Bupivacaína y fentanilo en dosis reducidas para anestesia raquídea en cesareadas y disminución de efectos adversos
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El presente trabajo es un estudio titulado “Bupivacaina y fentanilo en dosis reducidas para anestesia raquídea en cesareadas y disminución de efectos adversos”, en la cual se presenta como objetivo general Determinar que la aplicación en dosis reducidas de la bupivacaina y fentanilo en la anestesia raquídea disminuye los efectos adversos en las cesareadas, realizado en el Hospital Básico Bravo de la ciudad de Quevedo, Ecuador, para lo cual se utilizó la investigación de tipo cuantitativo observacional, no experimental, la muestra estuvo conformada por 50 pacientes cesareadas . Se utilizó la técnica de la observación directa mediante la aplicación del instrumento siendo la misma ficha de observación. Los resultados obtenidos evidenciaron que el 96% de las
pacientes cesareadas no presentaron efectos adversos por la aplicación de dosis reducidas de la bupivacaina y fentanilo en la anestesia raquídea, así como también el 76% manifestaron ausencia de dolor; el 98% presentaron frecuencia cardiaca normal, y el 96% presento frecuencia respiratoria normal y, el 82% de las pacientes cesareadas se recuperaron en un tiempo de 90 minutos mientras que el 18% lo hizo en 120 minutos. Se llegó a la conclusión el bloqueo raquídeo con fentanilo en dosis reducidas para anestesia en cesareadas brinda un periodo de latencia menor, similar rofundidad, y menos de efectos adversos y una recuperación temprana.
The present work is a study entitled "Bupivacaine and fentanyl in reduced doses for spinal anesthesia in cesarean patients and reduction of adverse effects", in which the general objective is to determine that the application in reduced doses of bupivacaine and fentanyl in spinal anesthesia decreases adverse effects in cesarean, from a clinic in Guayaquil, Ecuador, for which a quantitative, observational, non-experimental research was used, the sample consisted of 50 cesarean patients. The direct observation technique was used by applying the instrument, being the same observation sheet. The results obtained showed that 96% of the cesarean patients did not present adverse effects due to the application of reduced doses of bupivacaine and fentanyl in spinal anesthesia, as well as 76% manifested absence of pain; 98% had a normal heart rate, and 96% had a normal respiratory rate, and 82% of the cesarean patients recovered in 90 minutes while 18% did so in 120 minutes. It was concluded that the spinal block with fentanyl in reduced doses for anesthesia in caesarean section provides a shorter latency period, similar depth, and fewer adverse effects and early recovery
The present work is a study entitled "Bupivacaine and fentanyl in reduced doses for spinal anesthesia in cesarean patients and reduction of adverse effects", in which the general objective is to determine that the application in reduced doses of bupivacaine and fentanyl in spinal anesthesia decreases adverse effects in cesarean, from a clinic in Guayaquil, Ecuador, for which a quantitative, observational, non-experimental research was used, the sample consisted of 50 cesarean patients. The direct observation technique was used by applying the instrument, being the same observation sheet. The results obtained showed that 96% of the cesarean patients did not present adverse effects due to the application of reduced doses of bupivacaine and fentanyl in spinal anesthesia, as well as 76% manifested absence of pain; 98% had a normal heart rate, and 96% had a normal respiratory rate, and 82% of the cesarean patients recovered in 90 minutes while 18% did so in 120 minutes. It was concluded that the spinal block with fentanyl in reduced doses for anesthesia in caesarean section provides a shorter latency period, similar depth, and fewer adverse effects and early recovery
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BUPIVACAINA, FENTANILO, ANESTESIA RAQUIDEA, CESAREA, EFECTOS ADVERSOS, ESTUDIO OBSERVACIONAL, HOSPITAL BASICO BRAVO, CANTON QUEVEDO, ECUADOR