Resumen

DEGIOVANNI B, Juan Carlos; CHAVES V, Alexandra; MOYANO A, Jairo  y  RAFFAN S, Fernando. Incidencia de complicaciones en anestesia regional, análisis en un hospital universitario. Estudio de Corte Transversal . Rev. colomb. anestesiol. [online]. 2006, vol.34, n.3, pp.155-162. ISSN 0120-3347.

During the past year 2005, 11.588 procedures were performed under anesthesia in the University Hospital FSFB, of which 16,5% was carried out under regional anesthesia. Statistical information does not exist in the colombian literature with regard to the complications of regional anesthesia in general and specifically in hospitals with residents in training. By means of a cross sectional study, the incidence of complications of regional anesthesia was measured; using a randomized sampling during a period of one year 212 cases were gathered, 5,1% presented some type of complication, of which only 0, 6% were major complications, reported as unnoticed dural punction. A total of 147 neuroaxial anesthetic procedures were performed of which one (1) patient (0,6%) presented postdural punction headache, 5 patient (2,35%) were failed blocks and two (2) patients (0,95%) presented neurological syntoms of the paresthesia type of which only one, the braquial plexus neuropraxia required continuous assessment. A total of 1300 neuroaxial anesthetic procedures were performed in the hospital that year, of which 8 presented postdural puncture headache, this is the most frequent cause of complications: In those cases of the FSFB evidence based clinical practice guide of treatment of postdural puncture headache were followed in 89 %. The incidence of complications of regional anesthesia in the university hospital foundation Santa Fe de Bogotá is below that reported in the scientific literature; the condition of university hospital is not a risk factor that increases the incidence of complications in procedures performed under permanent supervision.

Palabras clave : regional anesthesia; complications; university hospital.

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