[Intravenous remifentanyl for labor analgesia]. / Remifentanilo intravenoso para analgesia del trabajo del parto.
Rev Esp Anestesiol Reanim
; 56(4): 222-31, 2009 Apr.
Article
em Es
| MEDLINE
| ID: mdl-19537262
ABSTRACT
BACKGROUND:
Intravenous remifentanil may be the preferred analgesic when regional techniques are contraindicated.OBJECTIVE:
To perform a systematic review on the use of remifentanil for analgesia in labor.METHODS:
We searched MEDLINE (January 1995-August 2007) for studies on obstetric analgesia with remifentanil.RESULTS:
We found 32 references representing the use of remifentanil in 257 women in labor. In most cases, patients reported relief of pain and a high level of satisfaction, with no severe side effects in mothers or neonates. When compared with meperidine and nitrous oxide in clinical trials, remifentanil provided better analgesia with fewer adverse effects.CONCLUSION:
Analgesia with intravenous remifentanil is more effective and safer than other alternatives to regional analgesic techniques in obstetrics. Nevertheless, the optimum system for infusing the drug must b e established and further studies of maternal and fetal safety should be carried out.
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Base de dados:
MEDLINE
Assunto principal:
Piperidinas
/
Analgesia Obstétrica
/
Analgésicos Opioides
Tipo de estudo:
Observational_studies
/
Systematic_reviews
Limite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
Es
Ano de publicação:
2009
Tipo de documento:
Article