2011, Number 3
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Rev Mex Anest 2011; 34 (3)
Comparison between 0.75% ropivacaine against 0.75% ropivacaine plus fentanyl in cesarean section surgery
Hernández-Miranda H, Martínez-Ortiz E, Calderón-Yáñez MA, Soto-Rivera B
Language: Spanish
References: 22
Page: 176-180
PDF size: 94.10 Kb.
ABSTRACT
The present project is a longitudinal type study, it is prospective, comparative and open, done within a population of 50 pregnant patients who were programmed for a caesarean operation, between 18 and 45 years of age, without any suffering of acute fetal syndrome, classified with ASA I-II, weighting no more than 90 kg, high school as minimum study level completed and completing a fast of at least 8 hours. The separation into two groups in the study was determined randomly. The patients who received 0.75% ropivacaine plus 13 mL more of fentanyl (2 mL) peridural were labeled as group (A), and patients who received only 0.75% ropivacaine to 0.75% (15 mL) were determined to be group (B). Fifty patients of an average age of 28.5 were studied, their average weight was 75.5 kg. The latency period was evaluated in both groups. A shorter latency period was found in group A in relation to group B with p = .000 with U of Mann-Whitney. In relation to the quality of anesthesia, it was good in both groups. In relation to post-operation pain, it presented itself later in group A p =.000 measured with U of Mann-Whitney. The heart rate and the arterial pressure went down in both groups p =.000.
Conclusion: The combination of ropivacaine 0.75% plus peridural fentanyl during the caesarean operation lowers the latency period, gives good anesthesia quality and prolongs the post-operation analgesic time.
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