Utilidad del uso de anestesia peridural en pacientes ginecológicas sometidas a cesárea
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: La anestesia peridural es una técnica empleada en cirugía gineco obstétrica como la cesárea, con mucho éxito y frecuencia. Actualmente la anestesia peridural ha presentado un nuevo auge sobre todo por a las mejoras tecnológicas en las agujas y en equipos para evitar complicaciones durante la punción por lo que era prioritario redescubrir la utilidad de la intervención.
Objetivos: Reportar los resultados del uso de la anestesia peridural en pacientes ginecológicas sometidas a cesárea
Metodología: Se realizó un estudio observacional descriptivo y retrospectivo que incluyó de manera no aleatoria, 50 cesáreas realizadas mediante anestesia peridural en el hospital Martin Icaza en Babahoyo, Ecuador, entre el 1 de enero al 30 de junio de 2021. Se excluyeron pacientes que presentaron reacción alérgica a algunos de los componentes empleados en la anestesia peridural.
Resultados: El 100% de las cirugías realizadas con anestesia peridural fueron de emergencia. El 92% se hicieron con incisión de Pfannenstiel. Complicaciones atribuibles a la anestesia solo
se informaron en un 4% de los casos. El puntaje de Apgar al nacimiento en la mayoría de los casos fue de 8, 9 o 10 y solo se informó de 4 casos de ingreso del recién nacido a UCIN. Entra
las emergencia atendidas existieron 12% de preeclampsias, 6% de hemorragias obstétricas y no se informó de histerectomía postcesárea.
Conclusiones: En el hospital Martin Icaza, la anestesia peridural permite la ejecución segura de cesáreas de emergencia con incisiones estéticas y con mínimo impacto en la adaptación y
vitalidad perinatal.
Background: Epidural anesthesia is a technique used in gynecological-obstetric surgery. like cesarean section, with great success and frequency. Currently, epidural anesthesia has presented a new boom especially due to technological improvements in needles and equipment to avoid complications during the puncture, so it was a priority to rediscover the usefulness of the intervention. Objectives: Report the results of the use of epidural anesthesia in gynecological patients.undergoing cesarean section Methodology: A descriptive and retrospective observational study was carried out that included non-randomly, 50 cesarean sections performed using epidural anesthesia at the Martin hospital Icaza in Babahoyo, Ecuador, between January 1 to June 30, 2021. Excluded patients who had an allergic reaction to some of the components used in the epidural anesthesia. Results: 100% of the surgeries performed with epidural anesthesia were emergency. 92% were made with a Pfannenstiel incision. Complications attributable to anesthesia alone were reported in 4% of cases. The Apgar score at birth in most cases was 8, 9 or 10 and only 4 cases of newborn admission to the NICU were reported. Enters The emergencies attended included 12% preeclampsia, 6% obstetric hemorrhages and no post-cesarean hysterectomy was reported. Conclusions: At the Martin Icaza hospital, epidural anesthesia allows safe execution of emergency cesarean sections with aesthetic incisions and with minimal impact on adaptation and perinatal vitality.
Background: Epidural anesthesia is a technique used in gynecological-obstetric surgery. like cesarean section, with great success and frequency. Currently, epidural anesthesia has presented a new boom especially due to technological improvements in needles and equipment to avoid complications during the puncture, so it was a priority to rediscover the usefulness of the intervention. Objectives: Report the results of the use of epidural anesthesia in gynecological patients.undergoing cesarean section Methodology: A descriptive and retrospective observational study was carried out that included non-randomly, 50 cesarean sections performed using epidural anesthesia at the Martin hospital Icaza in Babahoyo, Ecuador, between January 1 to June 30, 2021. Excluded patients who had an allergic reaction to some of the components used in the epidural anesthesia. Results: 100% of the surgeries performed with epidural anesthesia were emergency. 92% were made with a Pfannenstiel incision. Complications attributable to anesthesia alone were reported in 4% of cases. The Apgar score at birth in most cases was 8, 9 or 10 and only 4 cases of newborn admission to the NICU were reported. Enters The emergencies attended included 12% preeclampsia, 6% obstetric hemorrhages and no post-cesarean hysterectomy was reported. Conclusions: At the Martin Icaza hospital, epidural anesthesia allows safe execution of emergency cesarean sections with aesthetic incisions and with minimal impact on adaptation and perinatal vitality.
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ANESTESIA EPIDURAL, CESAREA, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL GENERAL MARTIN ICAZA DE BABAHOYO, CANTON BABAHOYO, ECUADOR