Abstract

GONZALEZ CARDENAS, Víctor Hugo et al. Remifentanilo vs. analgesia epidural para el manejo del dolor agudo relacionado con el trabajo de parto. Revisión sistemática y meta-análisisRemifentanil vs. epidural analgesia for the management of acute pain associated with labour. Systematic review and meta-analysis. Rev. colomb. anestesiol. [online]. 2014, vol.42, n.4, pp.281-294. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2014.05.003.

Introduction: Remifentanil has an attractive pharmacological profile for use in obstetric analgesia as a technique for mass application, with similar benefits and satisfaction as epidural analgesia. Objective: To assess the efficacy, equivalence and safety of remifentanil vs. epidural analgesia in obstetrics. Methods: Systematic review and meta-analysis of clinical trials using the Cochrane methodology. Results: No equivalence was found in relation to epidural analgesia; however, efficacy was found in the remifentanil group at different time points during the evaluation. The incidence of adverse effects was similar in the two groups, except for nausea. Conclusions: Remifentanil is not equivalent to epidural analgesia but could certainly decrease the intensity of pain.

Keywords : Labor; obstetric Anesthesia; conduction Meta-analysis Acute pain Analgesics; opioid.

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