Resumen

ALEGRE ANDRADE, Patricia  y  MAMANI ORTIZ, Yercin. Remifentanil and propofol infusion controlled by target for uterine curettage. Gac Med Bol [online]. 2019, vol.42, n.1, pp.47-51. ISSN 1012-2966.

Objective: to analyze hemodynamic behavior in anesthetic management with an objective-controlled infusion of remifentanil and propofol in uterine curettage by incomplete abortion. Methods: an uncontrolled clinical trial was conducted using a service protocol approved by the obstetric anesthesiology department of Obrero Hospital Nº2, between January and May of 2019, including 39 patients treated by instrumental curettage; the Minto model for remifentanil and the Schnider model for propofol were used to controlled infusion. The assessment of the statistical differences in the hemodynamic parameters was made by Student’s T test. Results: the age average of participants was 34.77±7.9 years, surgical time of 12±2.9 minutes. Duration of anesthetic time of 15±3 minutes; the time of discharge from the anesthetic recovery to rooms of 14±3.3 minutes. The induction dose of remifentanil used was 4.8±0.3 ng/ml (p>0.001) and the induction dose of propofol was 3.77±0.4 mcg/ml (p>0.001). The maintenance doses of remifentanil of 4.56±0.5 ng/ml and the dose of propofol was 3.8±0.6 mcg/ml (p>0.001). There were no complications or secondary findings due to the use of the medications. Conclusions: the use of the objective-controlled infusion system (TCI) for remifentanil in the Minto model and the Schinder model for propofol provides patients with good hemodynamic stability.

Palabras clave : abortion; curettage; anesthesia; remifentanil; propofol.

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