Spinal anesthesia for elective ceasarean section: use of different doses of hyperbaric bupivacaine associated with morphine and clonidine
Acta cir. bras
; Acta cir. bras;28(1): 26-32, jan. 2013. tab
Article
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| LILACS
| ID: lil-662344
Bibliothèque responsable:
BR1.1
ABSTRACT
PURPOSE:
To comparatively study the efficacy and maternal and fetal side-effects of two doses of bupivacaine associated with morphine and clonidine, administered by the subarachnoid route for cesarean section.METHODS:
The study included 66 pregnant women at term, distributed into two groups. GI bupivacaine 8.0 mg (1.6mL) + clonidine 75µg (0.5mL) + morphine 100µg (1.0mL) and GII bupivacaine 10mg (2.0mL) + clonidine 75µg (0.5mL) + morphine 100µg (1.0mL). The following parameters were assessed onset and maximum level of sensory block; quality of intraoperative and postoperative analgesia; degree and duration of motor block; maternal repercussions and Apgar score.RESULTS:
The onset of sensory block, quality of intraoperative analgesia and total duration of analgesia were similar in both groups; maximum extent of sensory block predominated in T4; maximum degree of motor block (Bromage 3); time motor block regression was significantly longer in GII; Hemodynamic, respiratory repercussions, adverse maternal effects and Apgar scores were similar between groups. In both groups, there was a predominance of drowsy or sleeping patients.CONCLUSION:
The addition of morphine and clonidine to low doses of hyperbaric bupivacaine produced adequate anesthesia for cesarean section and good postoperative analgesia, without any maternal and fetal repercussions.Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Bupivacaïne
/
Césarienne
/
Clonidine
/
Anesthésiques combinés
/
Rachianesthésie
/
Morphine
Type d'étude:
Clinical_trials
/
Risk_factors_studies
Limites du sujet:
Adult
/
Female
/
Humans
/
Pregnancy
langue:
En
Texte intégral:
Acta cir. bras
Thème du journal:
Cirurgia Geral
/
Procedimentos Cir£rgicos Operat¢rios
Année:
2013
Type:
Article