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ROUX-IN-Y GASTROJEJUNAL BYPASS: WHICH ANESTHETIC TECHNIQUE HAS BEST RESULTS?
Ruzzon, Arthur; Nassif, Paulo Afonso Nunes; Prigol, Lais; Buzo, Lucas; Wendler, Guilherme; Wendler, Eduardo; Wendler, Ilana Barrichello Torres; Ruzzon, Igor; Goveia, Caio Henrique Marchette; Gonçalves, Lucas Augusto Prestes.
Afiliação
  • Ruzzon A; Postgraduate Program in Principles of Surgery, Mackenzie Evangelical College of Paraná/Medical Research Institute, Curitiba, PR, Brazil.
  • Nassif PAN; Rocio Hospital, Campo Largo, PR, Brazil.
  • Prigol L; Postgraduate Program in Principles of Surgery, Mackenzie Evangelical College of Paraná/Medical Research Institute, Curitiba, PR, Brazil.
  • Buzo L; Rocio Hospital, Campo Largo, PR, Brazil.
  • Wendler G; Rocio Hospital, Campo Largo, PR, Brazil.
  • Wendler IBT; Rocio Hospital, Campo Largo, PR, Brazil.
  • Gonçalves LAP; Rocio Hospital, Campo Largo, PR, Brazil.
Arq Bras Cir Dig ; 34(1): e1530, 2021 May 14.
Article em En, Pt | MEDLINE | ID: mdl-34008703
BACKGROUND: Nausea and vomiting groups x moments. As the number of bariatric operations increases, there is a greater interest in knowledge, experience and skills in the operative and anesthetic management of obese people. Anesthetic recovery is an important point in the therapeutic approach and less adverse effects delaying discharge of these patients are necessary to be kept in mind by the surgical team. AIM: To compare anesthetic-analgesic techniques in the opioid-sparing era through epidural administration of local anesthetic associated with low-dose morphine vs. clonidine and analyze the impact of analgesia on the effectiveness of postoperative recovery by comparing these two techniques. METHODS: Randomized, double-blind clinical trial with 66 patients candidates for Roux-en-Y gastrojejunal bypass divided into two groups: morphine group and clonidine group. Multimodal analgesia included epidural anesthesia with 0.375% ropivacaine 20 ml at the eighth thoracic vertebra with the association of morphine (morphine group) at a dose of 15 mcg / kg or clonidine (clonidine group) at a dose of 1 mcg / kg. RESULTS: The groups were homogeneous and statistical significance was found when analyzing the difference in pain between them in the first postoperative period. The pain was higher in the clonidine group, as in this period, analgesic rescue was also better in this group. In the other times, there was no significance in the differences regarding pain and rescue. The return of intestinal motility in the morphine group was earlier in the first postoperative period. Nausea, vomiting and hospital discharge did not show significant differences between groups. CONCLUSION: Epidural anesthesia with low-dose morphine allowed less pain during the entire hospital stay, with a positive impact on patient recovery.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Analgesia Epidural Tipo de estudo: Clinical_trials Limite: Humans Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Analgesia Epidural Tipo de estudo: Clinical_trials Limite: Humans Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil