Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata

Esta investigación evalúa la eficacia de la infiltración de anestésicos locales durante la cirugía de próstata abierta para mejorar el control del dolor postoperatorio. Se realizó un estudio prospectivo con 89 pacientes, mostrando que aquellos sometidos a prostatectomía simple reportaron un mayor do...

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Autores:
Diaz Rueda, Hernán Darío
Tipo de recurso:
Fecha de publicación:
2025
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/28521
Acceso en línea:
http://hdl.handle.net/20.500.12749/28521
Palabra clave:
Medical sciences
Health sciences
Urology
Medicine
Local anesthetic
Open prostatectomy
Postoperative pain
Analgesics
Postoperative pain
Surgery
Pain (Treatment)
Surgery (Complications)
Urología
Medicina
Ciencias médicas
Analgésicos
Dolor postoperatorio
Cirugía
Dolor (Tratamiento)
Cirugía (Complicaciones)
Ciencias de la salud
Anestésico local
Prostatectomía abierta
Dolor postoperatorio
Rights
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UNAB2_9f690e1095470054a18f969de864cd01
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repository_id_str
dc.title.spa.fl_str_mv Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
dc.title.translated.spa.fl_str_mv Comparison of the efficacy of usual vs analgesic management usual analgesic management plus anesthetic infiltration local muscular plane in the immediate postoperative period of the open prostate surgery
title Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
spellingShingle Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
Medical sciences
Health sciences
Urology
Medicine
Local anesthetic
Open prostatectomy
Postoperative pain
Analgesics
Postoperative pain
Surgery
Pain (Treatment)
Surgery (Complications)
Urología
Medicina
Ciencias médicas
Analgésicos
Dolor postoperatorio
Cirugía
Dolor (Tratamiento)
Cirugía (Complicaciones)
Ciencias de la salud
Anestésico local
Prostatectomía abierta
Dolor postoperatorio
title_short Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
title_full Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
title_fullStr Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
title_full_unstemmed Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
title_sort Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstata
dc.creator.fl_str_mv Diaz Rueda, Hernán Darío
dc.contributor.advisor.none.fl_str_mv Villareal Trujillo, Nicolás
Camacho López, Paul Anthony
dc.contributor.author.none.fl_str_mv Diaz Rueda, Hernán Darío
dc.contributor.cvlac.spa.fl_str_mv Villareal Trujillo, Nicolás [0001691724]
Camacho López, Paul Anthony [0000323578]
dc.contributor.googlescholar.spa.fl_str_mv Camacho López, Paul Anthony [es&oi=ao]
dc.contributor.orcid.spa.fl_str_mv Díaz Rueda, Hernán Darío [0009-0001-5578-9454]
Villareal Trujillo, Nicolás [0000-0002-5974-8035]
Camacho López, Paul Anthony [0000-0002-6233-9582]
dc.contributor.apolounab.spa.fl_str_mv Camacho López, Paul Anthony [paul-anthony-camacho-lópez]
dc.subject.keywords.spa.fl_str_mv Medical sciences
Health sciences
Urology
Medicine
Local anesthetic
Open prostatectomy
Postoperative pain
Analgesics
Postoperative pain
Surgery
Pain (Treatment)
Surgery (Complications)
topic Medical sciences
Health sciences
Urology
Medicine
Local anesthetic
Open prostatectomy
Postoperative pain
Analgesics
Postoperative pain
Surgery
Pain (Treatment)
Surgery (Complications)
Urología
Medicina
Ciencias médicas
Analgésicos
Dolor postoperatorio
Cirugía
Dolor (Tratamiento)
Cirugía (Complicaciones)
Ciencias de la salud
Anestésico local
Prostatectomía abierta
Dolor postoperatorio
dc.subject.lemb.spa.fl_str_mv Urología
Medicina
Ciencias médicas
Analgésicos
Dolor postoperatorio
Cirugía
Dolor (Tratamiento)
Cirugía (Complicaciones)
dc.subject.proposal.spa.fl_str_mv Ciencias de la salud
Anestésico local
Prostatectomía abierta
Dolor postoperatorio
description Esta investigación evalúa la eficacia de la infiltración de anestésicos locales durante la cirugía de próstata abierta para mejorar el control del dolor postoperatorio. Se realizó un estudio prospectivo con 89 pacientes, mostrando que aquellos sometidos a prostatectomía simple reportaron un mayor dolor en las primeras horas postoperatorias en comparación con los de prostatectomía radical, aunque no se observaron diferencias significativas en el uso de analgésicos de rescate. A pesar de los resultados que sugieren beneficios en la reducción del dolor, las limitaciones del estudio, especialmente la falta de un grupo control con placebo, impiden generalizar las conclusiones. Se concluye que la infiltración de anestésicos locales es un procedimiento seguro y efectivo, aunque se requieren estudios más controlados para validar estos hallazgos.
publishDate 2025
dc.date.accessioned.none.fl_str_mv 2025-02-28T14:56:20Z
dc.date.available.none.fl_str_mv 2025-02-28T14:56:20Z
dc.date.issued.none.fl_str_mv 2025-02-27
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv Tesis
dc.type.hasversion.none.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12749/28521
dc.identifier.instname.spa.fl_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
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identifier_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
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dc.language.iso.spa.fl_str_mv spa
language spa
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dc.publisher.faculty.spa.fl_str_mv Facultad Ciencias de la Salud
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spelling Villareal Trujillo, Nicolás8a33b550-49d6-4be2-b6cc-6713feedfdf0Camacho López, Paul Anthonye46d0c19-2faf-4964-80c2-bc6b94bb4127Diaz Rueda, Hernán Daríob71a4e82-fc00-4f21-908b-eb6c94bdf021Villareal Trujillo, Nicolás [0001691724]Camacho López, Paul Anthony [0000323578]Camacho López, Paul Anthony [es&oi=ao]Díaz Rueda, Hernán Darío [0009-0001-5578-9454]Villareal Trujillo, Nicolás [0000-0002-5974-8035]Camacho López, Paul Anthony [0000-0002-6233-9582]Camacho López, Paul Anthony [paul-anthony-camacho-lópez]Bucaramanga (Santander, Colombia)UNAB Campus Bucaramanga2025-02-28T14:56:20Z2025-02-28T14:56:20Z2025-02-27http://hdl.handle.net/20.500.12749/28521instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coEsta investigación evalúa la eficacia de la infiltración de anestésicos locales durante la cirugía de próstata abierta para mejorar el control del dolor postoperatorio. Se realizó un estudio prospectivo con 89 pacientes, mostrando que aquellos sometidos a prostatectomía simple reportaron un mayor dolor en las primeras horas postoperatorias en comparación con los de prostatectomía radical, aunque no se observaron diferencias significativas en el uso de analgésicos de rescate. A pesar de los resultados que sugieren beneficios en la reducción del dolor, las limitaciones del estudio, especialmente la falta de un grupo control con placebo, impiden generalizar las conclusiones. Se concluye que la infiltración de anestésicos locales es un procedimiento seguro y efectivo, aunque se requieren estudios más controlados para validar estos hallazgos.1. RESUMEN 2. JUSTIFICACIÓN 3. MARCO TEÓRICO 4. ESTADO DEL ARTE 5. OBJETIVOS a. OBJETIVO GENERAL b. OBJETIVOS ESPECÍFICOS 6. METODOLOGÍA 7. CONSIDERACIONES ÉTICAS 8. RESULTADOS 9. DISCUSIÓN 10. CONCLUSIONES 11. BIBLIOGRAFÍAEspecializaciónThis investigation evaluates the effectiveness of local anesthetic infiltration during open prostate surgery to improve postoperative pain control. A prospective study was conducted with 89 patients, showing that those undergoing simple prostatectomy reported greater pain in the first postoperative hours compared to those undergoing radical prostatectomy, although no significant differences were observed in the use of rescue analgesics. Despite the results suggesting benefits in pain reduction, the limitations of the study, especially the lack of a placebo control group, prevent the conclusions from being generalized. It is concluded that the infiltration of local anesthetics is a safe and effective procedure, although more controlled studies are required to validate these findings.Modalidad Presencialapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Comparación de la eficacia del manejo analgésico habitual vs manejo analgésico habitual más infiltración de anestésico local en plano muscular en el postoperatorio inmediato de la cirugía abierta de próstataComparison of the efficacy of usual vs analgesic management usual analgesic management plus anesthetic infiltration local muscular plane in the immediate postoperative period of the open prostate surgeryEspecialista en UrologíaUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en UrologíaEURO-1271info:eu-repo/semantics/masterThesisTesisinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/redcol/resource_type/TMMedical sciencesHealth sciencesUrologyMedicineLocal anestheticOpen prostatectomyPostoperative painAnalgesicsPostoperative painSurgeryPain (Treatment)Surgery (Complications)UrologíaMedicinaCiencias médicasAnalgésicosDolor postoperatorioCirugíaDolor (Tratamiento)Cirugía (Complicaciones)Ciencias de la saludAnestésico localProstatectomía abiertaDolor postoperatorioAmid PK, Shulman AG, Lichtenstein IL. 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Acta Anaesthesiol Scand. noviembre de 2016;60(10):1453-60https://apolo.unab.edu.co/en/persons/paul-anthony-camacho-l%C3%B3pezORIGINALTesis.pdfTesis.pdfTesisapplication/pdf2740545https://repository.unab.edu.co/bitstream/20.500.12749/28521/3/Tesis.pdf1006d3774eb578ce46189bb012d8e903MD53open accessLicencia.pdfLicencia.pdfLicenciaapplication/pdf211280https://repository.unab.edu.co/bitstream/20.500.12749/28521/5/Licencia.pdfa32ff705b07aefa5c61d539e7e37be24MD55metadata only accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8829https://repository.unab.edu.co/bitstream/20.500.12749/28521/4/license.txt3755c0cfdb77e29f2b9125d7a45dd316MD54open accessTHUMBNAILTesis.pdf.jpgTesis.pdf.jpgIM Thumbnailimage/jpeg5078https://repository.unab.edu.co/bitstream/20.500.12749/28521/6/Tesis.pdf.jpgf30a610db2526059ff9753198e86e0a9MD56open accessLicencia.pdf.jpgLicencia.pdf.jpgIM Thumbnailimage/jpeg12596https://repository.unab.edu.co/bitstream/20.500.12749/28521/7/Licencia.pdf.jpg2c768653e992c00f567078e8352651b2MD57metadata only access20.500.12749/28521oai:repository.unab.edu.co:20.500.12749/285212025-02-28 22:00:18.254open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.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