Search results for "Postoperatori"
showing 10 items of 11 documents
Guía clínica en el manejo perioperatorio para la cirugía de resección pulmonar por videotoracoscopia (Sección de Anestesia Cardiaca, Vascular y Torác…
2022
Resumen La introduccion de tecnicas toracoscopicas asistidas por video en cirugia toracica (VATS) ha permitido realizar un nuevo enfoque en la cirugia toracica. El acceso videotoracoscopico se realiza con pequenas incisiones, preservando al maximo los musculos y los tejidos. En la actualidad, la VATS se considera de eleccion en la mayoria de los procedimientos toracicos, principalmente debido a la menor morbimortalidad asociada. La reseccion pulmonar por VATS presenta reduccion de las fugas de aire prolongadas, arritmias, neumonia, dolor postoperatorio y una disminucion de los marcadores inflamatorios. Esta reduccion de las complicaciones postoperatorias esta vinculada a una reduccion de la…
Influence of smoking upon the postoperative course of lower third molar surgery
2006
Our objective was to determine whether smoking influences the postoperative course (pain and trismus) of lower third molar surgery, with a clinical evaluation of surgical wound condition and analysis of the possible differences between smokers and nonsmokers. The study subjects were randomly distributed into two groups (smokers and nonsmokers) and subjected to lower third molar extraction in the Unit of Oral and Maxillofacial Surgery (Madrid Complutense University, Spain). The study variables were trismus after 7 days, the intensity of pain and the need for rescue medication during a period of one week. The surgical wound was also assessed (color, presence of plaque, etc.). Two cases of pos…
Bupivacaine 0.5% versus articaine 4% for the removal of lower third molars. A crossover randomized controlled trial.
2012
Objective: To compare the anesthetic action of 0.5% bupivacaine in relation to 4% articaine, both with 1:200,000 epinephrine, in the surgical removal of lower third molars. As a secondary objective hemodynamic changes using both anesthetics were analyzed. Study Design: Triple-blind crossover randomized clinical trial. Eighteen patients underwent bilateral removal of impacted lower third molars using 0.5% bupivacaine or 4% articaine in two different appointments. Preoperative, intraoperative and postoperative variables were recorded. Differences were assessed with McNemar tests and repeated measures ANOVA tests. Results: Both solutions exhibited similar latency times and intraoperative effic…
Dexketoprofen/tramadol: randomised double-blind trial and confirmation of empirical theory of combination analgesics in acute pain
2015
Background Combination analgesics are effective in acute pain, and a theoretical framework predicts efficacy for combinations. The combination of dexketoprofen and tramadol is untested, but predicted to be highly effective. Methods This was a randomised, double-blind, double-dummy, parallel-group, placebo-controlled, single-dose trial in patients with moderate or severe pain following third molar extraction. There were ten treatment arms, including dexketoprofen trometamol (12.5 mg and 25 mg) and tramadol hydrochloride (37.5 mg and 75 mg), given as four different fixed combinations and single components, with ibuprofen 400 mg as active control as well as a placebo control. The study objecti…
Complications of guided surgery and immediate loading in oral implantology: a report of 12 cases.
2011
Objectives: The growing interest in minimally invasive surgery, together with the possibility of fitting prostheses with immediate function, have led to the development of software capable of planning and manufacturing a surgical guide and prosthesis that can be placed upon conclusion of the implant surgery step. The present study evaluates the surgical and prosthetic complications of implant treatment with the guided surgery technique, together with patient comfort during and after treatment. Patients and methods: A retrospective observational study was made of 19 patients with partially or totally edentulous upper and/or lower maxillae, involving the placement of a total of 122 implants. …
Ruolo del paracetamolo nel dolore postoperatorio
2006
Estudio de los efectos de pregabalina en el control del dolor postoperatorio tras histerectomía abdominal
2015
El dolor agudo postoperatorio es una causa importante de morbilidad perioperatoria. La pregabalina (PGB), análogo del GABA, interacciona con sub-unidades de los canales de calcio α-2-δ, produciendo una reducción en la liberación de neurotransmisores y una disminución de la hiperexcitabilidad neuronal. En los últimos años se han realizado estudios que demuestran las propiedades analgésicas de la pregabalina administrada en el pre y postoperatorio durante las primeras 24 h de distintos procedimientos quirúrgicos. Nuestro objetivo es evaluar la eficacia analgésica de la PGB asociada a dos tipos de anestesia, general o combinada, en el postoperatorio de histerectomía abdominal. Material y Métod…
Patient-centered outcomes after surgical treatment of peri-implantitis: a prospective clinical study.
2022
Background: Peri-implantitis is an inflammatory process affecting soft and hard tissues surrounding dental implants, causing progressive marginal bone loss. Peri-implant surgery is the treatment of choice. However, evidence about its impact on patients' quality of life (QoL) is limited. This study aimed to assess pain and QoL in the first seven post-operative days and measure patient satisfaction at the end of this period. Material and methods: A prospective cohort study was conducted in patients with peri-implantitis. Patients reported pain on a visual analogue scale (VAS) ranging from 0 to 100mm every day during the first week after surgery. They then completed the OHIP-14sp questionnaire…
Effectiveness of Leukocyte and Platelet-Rich Fibrin versus Nitrofurazone on Nail Post-Surgery Bleeding and Wound Cicatrization Period Reductions: A R…
2019
Background: Leukocyte and platelet-rich fibrin (L-PRF) may be considered a co-adjuvant intervention that may play a key role in blood coagulation and tissue repair after nail surgeries. The aim of this study was to determine the effectiveness of L-PRF versus nitrofurazone on the post-surgical bleeding and wound cicatrization period in patients with bilateral onychocryptosis during surgeries of chemical matrixectomies with 88% phenol solution. Methods: A randomized single-blind clinical trial was registered with the European Clinical Trials Database (EudraCT) with identification number 2016-002048-18. Twenty healthy participants with bilateral onychocryptosis (n = 40) were recruited and bila…
Efectos de un programa de fisioterapia respiratoria preoperatoria sobre la oxigenación y la función respiratoria perioperatoria en pacientes obesos m…
2014
introducción. Los pacientes obesos mórbidos muestran un mayor riesgo de hipoxemia y complicaciones pulmonares postoperatorias en comparación con los sujetos de peso normal. El propósito de este estudio fue determinar los efectos de un programa de fortalecimiento muscular inspiratorio preoperatorio (IMT) sobre la oxigenación arterial postoperatoria en los pacientes obesos mórbidos sometidos a cirugía bariátrica laparoscópica. Métodos. Cuarenta y cuatro pacientes con obesidad mórbida fueron asignados al azar para recibir cuidado preoperatorio habitual (grupo control, n = 21) o IMT preoperatoria (grupo estudio, n = 23) durante un mes antes de la fecha de la cirugía. Los datos sobre la oxigenac…