Impacto de la adición del bloqueo inferotemporal a la técnica cantal interna en la akinesia ocular total para cirugía de catarata

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dc.contributor.advisorRueda Pérez, Nelson
dc.contributor.advisorGómez Garces, Sonia Luz
dc.contributor.apolounabGómez Garces, Sonia Luz [sonia-luz-gomez-garces]spa
dc.contributor.authorPérez Lemus, Alejandra
dc.contributor.cvlacGómez Garces, Sonia Luz [0001659600]spa
dc.contributor.cvlacRueda Pérez, Nelson [0002115268]spa
dc.contributor.googlescholarGómez Garces, Sonia Luz [es&oi=ao]spa
dc.contributor.orcidGómez Garces, Sonia Luz [0000-0003-1865-2923]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialFloridablanca (Santander, Colombia)spa
dc.date.accessioned2025-06-26T22:05:01Z
dc.date.available2025-06-26T22:05:01Z
dc.date.issued2025-06-25
dc.degree.nameEspecialista en Anestesiologíaspa
dc.description.abstractLa cirugía de cataratas es uno de los procedimientos más frecuentes en oftalmología y requiere técnicas anestésicas que garanticen inmovilidad ocular, analgesia y seguridad. Entre las opciones, el bloqueo cantal y su combinación con el abordaje inferotemporal son ampliamente utilizados, pero su efectividad comparativa sigue siendo debatida. El objetivo de este estudio fue comparar ambas técnicas en términos de akinesia ocular, dolor postoperatorio y presencia de complicaciones. Metodología: Cohorte prospectiva analítica en pacientes mayores de 18 años con diagnóstico de catarata. Se compararon dos técnicas anestésicas peribulbares: bloqueo peribulbar cantal aislado versus combinado con abordaje inferotemporal. La variable principal fue akinesia ocular total (escala de Brahma) y como secundaria, dolor postoperatorio (escala NRS). Se aplicó análisis descriptivo, pruebas no paramétricas y regresión logística binaria para identificar asociaciones significativas, con nivel de significancia de p < 0,05. Resultados : Un total de 114 pacientes, el bloqueo combinado presentó mayor incidencia de akinesia total (96,49% vs. 59,65%; p=0,002), menor intensidad de dolor postoperatorio a las 2 y 12 horas (p=0,0003 y p=0,0345, respectivamente) y menor tasa de complicaciones (5,3% vs. 14%). El modelo multivariado confirmó que el bloqueo combinado se asocia significativamente con mayor probabilidad de akinesia total (OR: 15,88; IC95%: 3,47–72,68; p<0,001). Conclusión : El abordaje anestésico peribulbar combinado con técnica inferotemporal ofrece mayores beneficios clínicos frente al bloqueo cantal aislado en cirugía de catarata, destacándose como una opción segura y efectiva para este tipo de procedimiento.spa
dc.description.abstractenglishCataract surgery is one of the most frequent procedures in ophthalmology and requires anesthetic techniques that guarantee ocular immobility, analgesia, and safety. Among the options, the canthal block and its combination with the inferotemporal approach are widely used, but their comparative effectiveness is still debated. This study aimed to compare both techniques in terms of ocular akinesia, postoperative pain, and the presence of complications. Methodology: Prospective analytical cohort study in patients over 18 years of age with a diagnosis of cataract. Two peribulbar anesthetic techniques were compared: isolated peribulbar canthal block versus combined with the inferotemporal approach. The main variable was total ocular akinesia (Brahma scale), and as a secondary variable, postoperative pain (NRS scale). Descriptive analysis, nonparametric tests, and binary logistic regression were applied to identify significant associations, with a significance level of p < 0.05. Results : A total of 114 patients, the combined block presented a higher incidence of total akinesia (96.49% vs. 59.65%; p = 0.002), lower postoperative pain intensity at 2 and 12 hours (p = 0.0003 and p = 0.0345, respectively), and a lower complication rate (5.3% vs. 14%). A multivariate model confirmed that the combined block is significantly associated with a higher probability of total akinesia (OR: 15.88; 95% CI: 3.47-72.68; p < 0.001). Conclusion: The peribulbar anesthetic approach combined with the inferotemporal technique offers greater clinical benefits compared to isolated canthal block in cataract surgery, standing out as a safe and effective option for this type of procedure.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontents1. Justificación 2. Pregunta de investigación 3. Hipótesis 4. Estado del arte 5. Marco Teórico 6. Objetivos 6.1 Objetivo general 6.2 Objetivos específicos 7. Metodología 7.1 Diseño 7.2 Área de estudio 7.3 Población de estudio o elegible 7.4 Criterios de selección 7.5 Selección de los participantes del estudio 7.6 Tamaño de la muestra 7.7 Fuente de información 7.8 Definición de variables 7.9 Formato de recolección 7.10 Procesamiento/control de calidad 7.11. Plan de análisis estadístico 7.12 Consideraciones éticas 8.Resultados 9.Discusión 10.Conclusiones Bibliografía Cronograma Presupuesto Anexosspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/30103
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Anestesiologíaspa
dc.publisher.programidEANE-1049
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dc.relation.uriapolohttps://apolo.unab.edu.co/en/persons/sonia-luz-gomez-garcesspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsMedicinespa
dc.subject.keywordsperibulbar block, postoperative pain, canthal block, inferotemporal block, akinesia, anesthesiologyspa
dc.subject.keywordsMedicinespa
dc.subject.keywordsAnesthesiologyspa
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsCataractspa
dc.subject.keywordsAnesthesia in ophthalmologyspa
dc.subject.keywordsAnesthesia (Complications)spa
dc.subject.keywordsOperative surgeryspa
dc.subject.lembAnestesiologíaspa
dc.subject.lembCiencias médicasspa
dc.subject.lembMedicinaspa
dc.subject.lembCataratas (Oftalmología)spa
dc.subject.lembAnestesia en oftalmologíaspa
dc.subject.lembAnestesia (Complicaciones)spa
dc.subject.lembCirugía operatoriaspa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalBloqueo peribulbarspa
dc.subject.proposalDolor posoperatoriospa
dc.subject.proposalBloqueo cantalspa
dc.subject.proposalBloqueo inferotemporalspa
dc.subject.proposalAkinesiaspa
dc.titleImpacto de la adición del bloqueo inferotemporal a la técnica cantal interna en la akinesia ocular total para cirugía de catarataspa
dc.title.translatedImpact of the addition of inferotemporal blockade to the internal canthal technique on total ocular akinesia for cataract surgery.spa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TM

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