Efecto del bloqueo serrato anterior en el control del dolor postoperatorio en cirugía de cáncer de mama

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dc.contributor.advisorTrujillo, Nestor
dc.contributor.advisorGómez Garces, Sonia Luz
dc.contributor.apolounabGómez Garces, Sonia Luz [sonia-luz-gomez-garces]spa
dc.contributor.authorAlvernia Pinto, María Juliana
dc.contributor.cvlacGómez Garces, Sonia Luz [0001659600]spa
dc.contributor.cvlacAlvernia Pinto, María Juliana [0001693706]spa
dc.contributor.googlescholarGómez Garces, Sonia Luz [es&oi=ao]spa
dc.contributor.orcidGómez Garces, Sonia Luz [0000-0003-1865-2923]spa
dc.contributor.orcidAlvernia Pinto, María Juliana [0009-0009-5436-0726]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialFloridablanca (Santander, Colombia)spa
dc.coverage.temporalMayo Julio 2024spa
dc.date.accessioned2025-06-05T13:48:37Z
dc.date.available2025-06-05T13:48:37Z
dc.date.issued2025-05-27
dc.degree.nameEspecialista en Anestesiologíaspa
dc.description.abstractEl cáncer de mama (CM) continúa siendo la forma más común de neoplasia maligna en mujeres. Su creciente incidencia ha llevado a que la cirugía por cáncer de mama (CCM) sea cada vez más frecuente, la cual se asocia a dolor postoperatorio moderado a severo que retrasa la recuperación. Es por esto que surge el estudio analítico de cohorte prospectiva, que evaluó el efecto del bloqueo serrato anterior (BPSA) en el control del dolor postoperatorio en CCM. Se realizo en pacientes mayores de 18 años sometidas a CCM a quienes según concepto del anestesiólogo se les realizó BPSA guiados por ultrasonografía combinado con anestesia general y analgesia convencional. La variable principal fue el cambio en la valoración del dolor en la escala numérica del dolor a las 0,12,24 y 72 horas postoperatorias. Como desenlace secundario evaluar los efectos secundarios de las técnicas descritas. 130 pacientes fueron evaluadas, 65 pacientes sin bloqueo y 65 pacientes en el grupo de BPSA. La media más alta respecto al dolor se registró a las 0 horas postoperatorias, siendo de 6.69 (DE = 2.02, IC 95%: 6.19 – 7.21) en pacientes sin BPSA frente a 2.76 (DE = 1.60, IC 95%: 3.27 – 3.17) en pacientes con BPSA (p < 0.01). La media de dolor más baja se presentó a las 72 horas, con una media de 1.60 (DE = 1.45, IC 95%: 1.24 – 1.97) en pacientes sin BPSA frente a 0.63 (DE = 1.15, IC 95%: 0.34 – 0.92) en pacientes con BPSA (p < 0.01). La incidencia de de nausea y vomito POP fue de 15,38% en el grupo con BPSA versus el 46,03% en el grupo sin BPSA. Con una prevalencia de 0% de complicaciones.spa
dc.description.abstractenglishBreast cancer (BC) remains the most common form of malignancy in women. Its rising incidence has led to an increasing frequency of breast cancer surgery (BCS), which is associated with moderate to severe postoperative pain that delays recovery. This prospective cohort study was conducted to evaluate the effect of serratus anterior block (SABP) on postoperative pain control in BSC. The study was conducted in patients over 18 years of age undergoing BSC. According to the anesthesiologist's opinion, these patients underwent ultrasound-guided SABP combined with general anesthesia and conventional analgesia. The primary endpoint was the change in pain scores on the numerical pain scale at 0, 12, 24, and 72 hours postoperatively. The secondary outcome was to evaluate the side effects of the described techniques. One hundred thirty patients were evaluated: 65 without the block and 65 in the SABP group. The highest mean pain score was recorded at 0 hours postoperatively, being 6.69 (SD = 2.02, 95% CI: 6.19–7.21) in patients without BPSA versus 2.76 (SD = 1.60, 95% CI: 3.27–3.17) in patients with BPSA (p < 0.01). The lowest mean pain score was recorded at 72 hours, with a mean of 1.60 (SD = 1.45, 95% CI: 1.24–1.97) in patients without BPSA versus 0.63 (SD = 1.15, 95% CI: 0.34–0.92) in patients with BPSA (p < 0.01). The incidence of nausea and vomiting (POP) was 15.38% in the BPSA group versus 46.03% in the non-BPSA group, with a 0% prevalence of complications.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontentsResumen 3 Introducción 5 1. Planteamiento del problema 6 2. Pregunta de Investigación 6 3. Hipótesis de trabajo 7 4. Justificación 7 5. Marco teórico 9 6. Estado del Arte 20 7. Objetivos 25 7.1. Objetivo General 25 7.2. Objetivos específicos 25 8. Metodología 25 8.1. Tipo de estudio 25 8.2. Población 25 8.3. Criterios de inclusión 26 8.4. Criterios de exclusión 26 8.5. Cálculo de tamaño de muestra 26 8.6. Muestreo 27 8.7. Recolección de la información 27 8.8. Variables 29 8.9. Plan de análisis de datos 32 8.10. Consideraciones éticas. 33 9. Resultados 35 10. Análisis y discusión 45 11. Limitaciones 50 12. Conclusiones 51 13. Referencias bibliográficas 51 16. Anexos 57 16.1. Impacto y resultados esperados 57 16.2. Alcances del trabajo de grado 58 16.3. Instrumento de recolección de la información 58 16.4. Documento consentimiento informado 61 16.5. Cronograma de actividades 66 16.6. Presupuesto 66spa
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/20.500.12749/29406
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.keywordsAnesthesiologyspa
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsMedicinespa
dc.subject.keywordsBreast cancer surgeryspa
dc.subject.keywordsSerratus anterior plane blockspa
dc.subject.keywordsControl of acute postoperative painspa
dc.subject.keywordsSurgical therapyspa
dc.subject.keywordsSurgery, Operativespa
dc.subject.keywordsBreast (Cancer)spa
dc.subject.keywordsConduction anesthesiaspa
dc.subject.lembAnestesiologíaspa
dc.subject.lembCiencias médicasspa
dc.subject.lembMedicinaspa
dc.subject.lembanestesia regionalspa
dc.subject.lembTerapéutica quirúrgicaspa
dc.subject.lembCirugía operatoriaspa
dc.subject.lembMamas (Cáncer)spa
dc.subject.lembAnestesia de conducciónspa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalCirugía de cáncer de mamaspa
dc.subject.proposalBloqueo del plano serrato anteriorspa
dc.subject.proposalDolor agudo postoperatoriospa
dc.titleEfecto del bloqueo serrato anterior en el control del dolor postoperatorio en cirugía de cáncer de mamaspa
dc.title.translatedEffect of serratus anterior block on postoperative pain control in breast cancer surgeryspa
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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