<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992020000100024</article-id>
<article-id pub-id-type="doi">10.35366/92708</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ablación térmica de nervios intercostales por radiofrecuencia para dolor por fracturas costales múltiples]]></article-title>
<article-title xml:lang="en"><![CDATA[Radiofrequency ablation of intercostal nerves for pain management in multiple rib fractures]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Méndez]]></surname>
<given-names><![CDATA[Rocío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Rivera]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acuña Prats]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Lomas Clínica de Dolor ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Lomas  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles Lomas Clínica de Dolor ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>24</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000100024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El trauma en general y el trauma contuso de tórax en particular continúan formando parte de los problemas más frecuentes que el médico, el cirujano y los sistemas de emergencia tienen que afrontar todos los días. El dolor que experimentan los pacientes suele ser muy intenso, limitando la mecánica respiratoria de manera importante y por consiguiente, complicándose el paciente con frecuencia por atelectasias pulmonares y focos neumónicos al no contar con un buen manejo de secreciones. El objetivo de este artículo es demostrar que el uso de la ablación por radiofrecuencia de los nervios intercostales disminuye el dolor en el paciente con trauma contuso de tórax, mediante la revisión de 12 casos con trauma contuso y fracturas costales múltiples tratados con radiofrecuencia guiada con fluoroscopia, ultrasonido e impedancia para producir ablación térmica de los nervios intercostales involucrados y de esta manera, reducir de manera importante el dolor preoperatorio o postoperatorio asociado a fracturas costales múltiples.  Material y métodos:  Tipo de estudio retrospectivo de 12 pacientes con trauma de tórax contuso y dificultad para ventilar, con una cinemática de: caídas de diferentes alturas (de 10 a 25 m de altura), accidentes automovilísticos, y de motocicleta. Previo consentimiento informado para este tipo de procedimiento y bajo anestesia general e intubación se realizó ablación de nervios intercostales, utilizando fluoroscopia para localizar el nervio intercostal involucrado proximal a la fractura, se corroboró la correcta posición de la aguja mediante impedancia, estimulación motora y sensitiva. Se efectuó ablación a 60 oC durante un minuto por cada nervio empleando el equipo NeuroTherm NT 1100 (marca registrada). Variables: cualitativas descriptivas: edad, sexo, cinemática del trauma. Variables en estudio: dolor a la ventilación preablación y postablación, medidas mediante escala numérica de dolor (END), dolor a la espiración preablación y postablación. Variables cuantitativas: número de costillas fracturadas, calificación del Injury Severity Score (ISS) y Revised Trauma Score (RTS). Variables cuantitativas del estudio: consumo de morfina en mg preablación y postablación. Descripción de las variables mediante: media y desviación estándar.  Resultados:  Disminución del dolor a la espiración en 70%, así como del consumo de opioides en 70.8%. Complicaciones: alodinia leve y pasajera en 41.2% de los casos controlada con gabapentinoides durante dos semanas.  Conclusión:  La ablación térmica de nervios intercostales por radiofrecuencia en trauma contuso de tórax es útil, disminuye el dolor en forma significativa y permite mejor ventilación con menor consumo de analgésicos. Esta técnica podría perfilarse como un nuevo estándar de oro en el control del dolor en trauma torácico severo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Trauma continues to be a major problem that is confronted daily by doctors, surgeons and the emergency systems in general, particularly in blunt thoracic trauma. The pain that the patients have usually is severe restricting in an important way the ventilation and furthermore it generally produces lung atelectasis and neumony because the patients can't move lung secretions. The main objective of this article is to show that the use of intercostals nerve ablation diminishes the pain of the patient with blunt thoracic trauma by the review of the first 12 cases of blunt thoracic trauma with multiples rib fractures treated with radiofrequency ablation of the intercostal nerves guided by fluoroscopy or ultrasound and electric impedance in order to diminish the pain before or after surgery.  Material and methods:  It was a retrospective study of 12 patients with blunt thoracic trauma who had difficulties with the ventilation because of the intensity of the pain. The cause of the trauma were car and motorcycle accidents, falls form different heights (10-25 m). The patients had general anesthesia and intubation before the procedure followed by ablation of the intercostal nerves proximal to the rib fracture guided by fluorosocopy or ultrasound and impedance. The correct placement of the needle was done by electric impedance and motor and sensory stimulations. The nerve ablation of the intercostals nerves of the rib fractures were done with 60 oC for one minute for each nerve using the NeuroTherm NT 1100 (registered marc). Variables: qualitative variables used for description of the population was accomplished by age, gender, mechanism of the trauma. Pain intensity was measured by the quantitative pain number scale before and after the treatment and with exhalation, before and after treatment, quantitative variables studied: number of rib fractured, injured severity scale score, and revised trauma score, morphine use in mg before and after the treatment description of the result by average and standard deviation.  Results:  Pain intensity was diminished in 70%, and the daily morphine consumption was also diminished in 70.8%. Alodine as a complication of the treatment was found in a 41.2% of the cases and was easily controlled with gabapentinoids for two weeks.  Conclusion:  The use of intercostal nerve ablation with radiofrequency in thoracic blunt trauma is effective and safe. It controls the pain significantly and improves the ventilation of the patient diminishing the morphine consumption. This technique could become the new gold standard in the treatment of pain in the severe thoracic blunt trauma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor]]></kwd>
<kwd lng="es"><![CDATA[ablación térmica de nervios intercostales]]></kwd>
<kwd lng="es"><![CDATA[trauma contuso de tórax]]></kwd>
<kwd lng="en"><![CDATA[Pain]]></kwd>
<kwd lng="en"><![CDATA[intercostal nerve ablation]]></kwd>
<kwd lng="en"><![CDATA[blunt thoracic trauma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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