Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/33148
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: PURPOSE: 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. METHODS: The study included 66 pregnant women at term, distributed into two groups. GI: bupivacaine 8.0 mg (1.6mL) + clonidine 75µg (0.5mL) + morphine 100µg (1.0mL) and GII: bupivacaine 10mg (2.0mL) + clonidine 75µg (0.5mL) + morphine 100µg (1.0mL). 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. RESULTS: 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. CONCLUSION: 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: Adrenergic alpha-2 Receptor Agonists
Clonidine
Analgesics, Opioid
Morphine
Cesarean Section
Editor: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Rights: aberto
Identifier DOI: 10.1590/S0102-86502013000100005
Address: http://dx.doi.org/10.1590/S0102-86502013000100005
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013000100005
Date Issue: 1-Jan-2013
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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