Figueroa VY, Echevarría HAT, Riverón AY, Rodríguez BT, García PJL

Language: Spanish
References: 21
Page: 2499-2507
PDF size: 92.44 Kb.

ABSTRACT

Introduction: The emergency cesareans, as any surgery, are not without postoperative pain and it has been shown that, when dealing with it, multiple benefits are obtained.
Objectives: To assess the quality of postoperative analgesia with epidural opioid administration in pregnant patients who were scheduled for emergency cesarean section.
Methods: A prospective longitudinal-analytical study was performed at the Central Military Hospital Dr. Luis Diaz Soto to 120 pregnant patients at term, who underwent urgent cesarean, from January 2008 to December 2010. These patients were randomly distributed into 4 groups of 30 patients each, according to the opioid added to bupivacaine: I: Morphine; II: Fentanyl; III: Tramadol; IV (Control): bupivacaine.
Results: Postoperative analgesia was better and more lasting, where it was added to the local anesthetic opioid. Undesirable effects occurred in all groups where opioids were used. Drowsiness and nausea were more frequent in group II during the intraoperative stage and nausea and pruritus were more frequent during the postoperative stage in groups III and I respectively. There was no neonatal impact in our study by the drugs used. Vital signs such as Heart rate, respiratory rate and arterial oxygen saturation, were within normal parameters.
Conclusions: The use of opioids and local anesthetic achieved adequate postoperative analgesia, and it was better when using morphine plus bupivacaine, with few adverse postoperative effects which were controllable, also there was no neonatal impact documented so we can conclude that it is a safe and effective method.

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