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Type: Artigo de periódico
Title: Spinal Anesthesia For Elective Ceasarean Section: Use Of Different Doses Of Hyperbaric Bupivacaine Associated With Morphine And Clonidine.
Author: Braga, Angélica de Fátima de Assunção
Frias, José Aristeu Fachini
Braga, Franklin Sarmento da Silva
Pereira, Rosa Inês Costa
Titotto, Stella Marys Meirelles Campos
Abstract: To 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.
Subject: Adjuvants, Anesthesia
Adrenergic Alpha-2 Receptor Agonists
Analgesics, Opioid
Anesthesia, Spinal
Anesthetics, Combined
Anesthetics, Local
Cesarean Section
Elective Surgical Procedures
Epidemiologic Methods
Pain, Postoperative
Time Factors
Young Adult
Citation: Acta Cirúrgica Brasileira / Sociedade Brasileira Para Desenvolvimento Pesquisa Em Cirurgia. v. 28, n. 1, p. 26-32, 2013-Jan.
Rights: aberto
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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