VENTAJAS DE LA ANESTESIA CONDUCTIVA DOBLE EPIDURAL CONTINUA-SUBARACNOIDEA EN CIRUGIAS UROLOGICAS Y TRAUMATOLOGICAS- HOSPITAL PROVINCIAL DE PORTOVIEJO, JUNIO 2004 - JUNIO 2005.

Abstract

The Double Conductive Anesthesia is a new anesthetic modality for patients of all ages, that offers a safe management in different surgical procedures as well as in pain management. The technique has advantages, and like in all invasive procedures, it could encounter complications that are generally easy to control by the anesthesiologist. From this premise, this study aims to focus on premiering a technique that combines the two Conductive Anesthetic Methods: The Continuous Epidural and SubArachnoid to describe the possible advantages, like the quality and safety of this technique, which is used in the Anesthesiology Department in the Surgical Center of the Portoviejo Regional Hospital. Having as an objective to identify the causes to use the Double Conductive Anesthesia, to know the possible complications in the patients that have been subjected to this procedure, to determine the frequency of its usage and kinds of local anesthetic, to value the Hemodynamic stability and to design a service protocol for pain management in the application of this technique. This study is descriptive, retrospective, with a sample of 70 patients subjected to urological and/or traumatic surgeries who received the "Continuous Double Conductive Epidural - SubArachnoid Anesthesia. The Results of this investigation showed low levels of trans and Post -Surgical complications. Besides, the safety of the technique, being used from the immediate onset of the analgesia, and the prolongation of the anesthesia, as needed, the Pain Management in a safe manner and extended for the necessary time is another of this technique's great advantages.