Anestesia regional versus general para parto por cesárea.
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| Title: | Anestesia regional versus general para parto por cesárea. |
|---|---|
| Alternate Title: | Regional versus general anesthesia for cesarean section delivery. |
| Authors: | Páez, L. John Jairo1, Navarro, V. J. Ricardo2 jrnavarrov@unal.edu.co |
| Source: | Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología. ago-oct2012, Vol. 40 Issue 3, p203-206. 4p. |
| Subjects: | GENERAL anesthesia, CONDUCTION anesthesia, CESAREAN section, COMPARATIVE studies, MATERNAL mortality, OBSTETRICS surgery complications |
| Abstract (English): | Introduction: There is no standard anesthesia technique for cesarean section. General anesthesia has been associated with higher morbidity-mortality; however, recent studies seem to disagree with such statement. Objective: Based on a search in the literature, to reflect on the comparative results of regional vs. general anesthesia for C-section considering three aspects: mortality, morbidity and neonatal outcomes. Methods: Article for reflection. A non-systematic search of the literature on the topic was performed in the Medline/Pubmed, Embase, Cochrane and Lilacs databases, using Mesh terms included in the key words. Results: Although the rates for cesarean sections have been constant, the use of general anesthesia has decreased progressively. Maternal mortality associated to general anesthesia during cesarean section has dropped to practically the same level as regional anesthesia: 1.7 (95% CI, 0.6-4.6). Mortality is lower with regional anesthesia: less bleeding, lower risk of surgical site infection, less post-operative pain. The neonatal outcomes are practically the same. Conclusion: As long as they are not contraindicated, neuraxial anesthetic techniques are the method of choice for C-section delivery, because they are associated with lower morbidity, though mortality and neonatal outcomes are similar as compared to general anesthesia. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: No existe una técnica estándar de anestesia para el parto por cesárea. La anestesia general ha sido asociada con mayor morbimortalidad; sin embargo, estudios recientes parecen no estar de acuerdo con esta afirmación. Objetivo: Hacer una reflexión a través de los resultados de estudios que comparan anestesia regional y general para cesárea desde 3 aspectos: mortalidad, morbilidad y desenlaces neonatales, a partir de una búsqueda de la literatura Métodos: Artículo de reflexión. Se realizó una búsqueda no sistemática de la literatura referente a este tema en las bases de datos Medline/Pubmed, Embase, Cochrane y Lilacs usando términos Mesh incluidos en las palabras clave. Resultados: Aunque la tasa de cesáreas se ha mantenido constante, el uso de anestesia general ha disminuido progresivamente. La mortalidad materna asociada a anestesia general durante cesárea ha descendido hasta prácticamente ser igual a la de anestesia regional 1,7 (IC 95%, 0,6-4,6). La morbilidad es menor con anestesia regional: menor sangrado, menor riesgo de infección del sitio operatorio y menor dolor posoperatorio. Los desenlaces neonatales son prácticamente iguales. Conclusión: Las técnicas de anestesia neuroaxial son la elección para parto por cesárea siempre que no esté contraindicada, porque se asocia con menor morbilidad, aunque la mortalidad y los desenlaces neonatales son similares cuando se compara con anestesia general. [ABSTRACT FROM AUTHOR] |
| Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: Anestesia regional versus general para parto por cesárea. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Regional versus general anesthesia for cesarean section delivery. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Páez%2C+L%2E+John+Jairo%22">Páez, L. John Jairo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Navarro%2C+V%2E+J%2E+Ricardo%22">Navarro, V. J. Ricardo</searchLink><relatesTo>2</relatesTo><i> jrnavarrov@unal.edu.co</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Colombian+Journal+of+Anesthesiology+%2F+Revista+Colombiana+de+Anestesiología%22">Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología</searchLink>. ago-oct2012, Vol. 40 Issue 3, p203-206. 4p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22GENERAL+anesthesia%22">GENERAL anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22CONDUCTION+anesthesia%22">CONDUCTION anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22CESAREAN+section%22">CESAREAN section</searchLink><br /><searchLink fieldCode="DE" term="%22COMPARATIVE+studies%22">COMPARATIVE studies</searchLink><br /><searchLink fieldCode="DE" term="%22MATERNAL+mortality%22">MATERNAL mortality</searchLink><br /><searchLink fieldCode="DE" term="%22OBSTETRICS+surgery+complications%22">OBSTETRICS surgery complications</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: There is no standard anesthesia technique for cesarean section. General anesthesia has been associated with higher morbidity-mortality; however, recent studies seem to disagree with such statement. Objective: Based on a search in the literature, to reflect on the comparative results of regional vs. general anesthesia for C-section considering three aspects: mortality, morbidity and neonatal outcomes. Methods: Article for reflection. A non-systematic search of the literature on the topic was performed in the Medline/Pubmed, Embase, Cochrane and Lilacs databases, using Mesh terms included in the key words. Results: Although the rates for cesarean sections have been constant, the use of general anesthesia has decreased progressively. Maternal mortality associated to general anesthesia during cesarean section has dropped to practically the same level as regional anesthesia: 1.7 (95% CI, 0.6-4.6). Mortality is lower with regional anesthesia: less bleeding, lower risk of surgical site infection, less post-operative pain. The neonatal outcomes are practically the same. Conclusion: As long as they are not contraindicated, neuraxial anesthetic techniques are the method of choice for C-section delivery, because they are associated with lower morbidity, though mortality and neonatal outcomes are similar as compared to general anesthesia. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: No existe una técnica estándar de anestesia para el parto por cesárea. La anestesia general ha sido asociada con mayor morbimortalidad; sin embargo, estudios recientes parecen no estar de acuerdo con esta afirmación. Objetivo: Hacer una reflexión a través de los resultados de estudios que comparan anestesia regional y general para cesárea desde 3 aspectos: mortalidad, morbilidad y desenlaces neonatales, a partir de una búsqueda de la literatura Métodos: Artículo de reflexión. Se realizó una búsqueda no sistemática de la literatura referente a este tema en las bases de datos Medline/Pubmed, Embase, Cochrane y Lilacs usando términos Mesh incluidos en las palabras clave. Resultados: Aunque la tasa de cesáreas se ha mantenido constante, el uso de anestesia general ha disminuido progresivamente. La mortalidad materna asociada a anestesia general durante cesárea ha descendido hasta prácticamente ser igual a la de anestesia regional 1,7 (IC 95%, 0,6-4,6). La morbilidad es menor con anestesia regional: menor sangrado, menor riesgo de infección del sitio operatorio y menor dolor posoperatorio. Los desenlaces neonatales son prácticamente iguales. Conclusión: Las técnicas de anestesia neuroaxial son la elección para parto por cesárea siempre que no esté contraindicada, porque se asocia con menor morbilidad, aunque la mortalidad y los desenlaces neonatales son similares cuando se compara con anestesia general. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.rca.2012.05.008 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 4 StartPage: 203 Subjects: – SubjectFull: GENERAL anesthesia Type: general – SubjectFull: CONDUCTION anesthesia Type: general – SubjectFull: CESAREAN section Type: general – SubjectFull: COMPARATIVE studies Type: general – SubjectFull: MATERNAL mortality Type: general – SubjectFull: OBSTETRICS surgery complications Type: general Titles: – TitleFull: Anestesia regional versus general para parto por cesárea. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Páez, L. John Jairo – PersonEntity: Name: NameFull: Navarro, V. J. Ricardo IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: ago-oct2012 Type: published Y: 2012 Identifiers: – Type: issn-print Value: 01203347 Numbering: – Type: volume Value: 40 – Type: issue Value: 3 Titles: – TitleFull: Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología Type: main |
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