RESUMO
The authors studied the effects of acupuncture and pentazocine on post-operative respiratory function and pain management on patients hysterectomized by means of a subumbilical midline incision. The acupunctural technique consisted of GB-26, St-36, Sp-6 and auricular Shen-Men bilateral electrostimulation for 40 minutes. The analgesic effect of acupuncture was equivalent to that of 30 mg pentazocine, yet the most important effect of acupuncture consisted in a net increase of vital capacity during the period of acupuncture analgesia that lasted for 3-4 hr after stimulation; contrariwise, pentazocine did not cause any vital capacity increment and vital capacity remained at the levels observed prior to narcotic administration.
Assuntos
Terapia por Acupuntura , Analgesia , Dor Pós-Operatória/terapia , Pentazocina/uso terapêutico , Respiração , Adulto , Feminino , Humanos , Histerectomia , Pessoa de Meia-Idade , Dor Pós-Operatória/fisiopatologia , Respiração/efeitos dos fármacos , Capacidade Vital/efeitos dos fármacosRESUMO
Prostaglandin F2 alpha, in doses varying from 1 to 5 mg was injected transabdominally, transvaginally or intraabdominally (during caesarean section) into the myometrium in ten patients affected by metrorrhagias not responsive to conventional uterotonic drugs. In all cases but one the result was excellent. Important side effects were observed in only one patient, because of the inadvertent intravascular injection of 5 mg Prostaglandin into the endocervix. An adequate treatment of this patient brought her to complete recovery in a short time. According to our experience, the intramyometrial injection of PGF2 alpha, in doses varying from 1 to 2 mg, is a simple, safe and effective method in the control of severe hemorrhage due to uterine atony not responding to conventional treatment.
Assuntos
Complicações Cardiovasculares na Gravidez/tratamento farmacológico , Prostaglandinas F/uso terapêutico , Contração Uterina , Hemorragia Uterina/tratamento farmacológico , Adolescente , Adulto , Dinoprosta , Feminino , Humanos , Metilergonovina/uso terapêutico , Pessoa de Meia-Idade , Miométrio , Ocitocina/uso terapêutico , Gravidez , Complicações Cardiovasculares na Gravidez/etiologia , Prostaglandinas F/administração & dosagem , Hemorragia Uterina/etiologiaRESUMO
Cardiotocographic variations certainly attributable to epidural anaesthesia were studied over the period 1972-1980 on 716 patients in labour. Transitory side-effects due to both direct and indirect action of local anaesthetics appeared in 1.4% of the cases, without, however, subsequently creating any particular foeto-newborn problem. On the basis of the experience acquired, it seems justifiable to affirm that the correct use of continuous epidural block, affected by very small doses of bupivacaine (10-20 mg per administration) is almost risk-free. The only inconvenience therefore that may sometimes arise would only be due to the relevation of a concealed cava occlusion when the maintenance of a left lateral position is not observed.