Recomendaciones farmacolgicas en

el preoperatorio

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Farmacologia
1

Estimulantes gastrointestinales

Bloqueadores de la secrecin gstrica

Anticidos

Antiemticos

Anticolinrgicos

Estimulantes Gastrointestinales

Metoclopramida
La administracin rutinaria preoperatoria de
estimulantes gastrointestinales no est
recomendada para reducir la incidencia de
broncoaspiracin en pacientes sin riesgo
aparente.

Bloqueadores de la secrecin gstrica

Cimetidina, Famotidina, Ranitidina,

Omeprazol, Lansoprazol:
No se aconseja su empleo rutinario en
pacientes quirrgicos sin riesgo
aparente.

Anticidos
Citrato sdico, Bicarbonato sdico,
Aluminio de magnesio:
No se ha demostrado que su uso rutinario
disminuya el riesgo de broncoaspiracin en
pacientes sin antecedentes.
nicamente se aconseja su administracin
cuando las indicaciones de su empleo sean
diferentes a las especficas para reducir el
riesgo de aspiracin pulmonar.

Antiemticos
Antagonistas de los receptores 5-HT3:
(Ondansetrn)
Antagonistas de la dopamina:
(Domperidona, Droperidol)
Si bien su administracin preoperatoria es
til para reducir nuseas y vmitos en el
postoperatorio, su empleo rutinario en la
prevencin de la broncoaspiracinno est
recomendado en pacientes sanos sin
riesgo.

Anticolinrgicos

Atropina, Escopolamina, Glucopirrolato:

No se recomienda su uso rutinario.

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