ESTUDIO COMPARATIVO BUPRENORFINA VS TRAMADOL COMO PROTOCOLO DE CUIDADOS PALIATIVOS EN EL MANEJO DE DOLOR ONCOLÓGICO POST QUIRÚRGICO

Abstract

Introduction: Post-surgical pain represents a major problem after surgery, as it adversely affects the quality of life. Many patients undergoing a surgical procedure experience acute postoperative pain, but evidence suggests that less than half report adequate relief of postoperative pain. Objective: To determine the effectiveness of the use of Tramadol vs Buprenorphine in continuous infusion for the management of postoperative oncological pain in SOLCA. Methodology: Observational, prospective, comparative study in cancer patients, whose treatment protocol included tramadol or buprenorphine; during the year 2016; In the Society of Fight against Cancer, SOLCA. Individuals over the age of 18 years were included with pain therapy regimen including either tramadol or buprenorphine, an informed consent signature. Clinical file containing: age, sex, surgical procedure, duration, drug, immediate postoperative pain evaluation, 2 hours, 4 hours and 6 hours, use of rescue therapy were applied. The data obtained were stored in an Excel database and analyzed using the SPSS statistical software using frequency and relationship methods to achieve the proposed objectives. Results: A sample of 130 patients was obtained, of which 74.6% corresponded to the female gender; Being the most frequent age group between 46 to 55 years (25.4%) and 56 to 65 years (23.1%). There was a greater reduction in the need for rescue therapy and better postoperative pain relief response in the group treated with buprenorphine compared to the tramadol group. 11 Conclusion: We conclude a better relief profile for buprenorphine compared to tramadol.