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Especialidad en Anestesiología

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Browsing Especialidad en Anestesiología by Author "Avilés Lopez, Pedro Enrique 630111"

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    Relación de la glucosa capilar con la duración del bloqueo motor en pacientes con diabetes mellitus tipo 2 programados para resección transuretral prostática (RTUP)
    (Monterrey, UDEM, 2024) Avilés Lopez, Pedro Enrique 630111; Salas Pérez, Guadalupe Uriel
    ABSTRACT Title: "RELATIONSHIP OF CAPILLARY GLUCOSE WITH THE DURATION OF MOTOR BLOCK IN PATIENTS WITH TYPE 2 DIABETES MELLITUS SCHEDULED FOR PROSTATIC TRANSURETHRAL RESECTION (TURP)" [1] Dr. Guadalupe Uriel Salas Pérez, Doctor assigned to the anesthesiology service of the General Hospital of Zone No. 33 Monterrey, NL. [2] Dr. Pedro Enrique Avilés López, Third year resident of anesthesiology. Introduction: Diabetes mellitus (DM) is a metabolic disease characterized by the presence of chronically high glucose levels. Subarachnoid neuraxial anesthesia with long-acting anesthetics and adjuvant opioids is the ideal plan for patients undergoing TURP. The challenge today is to provide adequate anesthesia, analgesia and immediate recovery that allows patients to be discharged from the Post Anesthetic Care Unit (PACU). Objective: To determine the relationship between capillary blood glucose >130 mg/dl with the duration of motor blockade in the perioperative period of patients with type 2 Diabetes Mellitus undergoing subarachnoid neuraxial anesthesia. Material and Methods: Observational, comparative, cross-sectional and prospective study of 288 patients with Type 2 Diabetes Mellitus electively subjected to TURP. Three capillary blood glucose measurements were taken in the perioperative period, with ASA III being those with levels >130 mg/dl. Those in whom regional anesthesia was used were included; the subarachnoid dose was standardized to hyperbaric bupivacaine 12.5 mg with fentanyl 25 mcg. Subsequently, the motor block at the exit of the VI operating room was recorded using the Modified Bromage scale and the duration of stay in the Postanesthesia Care Unit in a survey-type format. Using the SPSS platform, statistical analysis was carried out with Pearson's Chi Square to find relationship with glycemic levels and its regression of sensory blockade. Results: Patients with capillary blood glucose >130 mg/dl and those with fluctuating capillary blood glucose during and after anesthesia had an average stay of 90 minutes in the PACU, compared to those who had capillary blood glucose ≤130 mg/dl with an average of 30-60 min regardless of their Bromage classification upon discharge from the operating room.