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La inhibición del dolor por quemaduras por infusión intravenosa de lignocaína
A Jönsson1, J Cassuto, B Hanson
1Department of Anaesthesia and Intensive Care Unit, Central Hospital, Mölndal, Sweden.
Lancet (London, England)
|July 20, 1991
Resumen
La infusión intravenosa de lignocaína redujo significativamente el dolor en pacientes con quemaduras durante el vendaje de heridas. Este método ofrecía una alternativa a los analgésicos opiáceos, mejorando la comodidad y la recuperación del paciente.
Área de la Ciencia:
- Manejo del dolor Manejo del dolor.
- Cuidado de quemaduras Cuidado de quemaduras
- Anestesiología Anestesiología.
Sus antecedentes:
- Las lesiones por quemaduras con frecuencia causan dolor severo, especialmente durante el cuidado de la herida.
- El manejo actual del dolor depende en gran medida de los analgésicos opiáceos, que tienen efectos secundarios significativos.
Objetivo del estudio:
- Evaluar la eficacia de la infusión intravenosa de lignocaína como un analgésico alternativo para pacientes con quemaduras.
- Para evaluar la reducción del dolor durante el vendaje de heridas en pacientes con quemaduras de segundo grado.
Principales métodos:
- Un estudio en el que participaron 7 pacientes con quemaduras de segundo grado.
- Administración de una infusión intravenosa de lignocaína.
- Evaluación de las puntuaciones de dolor autoevaluadas durante los primeros 3 días posteriores a la quemadura.
Principales resultados:
- La infusión intravenosa de lignocaína disminuyó notablemente las puntuaciones de dolor autoevaluadas.
- Los pacientes no requirieron analgesia opiácea adicional durante el período de tratamiento.
- Se observó un control efectivo del dolor en los primeros 3 días después de la lesión por quemaduras.
Conclusiones:
- La infusión intravenosa de lignocaína es una alternativa prometedora para el manejo del dolor agudo en pacientes con quemaduras.
- Este enfoque puede reducir la dependencia de los analgésicos opiáceos y sus efectos adversos asociados.
- La infusión de lignocaína ofrece un alivio efectivo del dolor durante las primeras etapas críticas del cuidado de las heridas por quemaduras.
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