{"id":3888,"date":"2025-12-17T22:59:10","date_gmt":"2025-12-17T21:59:10","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=3888"},"modified":"2025-12-17T22:59:10","modified_gmt":"2025-12-17T21:59:10","slug":"aines-y-riesgo-hemorragico-en-craneotomias","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2025\/12\/17\/aines-y-riesgo-hemorragico-en-craneotomias\/","title":{"rendered":"AINES y riesgo hemorr\u00e1gico en craneotom\u00edas"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">Los antiinflamatorios no esteroideos (AINE) se utilizan com\u00fanmente para el manejo del dolor en adultos sometidos a craneotom\u00eda para cirug\u00eda cerebral, y varios ensayos cl\u00ednicos aleatorizados respaldan su eficacia. Sin embargo, persisten las dudas sobre su seguridad, en particular respecto al riesgo de sangrado posoperatorio debido a la inhibici\u00f3n de la ciclooxigenasa. Por ello, la revista <a href=\"https:\/\/journals.lww.com\/neurosurgery\/pages\/default.aspx\">Neurosurgery<\/a> acaba de publicar los resultados de una revisi\u00f3n sistem\u00e1tica dirigida a despejar las dudas sobre su seguridad.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Fueron incluidos un total de siete estudios (incluyendo cinco ensayos cl\u00ednicos) con un total de 2251 pacientes. Las indicaciones quir\u00fargicas incluyeron resecci\u00f3n tumoral, clipaje de aneurismas y microcirug\u00eda para malformaciones arteriovenosas cerebrales. No se observaron diferencias significativas entre los grupos con AINES y sin AINES en cuanto a las complicaciones hemorr\u00e1gicas generales.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Los hallazgos de este trabajo sugieren, por tanto, que los AINES son una opci\u00f3n segura para la analgesia posoperatoria en pacientes sometidos a craneotom\u00eda para cirug\u00eda cerebral, porque no aumentan significativamente el riesgo de complicaciones hemorr\u00e1gicas, en comparaci\u00f3n con los analg\u00e9sicos diferentes a los AINES.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fuente:<a href=\"https:\/\/journals.lww.com\/neurosurgery\/abstract\/2025\/12000\/do_nonsteroidal_anti_inflammatory_drugs_increase.2.aspx\"> Cardoso LJC, Ferreira MY, Faria IC, Martins KAM, Calisaya-Madariaga IG, Teixeira IPS, Teixeira EM, Suffren B, Oliveira FGF, Croft Z, Rychen J, Ferreira C, Martinez-Perez R, Langer D, Boockvar JA. Do Nonsteroidal Anti-Inflammatory Drugs Increase Bleeding Risk After Craniotomy for Brain Surgery? A Systematic Review and Meta-Analysis. Neurosurgery. 2025 Dec 1;97(6):1222-1232.<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Los antiinflamatorios no esteroideos (AINE) se utilizan com\u00fanmente para el manejo del dolor en adultos sometidos a craneotom\u00eda para cirug\u00eda cerebral, y varios ensayos cl\u00ednicos aleatorizados respaldan su eficacia. Sin embargo, persisten las dudas sobre su seguridad, en particular respecto al riesgo de sangrado posoperatorio debido a la inhibici\u00f3n de la ciclooxigenasa. Por ello, la&#8230;<\/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,"jetpack_seo_schema_type":"","_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,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","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":[1771],"tags":[],"class_list":["post-3888","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-10I","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3888","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=3888"}],"version-history":[{"count":3,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3888\/revisions"}],"predecessor-version":[{"id":3891,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3888\/revisions\/3891"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=3888"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=3888"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=3888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}