Raquianestesia para cesariana com bupivacaína a 0,5% isobárica associada ao fentanil e morfina: estudo prospectivo com diferentes volumes

Imbelloni, Luiz Eduardo; Vieira, Eneida Maria; Rocha, Ana Luiza Lunardi; Gouveia, Marildo A.; Cordeiro, José Antônio

doi:10.1590/s0034-70942003000300002

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2023

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“…A raquianestesia foi descrita no início do século passado e nos últimos anos têm se mostrado muito eficaz no controle e na manutenção da analgesia, proporcionando maior estabilidade hemodinâmica (IMBELLONI et al, 2003).…”

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Efeito da raquianestesia com bupivacaína associada ou não à clonidina em gatas submetidas a ovariosalpingohisterectomia

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Section: Introductionunclassified

Efeito da raquianestesia com bupivacaína associada ou não à clonidina em gatas submetidas a ovariosalpingohisterectomia

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Spinal anesthesia, puncture position and local anesthetic solutions. Better understanding for better indication

Imbelloni, MD, PhD,

Gouveia, MD,

Neto, MD, PhD

2023

JACCOA

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Two schools teach spinal anesthesia, one prefers the lateral decubitus position and the other the sitting position. The vast majority of anesthesiologists worldwide use routinely the hyperbaric solution of bupivacaine for almost all types of surgery, mainly performed in a sitting position. There is renewed interest in understanding spinal anesthesia about puncture position, the various solutions used, and the position of the operating table during the surgical procedure. Understanding the vertebral column, of the anterior and posterior roots, allows the different puncture positions, and the hyperbaric, isobaric, and hypobaric solutions to offer better quality of these techniques and will be shown in this article. The application of the three solutions in different puncture positions, and the position of the surgical table during the procedure, will be shown in seven items in 14 tables, and 6 figures, for the complete understanding of spinal anesthesia. The possibility of performing hemi-spinal anesthesia (unilateral and posterior), and the possibility of performing completely sensory spinal anesthesia without any degree of motor block are discussed. The explanations in this article with the different puncture positions and the three local anesthetic solutions are applied both in the lumbar region and in the thoracic region.

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Raquianestesia para cesariana com bupivacaína a 0,5% isobárica associada ao fentanil e morfina: estudo prospectivo com diferentes volumes

Abstract: Unitermos: ANALGÉSICOS, Opióides: fentanil, morfina; ANESTÉSICOS, Local: bupivacaína; CIRURGIA, Obstétrica: c e s a r i a n a ; T É C N I C A S A N E S T É S I C A S , R e g i o n a l : subaracnóidea SUMMARY

Cited by 2 publications

References 9 publications

Efeito da raquianestesia com bupivacaína associada ou não à clonidina em gatas submetidas a ovariosalpingohisterectomia

Efeito da raquianestesia com bupivacaína associada ou não à clonidina em gatas submetidas a ovariosalpingohisterectomia

Spinal anesthesia, puncture position and local anesthetic solutions. Better understanding for better indication

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