Examinando por Materia "Anestesia Local"

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Acceso abierto
Effectiveness of local anesthesia in pain management during arterial blood gas sampling in emergency department patients
(Universidad Privada Norbert Wiener, 2018-12-16) Vargas Montoya, Luz Gabriela; Calsin Pacompia, Wilmer
Objective: Systematize evidence on the effectiveness of local anesthesia in pain management in arterial blood gas sampling in emergency unit patients. Materials and methods: Systematic observational and retrospective quantitative review, critically selected, using the GRADE evaluation system, found in the database of: Cochrane Library, Scielo, Medical Journal, Pubmed, Online Library, and EBSCO. Of the 10 articles selected under the systematic analysis, 40% (n= 4/10) are systematic reviews, 60% (n=6/10) are randomized clinical trials. The results obtained in this study come from different nations. Results: the evidence found 70% (n=7/10) indicates that the effective local anesthetic to manage pain when taking arterial gases is the administration of subcutaneous or infiltrated lidocaine. Conclusions: 7 of 10 articles reviewed agree that the most effective local anesthetic for arterial blood gas sampling is the administration of subcutaneous lidocaine, due to its faster action and better access on the market in addition to the cost, 3 articles It indicates the use of another anesthetic such as ointments and patches, but its action takes time and is effective only in older adults.
Acceso abierto
Efficacy of local anesthesia in reducing pain in patients with a prescription for bladder catheterization, in emergencies
(Universidad Privada Norbert Wiener, 2020-02-08) Murgueytio Atuncar, Sheyla Johana; Torres Aragón, Victor Hugo; Arevalo Marcos, Rodolfo Amado
Objective: Systematize available studies on the effectiveness of local anesthesia in reducing pain in patients with a prescription for bladder catheterization in an emergency. Materials and methods: The study responds to the quantitative approach, systematic review design, population 19 articles and the sample of 10 studies, studies were located in the Cochrane Plus, Lilacs, Pubmed, Scielo, Epistemonikos, Intramed databases. A critical and intensive assessment of each study was carried out, the quality of the evidence and the strength of recommendation for each study were determined through the GRADE method. Of 10 articles reviewed, 80% (8/10) were randomized clinical trials, 20% (2/10) Meta-analysis. The evidence found comes from the United States (40%), Canada (20%), Israel (20%), Singapore (10%) and Australia (10%). Results: Of the evidence found, 60% (n=6/10) indicate that local anesthesia is effective in reducing pain in patients prescribed bladder catheterization; while 40% (n=4/10) demonstrate that local anesthesia is not effective in reducing pain in patients prescribed bladder catheterization. Conclusion: local anesthesia is effective in reducing pain in patients prescribed bladder catheterization.