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Spinal Anesthesia For Elective Ceasarean Section: Use Of Different Doses Of Hyperbaric Bupivacaine Associated With Morphine And Clonidine.

dc.creatorBraga, Angélica de Fátima de Assunção
dc.creatorFrias, José Aristeu Fachini
dc.creatorBraga, Franklin Sarmento da Silva
dc.creatorPereira, Rosa Inês Costa
dc.creatorTitotto, Stella Marys Meirelles Campos
dc.date2013-Jan
dc.date2015-11-27T13:31:15Z
dc.date2015-11-27T13:31:15Z
dc.date.accessioned2018-03-29T01:17:04Z
dc.date.available2018-03-29T01:17:04Z
dc.identifierActa Cirúrgica Brasileira / Sociedade Brasileira Para Desenvolvimento Pesquisa Em Cirurgia. v. 28, n. 1, p. 26-32, 2013-Jan.
dc.identifier1678-2674
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/23338110
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/200446
dc.identifier23338110
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1300679
dc.descriptionTo 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. The study included 66 pregnant women at term, distributed into two groups. GI: bupivacaine 8.0 mg (1.6 mL) + clonidine 75 µg (0.5 mL) + morphine 100 µg (1.0 mL) and GII: bupivacaine 10 mg (2.0 mL) + clonidine 75 µg (0.5 mL) + morphine 100 µg (1.0 mL). 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. 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. 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.
dc.description28
dc.description26-32
dc.languageeng
dc.relationActa Cirúrgica Brasileira / Sociedade Brasileira Para Desenvolvimento Pesquisa Em Cirurgia
dc.relationActa Cir Bras
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdjuvants, Anesthesia
dc.subjectAdrenergic Alpha-2 Receptor Agonists
dc.subjectAdult
dc.subjectAnalgesics, Opioid
dc.subjectAnesthesia, Spinal
dc.subjectAnesthetics, Combined
dc.subjectAnesthetics, Local
dc.subjectAnthropometry
dc.subjectBupivacaine
dc.subjectCesarean Section
dc.subjectClonidine
dc.subjectElective Surgical Procedures
dc.subjectEpidemiologic Methods
dc.subjectFemale
dc.subjectHumans
dc.subjectMorphine
dc.subjectPain, Postoperative
dc.subjectPregnancy
dc.subjectTime Factors
dc.subjectYoung Adult
dc.titleSpinal Anesthesia For Elective Ceasarean Section: Use Of Different Doses Of Hyperbaric Bupivacaine Associated With Morphine And Clonidine.
dc.typeArtículos de revistas


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