Deambulación precoz y cefalea pospunción dural en pacientes intervenidos bajo anestesia espinal subaracnoidea

Authors

  • Juan Karel Guzmán Martínez Hospital Militar Central "Dr. Carlos J. Finlay"
  • Gisell Lidia Abreu Brioso

Abstract

Introducción: La historia de la raquianestesia, comenzó el 16 de agosto de 1898, la primera anestesia raquídea de la historia cimentó una de las piedras angulares de la Anestesiología. Más de cien años después y a pesar del desarrollo tecnológico que acompaña la especialidad, aún la anestesia regional es una técnica ampliamente utilizada a nivel mundial, no exenta de complicaciones, donde se destaca la cefalea pospunción dural.
Objetivo: Describir la prevalencia y características de la cefalea pospunción dural en pacientes con deambulación, precoz o no, intervenidos bajo anestesia espinal subaracnoidea, para cirugía artroscópica de rodilla.
Método: Se realizó un estudio observacional descriptivo en una serie de casos (100), atendidos en el Hospital Militar Central "Carlos J. Finlay", que fueron distribuidos en dos grupos. El grupo I formado por los que deambularon a las 4 horas de la intervención y el grupo II deambuló a las 14 horas. En ambos grupos se había utilizado anestesia raquídea con trocar 25 atraumático del tipo Whitacre.
Resultados: En ambos grupos no se reportaron casos de cefalea pospunción dural.
Conclusiones: No hubo casos de cefalea pospunción dural en pacientes con deambulación, precoz o no, intervenidos bajo anestesia espinal subaracnoidea para cirugía artroscópica de rodilla. 

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Published

2019-04-04

How to Cite

1.
Guzmán Martínez JK, Abreu Brioso GL. Deambulación precoz y cefalea pospunción dural en pacientes intervenidos bajo anestesia espinal subaracnoidea. Rev Cubana Med Milit [Internet]. 2019 Apr. 4 [cited 2025 May 24];48(2):217-23. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/356

Issue

Vol. 48 No. 2 (2019): Abril - junio

Section

Research Article

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