Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 2001
Case Reports[General anesthesia with remifentanil in two cases of emergency cesarean section].
Remifentanil is a synthetic opiate with evident advantages for various anesthetic techniques, enhancing quality of anesthesia. Indications are increasingly well-defined. Remifentanil may be used in obstetric analgesia-anesthesia thanks to advantages demonstrated in patients with heart disease (cardiac and non-cardiac anesthesia) and in those requiring neuroanesthesia. ⋯ Outcome was satisfactory in both cases, with no complications potentially affecting the status of either mother or child. No infant respiratory insufficiency occurred and Apgar scores were favorable. We consider remifentanil to be safe and effective for general anesthesia for emergency cesarean delivery in patients with cardiac and/or neurological risk factors.
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Rev Esp Anestesiol Reanim · May 2001
Randomized Controlled Trial Comparative Study Clinical Trial[The efficacy and safety of continuous epidural analgesia versus intradural-epidural analgesia during labor].
To determine the efficacy and safety of intradural-epidural analgesia in comparison with continuous epidural analgesia during labor and childbirth. ⋯ Intradural-epidural analgesia provides effective analgesia for labor, with rapid onset, reduced extension of sensory block, lower total doses of local anesthetics and few side effects.