Dor pós-operatória em lipoaspiração sob anestesia geral

Abstract

BACKGROUND: Pain control is essential in any surgical event. In general, Liposuction evolves complaints of postoperative pain in clinical practice, which generates discussion about the best way to prevent it and treat it. Thus, studies indicate that analgesia should start before any painful stimulus to be triggered to reduce or prevent pain preemptively. The approach in various painful ways, with combination of different classes of drugs or association of spinal/epidural block with general anesthesia, may also contribute to pain management. METHOD: Descriptive, prospective and observational study, Cohort, with patients undergoing plastic surgery involving liposuction. The standard anesthetic procedure consisted in the association of general and spinal anesthesia. The escalation of pain, performed 6 and 18hours after the surgery, used unidimensional scales. The absence of pain and mild pain were considered satisfactory result. RESULTS: We evaluated 50 female patients, mean age 35. There isn’t severe pain at any time during the study. Satisfactory results accounted for 94% and 92% of patients after six and eighteen hours liposuction, respectively (p <0.001). CONCLUSIONS: In surgical body contouring, the general anesthesia combined with spinal anesthesia has been able to control the pain satisfactorily in the immediate postoperative period in most cases (> 90%). Liposuction has become a manageable pain surgery in this series.