Comparación aleatoria de los efectos de raquia con dosis bajas o anestesia general sobre los gases arteriales umbilicales durante cesárea en fetos con alteración del flujo por Doppler
A randomised comparison of the effects of low-dose spinal or general anaesthesia on umbilical cord blood gases during caesarean delivery of growth-restricted foetuses with impaired Doppler flow
Jain, Kajal; Bhardwaj, Neerja; Sharma, Anchal; Kaur, Jaswinder; Kumar, Praveen
European Journal of Anaesthesiology January 2013 - Volume 30 - Issue 1 - p 9-15
doi: 10.1097/EJA.0b013e3283564698
Context: Hypotension following spinal anaesthesia for caesarean delivery may decrease uteroplacental perfusion and produce foetal acidosis. The optimal anaesthetic technique for mothers with foetal growth restriction and impaired Doppler flow is unclear.
Objective: To compare the effects of low-dose spinal anaesthesia and general anaesthesia on neonatal outcome and maternal haemodynamics. Design: Prospective, randomised clinical trial. Setting: Tertiary care hospital. Patients: Forty pregnant women with foetal growth restriction and impaired Doppler flow scheduled for elective caesarean delivery. Interventions: The women were allocated randomly to receive a low-dose spinal anaesthetic or standard general anaesthesia for elective caesarean delivery. SBP was maintained between 80 and 100% of baseline using bolus doses of phenylephrine. The total duration of hypotension, dose of phenylephrine used and any incidence of hypotension, nausea or vomiting were recorded. Main outcome measures: The primary outcome variable was arterial and venous umbilical cord base deficit. Neonatal outcome and maternal haemodynamics were analysed as secondary endpoints. Conclusion: In this study, there was no difference in umbilical cord base deficit between the groups. Larger studies would be required to assess whether the mode of anaesthesia influences the incidence of clinically important neonatal acidosis in neonates with foetal growth restriction
http://journals.lww.com/ejanaesthesiology/Fulltext/2013/01000/A_
randomised_comparison_of_the_effects_of_low_dose.4.aspx
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
A randomised comparison of the effects of low-dose spinal or general anaesthesia on umbilical cord blood gases during caesarean delivery of growth-restricted foetuses with impaired Doppler flow
Jain, Kajal; Bhardwaj, Neerja; Sharma, Anchal; Kaur, Jaswinder; Kumar, Praveen
European Journal of Anaesthesiology January 2013 - Volume 30 - Issue 1 - p 9-15
doi: 10.1097/EJA.0b013e3283564698
Context: Hypotension following spinal anaesthesia for caesarean delivery may decrease uteroplacental perfusion and produce foetal acidosis. The optimal anaesthetic technique for mothers with foetal growth restriction and impaired Doppler flow is unclear.
Objective: To compare the effects of low-dose spinal anaesthesia and general anaesthesia on neonatal outcome and maternal haemodynamics. Design: Prospective, randomised clinical trial. Setting: Tertiary care hospital. Patients: Forty pregnant women with foetal growth restriction and impaired Doppler flow scheduled for elective caesarean delivery. Interventions: The women were allocated randomly to receive a low-dose spinal anaesthetic or standard general anaesthesia for elective caesarean delivery. SBP was maintained between 80 and 100% of baseline using bolus doses of phenylephrine. The total duration of hypotension, dose of phenylephrine used and any incidence of hypotension, nausea or vomiting were recorded. Main outcome measures: The primary outcome variable was arterial and venous umbilical cord base deficit. Neonatal outcome and maternal haemodynamics were analysed as secondary endpoints. Conclusion: In this study, there was no difference in umbilical cord base deficit between the groups. Larger studies would be required to assess whether the mode of anaesthesia influences the incidence of clinically important neonatal acidosis in neonates with foetal growth restriction
http://journals.lww.com/ejanaesthesiology/Fulltext/2013/01000/A_
randomised_comparison_of_the_effects_of_low_dose.4.aspx
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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