" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Hernández Ortiz" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Romay Díez" ] 4 => array:2 [ "nombre" => "N." "apellidos" => "Mújica Atorrasagasti" ] 5 => array:2 [ "nombre" => "P." "apellidos" => "Teller Justes" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Cirugía Torácica de Neumología. Hospital N.a S.a de Aránzazu San Sebastián" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Post-thoracotomy pain, cryocoagulation and/or neurotrypsy versus intercostal infiltration and/or general analgesia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1987-12-02" "fechaAceptado" => "1988-02-22" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos un estudio comparativo entre dos grupos de enfermos intervenidos quirúrgicamente mediante toracotomía posterolateral clásica, para los que se utilizaron técnicas de control del dolor postoperatorio diferentes: infiltración intercostal con analgésicos locales y analgesia general pautada para (40) enfermos que constituyen el grupo <span class="elsevierStyleSmallCaps">I</span>, y criocoagulación (CC) intercostal y neurotripsia (NT) para 37 enfermos, que constituyen el grupo <span class="elsevierStyleSmallCaps">II</span>.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Del conjunto de los resultados, merece destacarse que se obtuvieron diferencias estadísticamente significativas en cuanto a la dosis media analgésica facultativa utilizada entre los enfermos grupo <span class="elsevierStyleSmallCaps">I</span> (20,36 amp.) y grupo <span class="elsevierStyleSmallCaps">II</span> (4,6 amp.); en las citaciones referentes al dolor recogidas en la hoja de enfermería, siendo de 3 veces como citación media en el grupo <span class="elsevierStyleSmallCaps">I</span> frente a 0,4 veces en el grupo <span class="elsevierStyleSmallCaps">II</span>; asimismo, fuera del hospital, a los 40 días, 72% de enfermos del grupo <span class="elsevierStyleSmallCaps">I</span> había precisado algún analgésico esporádicamente frente a un 11% de enfermos del grupo <span class="elsevierStyleSmallCaps">II</span>.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Del análisis de nuestros resultados, los enfermos tratados con CC y NT obtienen mejor y más duradera analgesia por un método menos tóxico y peligroso.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Whe present a comparative study between two groups of patients who underwent classical posterolateral thoracotomy and in whom we employed different procedures in order to ameliorate the postoperative pain. The patients were classified into two groups: group 1, consisted of 40 patients who received intercostal infiltration with local analgesic agents and ruled general analgesia, and group 2, consisting of 37 patients, who received intercostal cryocoagulation and underwent neurotripsy.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">With respect to the mean dose of the facultative employed analgesic agents, group 1 patients required 20.36 amp. and group 2 patients, 4.6 amp.; the difference was statistically significant; with respect to the quotations on the nurse's record, group 1 patients had a mean of three quotations and group 2 patients, a mean of 0.4 quotations. Forty days after dismissal, 72% of group 1 patients sporadically required some analgesic agents versus 11% of group 2 patients.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude that patients submitted to intercostal cryoagulation and neurotripsy do achieve a better quality and more durable analgesia by means of a lesser toxic and hazardous procedure.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Postoperative pain: its use in the comparative evaluation of analgesics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Papper" 1 => "B.B. Brodie" 2 => "E.A. 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Fascianella" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1986" "volumen" => "90" "paginaInicial" => "64" "paginaFinal" => "67" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3720387" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Técnica de la criocoagulación de los nervios intercostales para la analgesia postoracotomía" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Herreros" 1 => "R. Arcas" 2 => "R. Llorens" 3 => "R. Martínez Villa" 4 => "L. Ponz" 5 => "F. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 6 | 7 |
| 2024 October | 48 | 23 | 71 |
| 2024 September | 52 | 28 | 80 |
| 2024 August | 59 | 50 | 109 |
| 2024 July | 34 | 25 | 59 |
| 2024 June | 60 | 30 | 90 |
| 2024 May | 58 | 33 | 91 |
| 2024 April | 37 | 21 | 58 |
| 2024 March | 42 | 23 | 65 |
| 2024 February | 34 | 31 | 65 |
| 2024 January | 0 | 1 | 1 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 4 | 4 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 20 | 20 |
| 2023 March | 4 | 3 | 7 |
| 2023 February | 17 | 20 | 37 |
| 2023 January | 18 | 23 | 41 |
| 2022 December | 21 | 24 | 45 |
| 2022 November | 29 | 14 | 43 |
| 2022 October | 21 | 31 | 52 |
| 2022 September | 28 | 12 | 40 |
| 2022 August | 24 | 34 | 58 |
| 2022 July | 28 | 27 | 55 |
| 2022 June | 26 | 28 | 54 |
| 2022 May | 24 | 28 | 52 |
| 2022 April | 29 | 18 | 47 |
| 2022 March | 38 | 22 | 60 |
| 2022 February | 25 | 28 | 53 |
| 2022 January | 23 | 29 | 52 |
| 2021 December | 17 | 26 | 43 |
| 2021 November | 21 | 29 | 50 |
| 2021 October | 25 | 35 | 60 |
| 2021 September | 25 | 36 | 61 |
| 2021 August | 17 | 18 | 35 |
| 2021 July | 13 | 29 | 42 |
| 2021 June | 13 | 22 | 35 |
| 2021 May | 16 | 49 | 65 |
| 2021 April | 31 | 40 | 71 |
| 2021 March | 48 | 17 | 65 |
| 2021 February | 55 | 14 | 69 |
| 2021 January | 19 | 13 | 32 |
| 2020 December | 20 | 13 | 33 |
| 2020 November | 27 | 11 | 38 |
| 2020 October | 17 | 24 | 41 |
| 2020 September | 11 | 16 | 27 |
| 2020 August | 33 | 9 | 42 |
| 2020 July | 33 | 12 | 45 |
| 2020 June | 15 | 11 | 26 |
| 2020 May | 29 | 16 | 45 |
| 2020 April | 29 | 9 | 38 |
| 2020 March | 24 | 20 | 44 |
| 2020 February | 16 | 19 | 35 |
| 2020 January | 41 | 19 | 60 |
| 2019 December | 48 | 42 | 90 |
| 2019 November | 34 | 26 | 60 |
| 2019 October | 47 | 40 | 87 |
| 2019 September | 32 | 26 | 58 |
| 2019 August | 22 | 20 | 42 |
| 2019 July | 24 | 24 | 48 |
| 2019 June | 12 | 30 | 42 |
| 2019 May | 21 | 30 | 51 |
| 2019 April | 31 | 17 | 48 |
| 2019 March | 12 | 18 | 30 |
| 2019 February | 4 | 8 | 12 |
| 2019 January | 7 | 7 | 14 |
| 2018 December | 11 | 12 | 23 |
| 2018 November | 13 | 9 | 22 |
| 2018 October | 26 | 11 | 37 |
| 2018 September | 15 | 5 | 20 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 10 | 6 | 16 |
| 2018 March | 12 | 4 | 16 |
| 2018 February | 8 | 9 | 17 |
| 2018 January | 6 | 6 | 12 |
| 2017 December | 7 | 13 | 20 |
| 2017 November | 10 | 8 | 18 |
| 2017 October | 10 | 16 | 26 |
| 2017 September | 8 | 8 | 16 |
| 2017 August | 8 | 18 | 26 |
| 2017 July | 7 | 16 | 23 |
| 2017 June | 12 | 14 | 26 |
| 2017 May | 12 | 16 | 28 |
| 2017 April | 12 | 6 | 18 |
| 2017 March | 28 | 10 | 38 |
| 2017 February | 5 | 11 | 16 |
| 2017 January | 3 | 4 | 7 |
| 2016 December | 11 | 8 | 19 |
| 2016 November | 23 | 19 | 42 |
| 2016 October | 28 | 28 | 56 |
| 2016 September | 39 | 23 | 62 |
| 2016 August | 19 | 3 | 22 |
| 2016 July | 29 | 4 | 33 |
| 2016 June | 28 | 9 | 37 |
| 2016 May | 30 | 4 | 34 |
| 2016 April | 20 | 0 | 20 |
| 2016 March | 30 | 1 | 31 |
| 2016 February | 25 | 0 | 25 |
| 2016 January | 25 | 7 | 32 |
| 2015 December | 24 | 14 | 38 |
| 2015 November | 37 | 5 | 42 |
| 2015 October | 6 | 3 | 9 |
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