Examinando por Materia "Anesthesia, Spinal"

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    Efficacy of epidural anesthesia versus spinal anesthesia in cesarean-section patients
    (Universidad Privada Norbert Wiener, 2018-07-08) Castillo Torres, Jose Eleazar; Sánchez Roldán, Marcela Telma; Calsin Pacompia, Wilmer
    Objective: Analyze and systematize the evidence on the effectiveness of epidural versus spinal anesthesia in cesarean patients. Materials and Methods: Of the articles, 90% are quantitative and 10% qualitative, the study design is a systematic review, the population was 20 articles and the sample was 10 articles, they were obtained from the Cochrane Library database, PubMed, etc.; submitted to the GRADE system to identify quality of evidence and strength of recommendation. Results: According to the evidence, it was obtained that 90% are quantitative and 10% qualitative. Of these studies, 20% correspond to the United States, Spain, 10% to Cuba, China, Korea, Canada, India and Germany, with the design of research 20% prospective randomized studies, 20% retrospective cohort, 20% randomized controlled trials, 20% prospective randomized trials, 10% prospective cohort and 10% meta-analysis. Conclusions: It is concluded that 60% of the articles show that spinal anesthesia is effective because it presented lower postoperative pain scores, high spinal block, does not produce fetal suffering, fewer failed blocks; 40% of the articles showed that epidural anesthesia is effective, as it does not present hypotension, does not decrease oxygen saturation, has fewer stages of bradycardia and has high satisfaction of those undergoing cesarean section.