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|Type:||Artigo de periódico|
|Title:||Regional Anesthesia For Cesarean Section In Obese Pregnant Women: A Retrospective Study [anestesia Regional Para Cesariana Em Gestantes Obesas: Estudo Retrospectivo]|
|Abstract:||Background and objectives: The objective of the data gathering was to indentify anesthetic techniques, and their difficulties and complications in patients with BMI ≥ 30 kg.m-2 undergoing cesarean sections. The study intends to support the development of new protocols and more adequate conducts for this population of pregnant women. Methods: This is a retrospective study of data and anesthetic complications in obese patients older than 18 years of age who underwent cesarean sections from January 2004 to December 2006; variables investigated included: age, weight, height, BMI, physical status (ASA), anesthetic techniques, difficulties in palpation and puncturing, hemodynamic complications (bleeding and hypotension), and anesthetic complications. Results: Three hundred and fifteen anesthetic forms were evaluated. Mean age was 29.1 years, mean BMI 39.25, and the majority of patients was classifed as ASA II (63.2%). Spinal anesthesia charts used more often, difficulty to puncture was reported in 47 procedures, and difficulty to palpate was reported in 31 procedures. Conclusions: Technical difficulties as well as hypotension, bleeding, and surgical time were more frequent in patients with higher degrees of obesity. ©Elsevier Editora Ltda.|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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