Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies

The increase in the use of surgical hysteroscopy for the diagnosis and/or treatment of gynecological pathologies leads the anesthesiologist to decide which anesthetic technique presents the best parameters for patient satisfaction, either spinal anesthesia at low doses of local anesthetic plus...

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Detalles Bibliográficos
Autores principales: Santiago, RG, Perotti, M
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
spinal anesthesia
hysteroscopies
ambulatory
CAM
anestesia raquidea
histeroscopias
ambulatorias
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/42801
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-42801
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic spinal anesthesia
hysteroscopies
ambulatory
CAM
anestesia raquidea
histeroscopias
ambulatorias
CAM
spellingShingle spinal anesthesia
hysteroscopies
ambulatory
CAM
anestesia raquidea
histeroscopias
ambulatorias
CAM
Santiago, RG
Perotti, M
Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies
topic_facet spinal anesthesia
hysteroscopies
ambulatory
CAM
anestesia raquidea
histeroscopias
ambulatorias
CAM
author Santiago, RG
Perotti, M
author_facet Santiago, RG
Perotti, M
author_sort Santiago, RG
title Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies
title_short Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies
title_full Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies
title_fullStr Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies
title_full_unstemmed Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies
title_sort comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies
description The increase in the use of surgical hysteroscopy for the diagnosis and/or treatment of gynecological pathologies leads the anesthesiologist to decide which anesthetic technique presents the best parameters for patient satisfaction, either spinal anesthesia at low doses of local anesthetic plus opioid or the CAM (monitored anesthetic control). Aim: To compare the results in analgesia, adverse reactions and recovery from spinal anesthesia vs monitored anesthetic control in surgical hysteroscopies. A retrospective and comparative observational clinical study in therapeutic hysteroscopies from December 2021 to February 2022 was carried out. The expected number of patients was 30 per group aged 18 to 70 years ASA I or II: Group A: Patients who received spinal anesthesia; Group B: Patients under CAM. The Kruskal Wallis or Student's T test was applied in the comparison of means (after application of the Shapiro Wilks normality test) and the chi-square test in the correlation of categorical variables. In all cases, a significance level of less than 0.05 was used. Patients with spinal anesthesia at low doses of local anesthetic plus opioids presented good analgesic quality with few adverse reactions and hemodynamic changes without differences with group B but with a prolonged recovery time in the immediate postoperative period significantly compared to CAM, increasing the stay in care post operative. Likewise, group B required a significantly higher number of morphine rescues in the postoperative period but maintaining similar analgesia between both groups. The analysis of the results of this study show that both anesthetic techniques are equally effective for ambulatory hysteroscopies in the operating room, with the spinal anesthesia group presenting a longer recovery.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/42801
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AT santiagorg estudiocomparativodeanestesiaraquideavscontrolanestesicomonitorizadoenhisteroscopias
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first_indexed 2024-09-03T21:05:01Z
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spelling I10-R327-article-428012023-10-19T21:19:07Z Comparative study of spinal anesthesia vs monitored anesthetic control in hysteroscopies Estudio comparativo de anestesia raquídea vs control anestésico monitorizado en histeroscopias Santiago, RG Perotti, M spinal anesthesia hysteroscopies ambulatory CAM anestesia raquidea histeroscopias ambulatorias CAM The increase in the use of surgical hysteroscopy for the diagnosis and/or treatment of gynecological pathologies leads the anesthesiologist to decide which anesthetic technique presents the best parameters for patient satisfaction, either spinal anesthesia at low doses of local anesthetic plus opioid or the CAM (monitored anesthetic control). Aim: To compare the results in analgesia, adverse reactions and recovery from spinal anesthesia vs monitored anesthetic control in surgical hysteroscopies. A retrospective and comparative observational clinical study in therapeutic hysteroscopies from December 2021 to February 2022 was carried out. The expected number of patients was 30 per group aged 18 to 70 years ASA I or II: Group A: Patients who received spinal anesthesia; Group B: Patients under CAM. The Kruskal Wallis or Student's T test was applied in the comparison of means (after application of the Shapiro Wilks normality test) and the chi-square test in the correlation of categorical variables. In all cases, a significance level of less than 0.05 was used. Patients with spinal anesthesia at low doses of local anesthetic plus opioids presented good analgesic quality with few adverse reactions and hemodynamic changes without differences with group B but with a prolonged recovery time in the immediate postoperative period significantly compared to CAM, increasing the stay in care post operative. Likewise, group B required a significantly higher number of morphine rescues in the postoperative period but maintaining similar analgesia between both groups. The analysis of the results of this study show that both anesthetic techniques are equally effective for ambulatory hysteroscopies in the operating room, with the spinal anesthesia group presenting a longer recovery. El aumento en la utilización de la histeroscopia quirúrgica para el diagnostico y/o tratamiento de patología ginecológica,  lleva al anestesiólogo a decidir que técnica anestésica presenta mejores parámetros para la satisfacción del paciente, ya sea  anestesia raquídea a dosis bajas de anestésico local mas opiáceo o el CAM (control anestésico monitorizado). Objetivo: Comparar los resultados en analgesia, reacciones adversas y recuperacion de la anestesia raquídea vs control anestésico monitorizado en histeroscopias quirúrgicas. Se llevó a cabo un estudio clinico observacional retrospectivo y comparativo en histeroscopias terapeuticas en periodo diciembre 2021 a febrero 2022. La cantidad prevista de pacientes fue de 30 por grupo en edades  de 18 a 70 años ASA I o II: Grupo A: Pacientes que recibieron anestesia raquídea; Grupo B: Pacientes bajo CAM. Se aplicó  test de Kruskal Wallis o T de Student en la comparación de medias( previa aplicación de test de normalidad de Shapiro Wilks) y test de chi-cuadrado en la correlación de variables categóricas. En todos los casos se utilizo un  nivel de significancia menor 0.05. Pacientes con anestesia raquídea a bajas dosis de anestésico local mas opiáceos presentaron buena calidad analgésica con escasas reacciones adversas y cambios hemodinámicos sin diferencias con grupo B pero con un tiempo de recuperación prolongado en el post operatorio inmediato significativamente en comparación con CAM aumentando la estadía en cuidados post operatorios. Asimismo, el grupo B requirió significativamente mayor numero de rescates de morfina en el postoperatorio pero conservando analgesia simil entre ambos grupos. El análisis de los resultados del presente estudio muestran que ambas técnicas anestésicas son igual de efectivas para las histeroscopias ambulatorias en quirófano presentando el grupo de anestesia raquídea recuperación más prolongada. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42801 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42801/42828 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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