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2001, Number 2

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Rev Mex Anest 2001; 24 (2)

Buprenorfina epidural vs. Bupivacaína al 0.125% para el manejo del dolor en el paciente Post-operada de cesárea

Rojas JRA, Mendoza HME, Gutiérrez SE, Velasco PS, Murguía FY

Language: Spanish
References: 20
Page:
PDF size: 39.33 Kb.


ABSTRACT

Objetives: To evaluate the effectiveness of the postoperative analgesia with buprenorphine for elective Caesarean section. Material and methods: We carried out a traverse prospective and comparative study in 40 patients with pregnancy to term, with unique product, cephalic presentation, ASA I-II, with diagnosis of cefalopelvic disproportion, programmed for Caesarean section, with 20-35 year-old, weight of 60 to 80 kg. The blockade level was L2-L3 for postoperative analgesia. 2 groups of 20 patients were studied; the group I received bupivacaíne to 0.125% to 0.15 ml/kg in physiologic solution for a total of 12 ml. dose average of 10 mg. Group II received buprenorphine 3 mcg/kg more bupivacaíne 0.125% to 0.15 ml/kg dose average 10 mg., in physiologic solution for a total volume of 12 ml.
The pain was valued with the similar visual scale (EVA), meansurement of pain before and after. The EVA was interpreted as follows:
0–3 no pain or light pain
4–6 moderate pain.
7–10 severe pain
After buprenorphine administration FC, FR, T/A, analgesia and secondary effects as drowsiness, vomit, sedation. Results: We evaluated bupivacaíne combination with buprenorphine and obtained a better pain control in the postoperative period (p. ‹ 0.05) with duration of the analgesic effect of 6 to 7 hrs. without significant changes in blood pressure (p. = 0.08), and obtaining significance for respiratoty rate (p. ‹ 0.05).


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