Publicado ene 17, 2023



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Jesús Andrés Henao Zapata https://orcid.org/0000-0002-1079-1155

Catalina Herrera-Echeverry https://orcid.org/0000-0002-3690-0049

Jorge Steven Montealegre Arturo https://orcid.org/0000-0001-5155-0254

Rafael Ordoñez-Lizarralde https://orcid.org/0000-0003-0618-1714

Juan Camilo Valbuena Pabón https://orcid.org/0000-0002-0390-2734

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Resumen

Introducción: La anestesia general se subdivide en diferentes etapas donde una de las más importantes es la etapa de la inducción anestésica y los fármacos que se utilizan en ella, siendo el Propofol y la Ketamina los más nombrados


Objetivo: Realizar una revisión de las propiedades farmacocinéticas y farmacodinámicas de estos dos medicamentos, para la toma de decisiones sobre en qué situaciones debería usarse cada uno de ellos o de forma concomitante


Materiales y métodos: Se realizaron 4 búsquedas separadas en la base de datos de PUBMED, obteniendo un total de 27 bibliografías utilizadas para la revisión.


Resultados: El propofol es un agente hipnótico útil para procedimientos cortos, en pacientes estables hemodinámicamente. La ketamina tiene un perfil farmacodinámico ideal para pacientes con inestabilidad hemodinámica. El ketofol es una alternativa que logra adecuado sinergismo permitiendo mantener los beneficios de cada uno de estos medicamentos y disminuyendo la probabilidad de efectos adversos.


Conclusión: Dependiendo de la cirugía que se vaya a realizar y de la estabilidad hemodinámica de cada paciente se puede preferir un medicamento sobre otro.

Keywords

Anesthesia, Anesthesia induction, Propofol, Ketamine, KetofolAnestesia, Inducción anéstesica, Propofol, Ketamina, Ketofol

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Cómo citar
Henao Zapata, J. A., Herrera Echeverry, C., Montealegre Arturo, J. S., Ordoñez Lizarralde, R. A., & Valbuena Pabón, J. C. (2023). Inducción Anestésica: Propofol, Ketamina o Ketofol ¿Cuándo utilizarlos? . Universitas Medica, 63(4). https://doi.org/10.11144/Javeriana.umed63-4.prop
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