Resumo

ARISTIZABAL, Juan Pablo; VARGAS, Wilson  e  ARRIETA, Maribel. Analgesia combinada vs analgesia peridural para trabajo de parto. Rev. colomb. anestesiol. [online]. 2005, vol.33, n.2, pp.103-106. ISSN 0120-3347.

Backround: The advantage of epidural-spinal analgesia technique include better subaracnoid space identification, less drug requirements, less sistemic toxicity, and rapid analgesic effect. In this study we compare peridural and peridural-spinal tecnique. Methods: The study included 200 patients during a period of 12 months. The inclusion criteria were women during labour with dilatation of 5cm or more without any associated pathology. The study evaluate analgesic response at 5 and 15 minutes, hemodinamic response, motor block, adverse effects and fetal response. The peridural tecnique was done with bupivacaina 0.065% and the peridural-spinal tecnique with fentanyl 25mcg intrathecal without local anesthetic. Results: Each group included 100 patients (peridural or group A and peridural-spinal or group B). Pain perception was similar between both groups at 5 minutes (p value = 0.291), at 15 minutes peridural-spinal tecnique produced less pain perception (p value = 0.008). There wasn´t any hemodinamic, motor, or fetal change. There was a 36% prurito incidence with peridural-spinal analgesia. Conclusion: Peridural-spinal tecnique with intrathecal opioids produce less pain perception at 15 minutes compared with peridural tecnique, without any hemodinamic, motor or fetal effects, with a 36% pruritus incidence.

Palavras-chave : Peridural; Peridural-spinal; intrathecal.

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