Recomendaciones basadas en evidencia para el tratamiento agudo intrahospitalario de la migraña. Asociación Colombiana de Neurología
DOI:
https://doi.org/10.22379/anc.2085Palabras clave:
Antiinflamatorios no esteroideos, Lidocaína, Ketamina, Antieméticos, Magnesio, Tratamiento, Hospitalización, Propofol, Ketorolaco, Diclofenaco, Dexametasona, Haloperidol, Metoclopramida, Cetoprofeno, Trastornos migrañososResumen
Introducción: la migraña es uno de los principales motivos de consulta a nivel mundial, por lo que existe gran incapacidad global y deterioro de la calidad de vida de los pacientes.
Objetivo: presentar recomendaciones basadas en evidencia para el tratamiento agudo de los pacientes con migraña, en el ámbito intrahospitalario.
Metodología: el consenso fue desarrollado por un panel integrado por neurólogos miembros del grupo de trabajo de dolor de cabeza de la Asociación Colombiana de Neurología, quienes realizaron una revisión sistemática de la literatura y fueron asesorados por un epidemiólogo responsable para garantizar la rigurosidad técnica y la adherencia a los estándares GRADE y PRISMA.
Resultados: de acuerdo con la evidencia disponible, se describen los fármacos recomendados en Colombia para el tratamiento parenteral de la migraña, tanto en la primera (diclofenaco, ketorolaco, dexketoprofeno, metoclopramida, dipirona y dexametasona) como en la segunda línea (haloperidol, sulfato de magnesio, lidocaína, ketamina y propofol), además de recomendaciones generales de tratamiento y la exclusión del uso de opioides.
Conclusión: se presentan las recomendaciones para el tratamiento agudo intrahospitalario de la migraña, basado en la metodología de consenso y el sistema GRADE.
Biografía del autor/a
Oscar Enrique Pradilla Vesga, Fundación Oftalmológica de Santander, Clínica FOSCAL, Bucaramanga, Colombia
Centro Médico Carlos Ardila Lülle, Bucaramanga, Colombia
Sergio Ramírez García, Fundación Universitaria Ciencias de la Salud, Bogotá, Colombia
Clínica Reina Sofia, Bogotá, Colombia
Claudia Marcela Moreno Rodríguez, Clínica Universitaria Colombia-Keralty, Bogotá, Colombia
Hospital de San José, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia
José David Martínez Gaviria, IPS Neuromédica, Medellín, Colombia
Clínica Universitaria Bolivariana, Medellín, Colombia
Joe Muñoz Cerón, Clínica Universitaria Colombia-Keralty, Bogotá, Colombia
Hospital Universitario Mayor Méderi, Bogotá, Colombia
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