<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1817-7433</journal-id>
<journal-title><![CDATA[Revista Científica Ciencia Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cient Cienc Méd]]></abbrev-journal-title>
<issn>1817-7433</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina, Universidad Mayor de San Simón.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-74332024000200010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ANALGÉSICA MICRODOSIS DE KETAMINA-KETOROLACO CON DIPIRONA-KETOROLACO-TRAMADOL EN CIRUGÍAS COLECISTECTOMÍA Y HERNIOPLASTIA LAPAROSCÓPICAS]]></article-title>
<article-title xml:lang="en"><![CDATA[ANALGESIC MICRODOSE OF KETAMINE-KETOROLAC WITH DIPYRONE-KETOROLAC-TRAMADOL IN LAPAROSCOPIC CHOLECYSTECTOMY AND HERNIOPLASTY SURGERIES]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chachaqui Monduela]]></surname>
<given-names><![CDATA[Erick Jhon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero Ledezma]]></surname>
<given-names><![CDATA[Karla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Medico Anestesiologo ASSO 2024 ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Caja Nacional de Salud Hospital Salomon Klein ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>27</volume>
<numero>2</numero>
<fpage>10</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1817-74332024000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1817-74332024000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1817-74332024000200010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El dolor postoperatorio agudo es una reacción fisiológica compleja a la lesión tisular o enfermedad, como por ejemplo lo es la intervención quirúrgica siendo un estrés para el organismo del paciente.  Objetivos: Comparar la analgesia de microdosis de ketamina - ketorolaco con dipirona-ketorolaco-tramadol en cirugías laparoscópicas colecistectomía y hernioplastia.  Métodos: Un estudio prospectivo, cuasi experimental, simple ciego, la selección de pacientes fue por método de conveniencia, que son intervenidos a cirugía de colecistectomía laparoscópica y hernio plastia laparoscópica del Hospital Obrero N° Caja Nacional de Salud.  Resultados: El análisis de la EVA en la UCPA reveló una diferencia estadísticamente significativa (p=0,0I9) entre el grupo 1 (ketamina-ketorolaco) y el grupo 2 (dipirona-ketorolaco-tramadol) en las primeras evaluaciones. Esta diferencia indicaba una mayor percepción de dolor en el grupo 1. No obstante, al evaluar la evolución temporal, se observó una tendencia a la homogeneización de la EVA entre ambos grupos.  Conclusiones: Se obtuvo una mejor analgesia con grupo 2 (Dipirona-Ketorolaco-Tramadol), no hubo diferencias significativas respecto a los efectos adversos en ambos grupos de estudio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Acute postoperative pain is a complex physiological reaction to tissue injury or disease, such as surgery, and is a stress for the patient's body.  Objetives: To compare the analgesia of microdoses of ketamine-ketorolac with dipyrone-ketorolac-tramadol in laparoscopic cholecystectomy and hernioplasty surgeries.  Methods: A prospective, quasi-experimental, single-blind study, with patient selection by convenience, who underwent laparoscopic cholecystectomy and laparoscopic hernioplasty at Hospital Obrero #2 Caja Nacional de Salud.  Results: The analysis of the VAS in the PACU revealed a statistically significant difference (p=0.019) between group 1 (ketamine-ketorolac) and group 2 (dipyrone-ketorolac-tramadol) in the first evaluations. This difference indicated a greater perception of pain in group 1. However, when evaluating the temporal evolution, a tendency towards homogenization of the VAS between both groups was observed.  Conclusions: Better analgesia was obtained with group 2 (Dipyrone-Ketorolac-Tramadol), there were no significant differences regarding adverse effects in both study groups.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Analgesia]]></kwd>
<kwd lng="es"><![CDATA[Dipirona]]></kwd>
<kwd lng="es"><![CDATA[Ketamina]]></kwd>
<kwd lng="es"><![CDATA[Tramadol]]></kwd>
<kwd lng="en"><![CDATA[Analgesia]]></kwd>
<kwd lng="en"><![CDATA[Dipyrone]]></kwd>
<kwd lng="en"><![CDATA[Ketamine]]></kwd>
<kwd lng="en"><![CDATA[Tramadol]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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