Martínez-Reyes MF, Sandoval-Rivera AG, Peraza-Garay FJ, Villars-Zamora EG, Valencia-Echávarri A

Language: Spanish
References: 14
Page: 285-292
PDF size: 128.71 Kb.

ABSTRACT

Introduction: caesarean section is the most common, so the management of the obstetric patient in anesthesiology is usual. Opioids have been an option in regional anesthesia to improve the antinociceptive effect of local anesthetics. Objective: To compare the efficacy and safety of the spinal administration of fentanyl 25 micrograms and morphine 50 micrograms vs the administration of ropivacaine to 1.2% peridural for pain control in post-operative cesarean patients. Methodology: A randomized, controlled clinical trial was conducted in patients undergoing caesarean section from January-December 2017; in the HCC. Results: A sample of 68 patients was obtained, distributed in Control Group (34) and Experimental (34). With the scale used to assess pain (VAS) in its different measurements over time, a mean was obtained. At 8 hours, Spinal Opioid Group of 1.5 with an SD of ± 1.5; while the Continuous Epidural Analgesia Group had an average of 2.5 with an SD of ± 2.3 (p = .026). At 16 Opioid Groups of 1.5 with an SD of ± 0.9 while the Continuous Epidural Analgesia Group had a mean of 2.7 with an SD of ± 2.3 (p = .001). Conclusions: The practical application of the results of this study could be the use of a combination of lipophilic and hydrophilic spinal opioids with a local anesthetic in cesarean anesthesia to increase the comfort level of the patient.

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