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Vol. 27. Issue 8.
Pages 342-345 (November - December 1991)
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Vol. 27. Issue 8.
Pages 342-345 (November - December 1991)
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Tratamiento del dolor postoracotomía mediante crioanalgesia intercostal intraoperatoria: estudio prospectivo en 80 casos
Treatment of posthoracotomy pain by means of intraoperative intercostal cryoanalgesia: prospective study in 80 cases
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J. Zapatero Gaviria, R. Peñalver Pascual, L. Madrigal Royo, B. Baschwitz Gómez, M. Córdoba Pelaez, J. Candelas Barrios
Servicios de Cirugía Torácica. Hospital Ramón y Cajal. Madrid
R. González Durán**, A. Golpe Gómez*
* Servicios de Neumología. Hospital Ramón y Cajal. Madrid
** Servicios de Unidad del Dolor. Hospital Ramón y Cajal. Madrid
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La toracotomía posterolateral representa una de las incisiones quirúrgicas más dolorosas, lo cual conlleva toda una serie de complicaciones importantes. La analgesia idónea continúa siendo un tema controvertido hoy en día, presentando los autores un estudio prospectivo de 80 casos basados en la crioanalgesia intercostal.

Esta técnica resultó efectiva en el 88,75% de la serie (71/ 80), consiguiendo una disminución significativa (p < 0,007) en el consumo de analgésicos no opiáceos. El estudio de la función pulmonar mostraba un incremento de los valores de FVC, FEV1 y PaO2 (p:ns). La incidencia de complicaciones postoperatorias fue más reducida (p < 0,05) al conseguirse una movilización más precoz y más efectiva del hemitórax operado, lo cual se acompaña de una mejor colaboración en la fisioterapia.

Posterolateral thoracotomy is one of the most painful surgical incisions which leads to important complications. The ideal type of anesthesia has not yet been established. The authors report a prospective study in 80 patients who underwent intercostal cryoanalgesia. This technique was considered effective in 71 out of 80 patients (88.75%) since it significantly reduced (p < 0.007) the need for nonopiate analgesics. The study of pulmonary function revealed an increase in FVC, FEV1, and PAO2 (p:NS). Intercostal cryoanalgesia allowed a prompt and effective physical mobilization of the corresponding hemithorax. This ensured a good collaboration of the patient during physiotherapy and this, in turn, lead to a significant (p < 0.05) reduction in postoperative complications.

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Copyright © 1991. Sociedad Española de Neumología y Cirugía Torácica
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