Postoperative analgesia with fast-acting opioid during videolaparoscopic cholecystectomy

• Main Authors: Víctor José Vasallo Comendeiro, Yunierkis Riveron Acosta, Marbelis Cabrera Garachipe, Patricia Vasallo Valdés
• Format: Article
• Language: Spanish
• Published: Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) 2019-03-01
• Series: Revista Cubana de Anestesiología y Reanimación
• Subjects: fentanyl intranasa; analgesia postoperatoria; cirugia laparoscopica
• Online Access: http://www.revanestesia.sld.cu/index.php/anestRean/article/view/500

<p align="left"><strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;">Introduction</span></strong><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>:</strong> Videolaparoscopic surgery has benefits for patients. Interventions with reduced times involve anesthetic techniques adjusted to them, which determines many difficulties when pain manifests in the care practice. The finding of patients with immediate postoperative pain motivated the study. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Objective:</strong> To evaluate the effectiveness of a fast-acting opioid as an immediate postoperative analgesic administered by intranasal way. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Method:</strong> A quasiexperimental study was developed, with two groups of patients (100 each) who underwent laparoscopic cholecystectomy at "Dr. Luis Díaz Soto" Central Military Hospital. The hundred patients under study were administered fentanyl 50 mcg as intranasal drops upon arriving at the postoperative care room. The study variables included pain according to the Visual Analogue Scale (VAS), the onset time of opioid action, and the analgesia achieved, as well as the effects derived from its use. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Results:</strong> The average age was 51 ± 2, the male sex predominated with 55 % of the cases, an average VAS of all the initial cases was evidenced in three. At discharge, 100 % of the patients in the study group had excellent analgesia (VAS 2), whereas the controls had an average VAS in 5. Pruritus was the most frequent adverse event after the administration of intranasal fentanyl. </span><br /> <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Conclusions:</strong> The use of a fast-acting opioid (fentanyl) is an excellent and safe postoperative pain control measure. </span></p>