{"id":2195,"date":"2018-07-06T21:54:19","date_gmt":"2018-07-06T21:54:19","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1107"},"modified":"2026-02-11T19:40:01","modified_gmt":"2026-02-11T19:40:01","slug":"preoperative-pain","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/preoperative-pain\/","title":{"rendered":"Predicci\u00f3n Preoperatoria del Dolor Postoperatorio Severo"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Las pruebas cuantitativas de la percepci\u00f3n del dolor basal de un paciente antes de la cirug\u00eda tienen el potencial de ser de valor cl\u00ednico si pueden predecir con precisi\u00f3n la magnitud del dolor y la necesidad de analg\u00e9sicos despu\u00e9s de la cirug\u00eda.<br \/>\n<!--more--><br \/>\nUna manera simple de detectar a estos pacientes en la visita preoperatoria es utilizar el puntaje de Kalkman, una escala de riesgo validada basada en la historia del paciente y el tipo de cirug\u00eda.<\/p>\n<p><strong>Predicci\u00f3n preoperatoria del dolor postoperatorio severo<\/strong><\/p>\n<ul>\n<li>Sexo: femenino, 1 punto; masculino, 0 puntos<\/li>\n<li>Edad: menor de 30 a\u00f1os, 2 puntos; 31 a 65 a\u00f1os; 1 punto; mayores de 65 a\u00f1os, 0 puntos<\/li>\n<li>Dolor antes de la cirug\u00eda en el sitio de la misma: ninguno, 0 puntos; moderado, 2 puntos; severo, 3 puntos<\/li>\n<li>Uso regular de opioides, 1 puntos<\/li>\n<li>Uso regular de antidepresivos ansiol\u00edticos, 1 puntos<\/li>\n<li>Cirug\u00eda abierta, 1 puntos<\/li>\n<li>Tipo de cirug\u00eda: tor\u00e1cica, 3 puntos; abdominal, 2 puntos; ortop\u00e9dico, 1 punto; otro, 0 puntos<\/li>\n<li>Procedimientos de larga duraci\u00f3n (&gt; 120 minutos), 1 puntos<\/li>\n<li>Obesidad (IMC&gt; 30), 1 puntos<\/li>\n<li>Altos niveles de ansiedad en la visita preoperatoria, 1 puntos<\/li>\n<\/ul>\n<p>El\u00a0riesgo\u00a0dolor postoperatorio intenso es importante cuando el puntaje es 4 de 15.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Kalkman CJ, Visser K, Moen J, Bonsel GJ, Grobbee DE, Moons KG. Preoperative prediction of severe postoperative pain.\u00a0Pain. 2003 Oct;105(3):415-23. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14527702\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Janssen KJ, Kalkman CJ, Grobbee DE, Bonsel GJ, Moons KG, Vergouwe Y. The risk of severe postoperative pain: modification and validation of a clinical prediction rule. Anesth Analg. 2008 Oct;107(4):1330-9.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18806049\/\" target=\"_blank\" rel=\"noopener noreferrer\"> [Medline]<\/a><\/li>\n<li>Papadomanolakis-Pakis N, Munch PV, Carl\u00e9 N, Uhrbrand CG, Haroutounian S, Nikolajsen L. Prognostic clinical prediction models for acute post-surgical pain in adults: a systematic review. Anaesthesia. 2024 Dec;79(12):1335-1347. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39283262\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jul 6, 2018.<br \/>\nActualizado Feb 11, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las pruebas cuantitativas de la percepci\u00f3n del dolor basal de un paciente antes de la cirug\u00eda tienen el potencial de ser de valor cl\u00ednico si pueden predecir con precisi\u00f3n la magnitud del dolor y la necesidad de analg\u00e9sicos despu\u00e9s de la cirug\u00eda.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[425],"tags":[433,432,431,430,429,428,427,426,329,434],"class_list":["post-2195","post","type-post","status-publish","format-standard","hentry","category-anesthesiology","tag-dolor","tag-pain","tag-postoperative","tag-postoperatorio","tag-prediccion","tag-prediction","tag-preoperative","tag-preoperatoria","tag-severe","tag-severo"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2195"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2195\/revisions"}],"predecessor-version":[{"id":10661,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2195\/revisions\/10661"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}