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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, ADD
Frias, JAF
Braga, FSD
Pereira, RIC
Titotto, SMMC
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 75 mu g (0.5mL) + morphine 100 mu g (1.0mL) and GII: bupivacaine 10mg (2.0mL) + clonidine 75 mu g (0.5mL) + morphine 100 mu g (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
Cesarean Section
Country: Brasil
Editor: Acta Cirurgica Brasileira
Citation: Acta Cirurgica Brasileira. Acta Cirurgica Brasileira, v. 28, n. 1, n. 26, n. 32, 2013.
Rights: aberto
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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