{"id":1702,"date":"2022-07-22T20:29:44","date_gmt":"2022-07-22T18:29:44","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=1702"},"modified":"2022-07-22T20:29:44","modified_gmt":"2022-07-22T18:29:44","slug":"impacto-de-la-prescripcion-de-opiaceos-al-alta-tras-intervencion-quirurgica","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2022\/07\/22\/impacto-de-la-prescripcion-de-opiaceos-al-alta-tras-intervencion-quirurgica\/","title":{"rendered":"Impacto de la prescripci\u00f3n de opi\u00e1ceos al alta tras intervenci\u00f3n quir\u00fargica"},"content":{"rendered":"

La revista Lancet<\/a> ha publicado un metaan\u00e1lisis y revisi\u00f3n sistem\u00e1tica que trata de aclarar el papel de la prescripci\u00f3n de opi\u00e1ceos al alta tras una cirug\u00eda.<\/p>\n\n\n\n

Este trabajo ha incluido art\u00edculos publicados desde 1990 en pacientes de m\u00e1s de 15 a\u00f1os y se ha centrado fundamentalmente en la intesidad del dolor el d\u00eda 1 tras el alta hospitalaria y en la presencia de v\u00f3mitos en los primeros 30 d\u00edas tras la intervenci\u00f3n.<\/p>\n\n\n\n

Fueron incluidos un total de 47 trabajos relacionados sobre todo con la cirug\u00eda dental, digestiva y ortop\u00e9dica, incluyendo procedimientos quir\u00fargicos de envergadura entre menor y moderada. Los resultados mostraron c\u00f3mo la prescripci\u00f3n ambulatoria de opi\u00e1ceos no se asociaba a una mayor reducci\u00f3n del dolor el d\u00eda 1 tras el alta. Si se observ\u00f3 una mayor relaci\u00f3n entre dicha prescripci\u00f3n y la presencia de n\u00e1useas, v\u00f3mitos, estre\u00f1imiento y mareo.<\/p>\n\n\n\n

En base a los resultados los autores concluyen que en este tipo de procedimientos los facultativos han de considerar la prescripci\u00f3n de analgesia ambulatoria libre de opi\u00e1ceos. El trabajo cuenta con la debilidad de que no se incluyeron procedimientos quir\u00fargicos mayores.<\/p>\n\n\n\n

Fuente<\/strong>: Fiore JF Jr, El-Kefraoui C, Chay MA, Nguyen-Powanda P, Do U, Olleik G, Rajabiyazdi F, Kouyoumdjian A, Derksen A, Landry T, Amar-Zifkin A, Bergeron A, Ramanakumar AV, Martel M, Lee L, Baldini G, Feldman LS. Opioid versus opioid-free analgesia after surgical discharge: a systematic review and meta-analysis of randomised trials. Lancet. 2022 Jun 18;399(10343):2280-2293. <\/a><\/p>","protected":false},"excerpt":{"rendered":"

La revista Lancet ha publicado un metaan\u00e1lisis y revisi\u00f3n sistem\u00e1tica que trata de aclarar el papel de la prescripci\u00f3n de opi\u00e1ceos al alta tras una cirug\u00eda. Este trabajo ha incluido art\u00edculos publicados desde 1990 en pacientes de m\u00e1s de 15 a\u00f1os y se ha centrado fundamentalmente en la intesidad del dolor el d\u00eda 1 tras…<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[706700519,706700523,706700518,706700521,706700514,86215848,706700522,706700517],"tags":[],"class_list":["post-1702","post","type-post","status-publish","format-standard","hentry","category-almeria","category-bionica","category-cirugia-de-columna","category-futurismo","category-neurocirugia","category-neuromodulacion","category-transhumanismo","category-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-rs","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1702","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=1702"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1702\/revisions"}],"predecessor-version":[{"id":1704,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1702\/revisions\/1704"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=1702"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=1702"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=1702"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}