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Association of lipophilic opioids and hyperbaric bupivacaine in spinal anesthesia for elective cesarean section. Randomized controlled study
Braga, Angélica de Fátima de Assunção; Braga, Franklin Sarmento da Silva; Hirata, Eunice Sizue; Pereira, Rosa Inês Costa; Frias, José Aristeu; Antunes, Isadora Fregonese.
Afiliación
  • Braga, Angélica de Fátima de Assunção; Campinas State University. School of Medicine. Department of Anesthesiology. Campinas. BR
  • Braga, Franklin Sarmento da Silva; Campinas State University. School of Medicine. Department of Anesthesiology. Campinas. BR
  • Hirata, Eunice Sizue; Campinas State University. School of Medicine. Department of Anesthesiology. Campinas. BR
  • Pereira, Rosa Inês Costa; Campinas State University. School of Medicine. Department of Anesthesiology. Campinas. BR
  • Frias, José Aristeu; Campinas State University. School of Medicine. Department of Anesthesiology. Campinas. BR
  • Antunes, Isadora Fregonese; Campinas State University. School of Medicine. Department of Anesthesiology. Campinas. BR
Acta cir. bras ; Acta cir. bras;29(11): 752-758, 11/2014. tab
Article en En | LILACS | ID: lil-728642
Biblioteca responsable: BR1.1
ABSTRACT

PURPOSE:

To evaluate the efficacy and side-effects of fentanyl and sufentanil combined with hyperbaric spinal bupivacaine in elective cesarean section.

METHODS:

A prospective, randomized, double-blind study with 64 term parturients, distributed into 2 groups according to the opioid combined with hyperbaric bupivacaine 0.5% (10mg) GF - fentanyl (25µg) and GS - sufentanil (5.0µg). The latency and maximum sensory block level; degree and duration of motor block; duration and quality of analgesia; maternal-fetal repercussions were evaluated. This was an intention-to-treat analysis with a 5% significance level.

RESULTS:

The latency period, maximum sensory block level, motor block degree and perioperative analgesia were similar in both groups. Motor block and analgesia had a longer duration in the sufentanil group. Maternal adverse effects and neonatal repercussions were similar. The incidence of hypotension was higher in the fentanyl group. In both groups, there was a predominance of patients who were awake and either calm or sleepy.

CONCLUSIONS:

The addition of fentanyl and sufentanil to hyperbaric subarachnoid bupivacaine was shown to be effective for the performance of cesarean section, and safe for the mother and fetus. Analgesia was more prolonged with sufentanil. .
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Bupivacaína / Cesárea / Fentanilo / Sufentanilo / Analgésicos Opioides / Anestesia Obstétrica / Anestésicos Locales Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Acta cir. bras Asunto de la revista: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Año: 2014 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Bupivacaína / Cesárea / Fentanilo / Sufentanilo / Analgésicos Opioides / Anestesia Obstétrica / Anestésicos Locales Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Acta cir. bras Asunto de la revista: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Año: 2014 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil