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espanolIntroduccion/Objetivos: Se realiza un estudio para valorar la calidad del manejo del dolor hospitalario y extrahospitalario durante las primera 24 horas con la Escala Analogica Visual y Verbal del dolor (EVA) en cirugia mayor ambulatoria (CMA) de los pacientes intervenidos de hernioplastia, conocer los analgesicos mas utilizados y confirmar que tienen un adecuado control del dolor (EVA ≤ 3). Material y Metodos: Estudio observacional, longitudinal y descriptivo para valorar el Dolor Agudo Postquirurgico (DAP) y los analgesicos precisos para controlar el dolor; desarrollado en el Servicio de Anestesia y Reanimacion del Hospital Universitario Santa Ma del Rosell del Area II de Cartagena durante los meses de octubre a diciembre de 2014. Los participantes fueron individuos mayores de edad intervenidos quirurgicamente de hernioplastia con riesgo anestesico segun el sistema de clasificacion American Society of Anesthesiologists (ASA) I-II, y III muy seleccionados. El analisis estadistico se realizo con el paquete estadistico SPSS para Windows version 19.0. Resultados: Participaron 70 individuos. Refirieron EVA≤1 un 80% al ingreso en reanimacion, un 98,6% al alta en reanimacion, un 82,6% al alta del CMA y un 87% en su domicilio. Todos fueron infiltrados con anestesico local y los analgesicos mas utilizados fueron los “no opiaceos”.Conclusiones: La mayoria de los individuos durante las primeras 24 horas postquirurgicas refirieron un EVA ≤ 1 presentando un adecuado control del dolor, siendo los analgesicos “no opiaceos” los mas utilizados junto con las infiltraciones locales EnglishIntroduction / Objectives: A study was carried out to evaluate the quality of hospital and out-of- hospital pain management during the first 24 hours with the Visual and Verbal Analog Pain Scale (VAS) in major outpatient surgery of patients undergoing hernia repair, Know the most commonly used analgesics and confirm that they have adequate pain control (EVA ≤ 3). Material and Methods: Observational, longitudinal and descriptive study to assess Acute Post- Operative Pain and analgesics to control pain; Developed in the Anesthesia and Resuscitation Service of the Santa Ma del Rosell University Hospital of Area II of Cartagena during the months of October to December of 2014. The participants were elderly individuals surgically operated on hernioplasty with anesthetic risk according to the American classification system Society of Anesthesiologists (ASA) I-II, and III highly selected. Statistical analysis was performed with the SPSS statistical package for Windows version 19.0 Results: 70 individuals participated. They reported EVA≤1 80% at resuscitation admission, 98.6% at resuscitation discharge, 82.6% at CMA discharge and 87% at home. All were infiltrated with local anesthetic and the most commonly used analgesics were "non-opiates". Conclusions: Most individuals during the first 24 postoperative hours reported an EVA ≤ 1 with adequate pain control, with non-opioid analgesics being the most used together with local infiltrations.

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Valoración del dolor en pacientes intervenidos quirúrgicamente de hernioplastia con cirugía ambulatoria en el Hospital Universitario Santa María del Rosell