Estudio observacional sobre dolor a la anestesia para la cirugia de la una del hallux

Objectives: During nail surgery, one of the most painful and stressful phases is anesthesia. Despite this, evidence on pain intensity is scarce, and most of the studies that measure it are experimental and apply strategies for its control Therefore, it was proposed as an objective to describe and quantify pain intensity in anesthesia for hallux nail surgery, during the procedure and after one hour analyze its relationship with preoperative anxiety and pain, and to compare pain between lateral and medial infiltration. Patients and methods: An observational study was performed on 115 patients aged 16 to 82 years requiring hallux nail surgery. A trunk anestehtic technique was performed and pain was measured. Pain was measured using a verbal rating scale (VRS). Results: The pain during anesthesia has a moderate intensity. It has been observed that pain is higher (statistically significant differences) in women, younger patients, those suffering from anxiety and with lower BMI values. The recall of pain after anesthesia is significantly lower than the pain reported at the time of infiltration, except in patients with anxiety where it is higher. Medial infiltration causes more pain than lateral, with a mean (SD) of 6.1 (2.4) and 5.7 (2.4), respectively; these differences are not statistically significant. Conclusions: Pain during hallux ring anesthesia is of moderate intensity, gender, age, BMI, educational level and anxiety influence pain. Participants with medium and basic studies are more likely to suffer from uncontrolled pain. The recall of pain after anesthesia is significantly lower than the pain reported at the time of infiltration, except in patients with anxiety.