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1 3 / 0 7 / 2 0 2 3 U R U A P A N M I C H O A C Á N . 1
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1 / 3 / 2 0 X X E J E M P L O D E T E X T O D E P I E D E P Á G I N A 2
G Ó M E Z C O A , G A R C Í A S L S . M A N E J O D E L D O L O R P O S T O P E R A T O R I O
E N C I R U G Í A P O R C Á N C E R D E M A M A . A C T A M E D . 2 0 2 2 ; 2 0 ( 1 ) : 5 8 -
6 1 . D O I : 1 0 . 3 5 3 6 6 / 1 0 3 5 5 7 . 3
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
1 3 / 0 7 / 2 0 2 3
R E V I S T A O C R O N O S . V O L . I V . N º 9 – S E P T I E M B R E 2 0 2 1 .
P Á G . I N I C I A L : V O L . I V ; N º 9 : 1 5 4 4
1 3 / 0 7 / 2 0 2 3 5
1 3 / 0 7 / 2 0 2 3 6
1 3 / 0 7 / 2 0 2 3
G Ó M E Z C O A , G A R C Í A S L S . M A N E J O D E L D O L O R
P O S T O P E R A T O R I O E N C I R U G Í A P O R C Á N C E R D E M A M A . A C T A
M E D G A . 2 0 2 2 ; 2 0 ( 1 ) : 5 8 - 6 1 .
H T T P S : / / D X . D O I . O R G / 1 0 . 3 5 3 6 6 / 1 0 3 5 5 7
7
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1 3 / 0 7 / 2 0 2 3
I N C L U I D O E N L A R E V I S T A O C R O N O S . V O L . I V . N º 9 –
S E P T I E M B R E 2 0 2 1 . P Á G . I N I C I A L : V O L . I V ; N º 9 : 1 5 4 . 8
1 3 / 0 7 / 2 0 2 3
G Ó M E Z C O A , G A R C Í A S L S . M A N E J O D E L D O L O R
P O S T O P E R A T O R I O E N C I R U G Í A P O R C Á N C E R D E M A M A . A C T A
M E D G A . 2 0 2 2 ; 2 0 ( 1 ) : 5 8 - 6 1 .
H T T P S : / / D X . D O I . O R G / 1 0 . 3 5 3 6 6 / 1 0 3 5 5 7
9
1 3 / 0 7 / 2 0 2 3
R O S A - D Í A Z J , N A V A R R E T E - Z U A Z O V , D I A Z - M E N D I O N D O M . A S P E C T O S
B Á S I C O S D E L D O L O R P O S T O P E R A T O R I O Y L A A N A L G E S I A M O D A L
P R E V E N T I V A . R E V M E X A N E S T E S I O L . 2 0 1 4 ; 3 7 ( 1 ) : 1 8 - 2 6
1 0
1 3 / 0 7 / 2 0 2 3
Y O U N G A , B U V A N E N D R A N A . R E C E N T A D V A N C E S I N M U L T I M O D A L
A N A L G E S I A . A N E S T H E S I O L C L I N . 2 0 1 2 ; 3 0 ( 1 ) : 9 1 - 1 0 0 .
1 1
1 / 3 / 2 0 X X E J E M P L O D E T E X T O D E P I E D E P Á G I N A 1 2
1 3 / 0 7 / 2 0 2 3
Y O U N G A , B U V A N E N D R A N A . R E C E N T A D V A N C E S I N
M U L T I M O D A L A N A L G E S I A . A N E S T H E S I O L C L I N .
2 0 1 2 ; 3 0 ( 1 ) : 9 1 - 1 0 0 .
1 3
1 3 / 0 7 / 2 0 2 3 1 4
Antiinflamatorios
Opioides
Anestesia
Regional
1 3 / 0 7 / 2 0 2 3
T O R N E R O C , F E R N Á N D E Z L E , O R D U Ñ A J . A N A L G E S I A M U L T I M O D A L Y
A N E S T E S I A R E G I O N A L . R E V E S P A N E S T E S I O L R E A N I M . 2 0 1 7 ; 6 4 ( 7 ) : 4 0 1 - 4 0 5 .
1 5
1 3 / 0 7 / 2 0 2 3 1 6
ARN BSA o
Epidural
combinado
con sedación /
o AGB O
AGEV
AL + Sedación
y/o AGB/
ATEV.
AGB/ATEV +
ARP O ARN
1 3 / 0 7 / 2 0 2 3 1 7
1 3 / 0 7 / 2 0 2 3 1 8
1 3 / 0 7 / 2 0 2 3 E J E M P L O D E T E X T O D E P I E D E P Á G I N A 1 9
1 3 / 0 7 / 2 0 2 3 2 0


1 3 / 0 7 / 2 0 2 3
D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O -
M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3
2 1
1 3 / 0 7 / 2 0 2 3
D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O -
M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 2
1.
2.
3.
4.
5.
1.
2.
3.
1.
2.
3.
1 3 / 0 7 / 2 0 2 3
R O D R Í G U E Z , G . , C A M A C H O , F . , & U M A Ñ A , C . ( 2 0 2 0 ) .
A N A L G E S I A O B S T É T R I C A P A R A E L P A R T O V A G I N A L :
E F I C A C I A Y E F E C T O S A D V E R S O S . R E V I S T A M É D I C A
S I N E R G I A . V O L . 5 N U M : 1 .
2 3
1 3 / 0 7 / 2 0 2 3
D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O -
M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3
2 4



1 3 / 0 7 / 2 0 2 3
D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O -
M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 5




1 3 / 0 7 / 2 0 2 3
D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O -
M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 6
1 3 / 0 7 / 2 0 2 3 2 7
Disminuir los riesgos de efectos adversos de los fármacos, y
tener un mejor resultado en manejo de dolor.
Dismuir el tiempo de internamiento de los pacientes, para
prevenir complicaciones nosocomiales.
Tener en cuenta que cada paciente y sus necesidades son
diferentes.
Conclusiones.
1 3 / 0 7 / 2 0 2 3 2 8
1. Rosa-Díaz J, Navarrete-Zuazo V, Diaz-Mendiondo M. Aspectos básicos del dolor postoperatorio y la analgesia modal
preventiva. Rev Mex Anestesiol. 2014;37(1):18-26.
2. Mugabure B, Tranque I, González S, Adrián R. Estrategias para el abordaje multimodal del dolor y de la recuperación
postoperatoria. Rev Esp Anestesiol Reanim. 2007;54:29-40.
3. Young A, Buvanendran A. Recent Advances in Multimodal Analgesia. Anesthesiol Clin. 2012;30(1):91-100.
4. Català E, Moral MV. Dolor agudo postoperatorio. La necesidad de su correcto tratamiento. Cir Esp. 2009;86(2):61-62.
5. Santeularia MT, Català E, Genové M, Revuelta M, Moral MV. Nuevas tendencias en el tratamiento del dolor
postoperatorio en cirugía general y digestiva. Cir Esp. 2009;86(2):63-71.
6. Tornero C, Fernández LE, Orduña J. Analgesia multimodal y anestesia regional. Rev Esp Anestesiol Reanim.
2017;64(7):401-405.
7. Matute M, Montero A. Avances farmacológicos en el manejo multimodal de la analgesia postoperatoria. Rev Esp
Anestesiol Reanim. 2017;64(8):467-471.
1 / 3 / 2 0 X X E J E M P L O D E T E X T O D E P I E D E P Á G I N A 2 9
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1 3 / 0 7 / 2 0 2 3 3 0
1 3 / 0 7 / 2 0 2 3 3 1

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Anestesia multimodal, una vista hacia la Ginecología.pptx

  • 1.    1 3 / 0 7 / 2 0 2 3 U R U A P A N M I C H O A C Á N . 1
  • 2.        1 / 3 / 2 0 X X E J E M P L O D E T E X T O D E P I E D E P Á G I N A 2
  • 3. G Ó M E Z C O A , G A R C Í A S L S . M A N E J O D E L D O L O R P O S T O P E R A T O R I O E N C I R U G Í A P O R C Á N C E R D E M A M A . A C T A M E D . 2 0 2 2 ; 2 0 ( 1 ) : 5 8 - 6 1 . D O I : 1 0 . 3 5 3 6 6 / 1 0 3 5 5 7 . 3
  • 4.   1 3 / 0 7 / 2 0 2 3 R E V I S T A O C R O N O S . V O L . I V . N º 9 – S E P T I E M B R E 2 0 2 1 . P Á G . I N I C I A L : V O L . I V ; N º 9 : 1 5 4 4
  • 5. 1 3 / 0 7 / 2 0 2 3 5
  • 6. 1 3 / 0 7 / 2 0 2 3 6
  • 7. 1 3 / 0 7 / 2 0 2 3 G Ó M E Z C O A , G A R C Í A S L S . M A N E J O D E L D O L O R P O S T O P E R A T O R I O E N C I R U G Í A P O R C Á N C E R D E M A M A . A C T A M E D G A . 2 0 2 2 ; 2 0 ( 1 ) : 5 8 - 6 1 . H T T P S : / / D X . D O I . O R G / 1 0 . 3 5 3 6 6 / 1 0 3 5 5 7 7
  • 8.     1 3 / 0 7 / 2 0 2 3 I N C L U I D O E N L A R E V I S T A O C R O N O S . V O L . I V . N º 9 – S E P T I E M B R E 2 0 2 1 . P Á G . I N I C I A L : V O L . I V ; N º 9 : 1 5 4 . 8
  • 9. 1 3 / 0 7 / 2 0 2 3 G Ó M E Z C O A , G A R C Í A S L S . M A N E J O D E L D O L O R P O S T O P E R A T O R I O E N C I R U G Í A P O R C Á N C E R D E M A M A . A C T A M E D G A . 2 0 2 2 ; 2 0 ( 1 ) : 5 8 - 6 1 . H T T P S : / / D X . D O I . O R G / 1 0 . 3 5 3 6 6 / 1 0 3 5 5 7 9
  • 10. 1 3 / 0 7 / 2 0 2 3 R O S A - D Í A Z J , N A V A R R E T E - Z U A Z O V , D I A Z - M E N D I O N D O M . A S P E C T O S B Á S I C O S D E L D O L O R P O S T O P E R A T O R I O Y L A A N A L G E S I A M O D A L P R E V E N T I V A . R E V M E X A N E S T E S I O L . 2 0 1 4 ; 3 7 ( 1 ) : 1 8 - 2 6 1 0
  • 11. 1 3 / 0 7 / 2 0 2 3 Y O U N G A , B U V A N E N D R A N A . R E C E N T A D V A N C E S I N M U L T I M O D A L A N A L G E S I A . A N E S T H E S I O L C L I N . 2 0 1 2 ; 3 0 ( 1 ) : 9 1 - 1 0 0 . 1 1
  • 12. 1 / 3 / 2 0 X X E J E M P L O D E T E X T O D E P I E D E P Á G I N A 1 2
  • 13. 1 3 / 0 7 / 2 0 2 3 Y O U N G A , B U V A N E N D R A N A . R E C E N T A D V A N C E S I N M U L T I M O D A L A N A L G E S I A . A N E S T H E S I O L C L I N . 2 0 1 2 ; 3 0 ( 1 ) : 9 1 - 1 0 0 . 1 3
  • 14. 1 3 / 0 7 / 2 0 2 3 1 4 Antiinflamatorios Opioides Anestesia Regional
  • 15. 1 3 / 0 7 / 2 0 2 3 T O R N E R O C , F E R N Á N D E Z L E , O R D U Ñ A J . A N A L G E S I A M U L T I M O D A L Y A N E S T E S I A R E G I O N A L . R E V E S P A N E S T E S I O L R E A N I M . 2 0 1 7 ; 6 4 ( 7 ) : 4 0 1 - 4 0 5 . 1 5
  • 16. 1 3 / 0 7 / 2 0 2 3 1 6 ARN BSA o Epidural combinado con sedación / o AGB O AGEV AL + Sedación y/o AGB/ ATEV. AGB/ATEV + ARP O ARN
  • 17. 1 3 / 0 7 / 2 0 2 3 1 7
  • 18. 1 3 / 0 7 / 2 0 2 3 1 8
  • 19. 1 3 / 0 7 / 2 0 2 3 E J E M P L O D E T E X T O D E P I E D E P Á G I N A 1 9
  • 20. 1 3 / 0 7 / 2 0 2 3 2 0
  • 21.   1 3 / 0 7 / 2 0 2 3 D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O - M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 1
  • 22. 1 3 / 0 7 / 2 0 2 3 D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O - M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 2
  • 23. 1. 2. 3. 4. 5. 1. 2. 3. 1. 2. 3. 1 3 / 0 7 / 2 0 2 3 R O D R Í G U E Z , G . , C A M A C H O , F . , & U M A Ñ A , C . ( 2 0 2 0 ) . A N A L G E S I A O B S T É T R I C A P A R A E L P A R T O V A G I N A L : E F I C A C I A Y E F E C T O S A D V E R S O S . R E V I S T A M É D I C A S I N E R G I A . V O L . 5 N U M : 1 . 2 3
  • 24. 1 3 / 0 7 / 2 0 2 3 D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O - M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 4
  • 25.    1 3 / 0 7 / 2 0 2 3 D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O - M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 5
  • 26.     1 3 / 0 7 / 2 0 2 3 D O M . C I E N . , I S S N : 2 4 7 7 - 8 8 1 8 V O L . 8 , N Ú M . 1 , E N E R O - M A R Z O 2 0 2 2 , P P . 4 0 3 - 4 1 3 2 6
  • 27. 1 3 / 0 7 / 2 0 2 3 2 7 Disminuir los riesgos de efectos adversos de los fármacos, y tener un mejor resultado en manejo de dolor. Dismuir el tiempo de internamiento de los pacientes, para prevenir complicaciones nosocomiales. Tener en cuenta que cada paciente y sus necesidades son diferentes.
  • 28. Conclusiones. 1 3 / 0 7 / 2 0 2 3 2 8
  • 29. 1. Rosa-Díaz J, Navarrete-Zuazo V, Diaz-Mendiondo M. Aspectos básicos del dolor postoperatorio y la analgesia modal preventiva. Rev Mex Anestesiol. 2014;37(1):18-26. 2. Mugabure B, Tranque I, González S, Adrián R. Estrategias para el abordaje multimodal del dolor y de la recuperación postoperatoria. Rev Esp Anestesiol Reanim. 2007;54:29-40. 3. Young A, Buvanendran A. Recent Advances in Multimodal Analgesia. Anesthesiol Clin. 2012;30(1):91-100. 4. Català E, Moral MV. Dolor agudo postoperatorio. La necesidad de su correcto tratamiento. Cir Esp. 2009;86(2):61-62. 5. Santeularia MT, Català E, Genové M, Revuelta M, Moral MV. Nuevas tendencias en el tratamiento del dolor postoperatorio en cirugía general y digestiva. Cir Esp. 2009;86(2):63-71. 6. Tornero C, Fernández LE, Orduña J. Analgesia multimodal y anestesia regional. Rev Esp Anestesiol Reanim. 2017;64(7):401-405. 7. Matute M, Montero A. Avances farmacológicos en el manejo multimodal de la analgesia postoperatoria. Rev Esp Anestesiol Reanim. 2017;64(8):467-471. 1 / 3 / 2 0 X X E J E M P L O D E T E X T O D E P I E D E P Á G I N A 2 9
  • 31. 1 3 / 0 7 / 2 0 2 3 3 1