Epidural anesthesia and espinal anesthesia in cesarean patients

Abstract

Introduction: it is prefered the regional anesthesia for cesarean  ( epidural and spinal anesthesia),  these are central blockades that include the injection of local anesthetics in the adjacent zone to the spinal cord.
Objetive: to evaluate the effectiveness of the epidural and spinal anesthesia in cesarean patients.
Method:  it was made a prospective, cohort and transversal study, in which it was determined  the behavior of the cesarean patient with epidural anesthesia with Lidocaine, Bicarbonate and Epinephrine, and the spinal anesthesia with Bupivacaine  and Liofilized Morphine.
Results:  the rank of 21 - 40 years and the emergency cesareans prevailed, with 35% in the group I and 50% in the group II. In the transoperative prevailed the arterial hypotension with a standard deviation between 80.2- 91.4 sytolic and 43, 2 - 55.1 dyastolic, the bradycardia in 50.1 -56 beats per minute, the variations in the postoperative were minimum. 50 % of them presented nauseas and vomits, there was an increase of the anesthetic level in 35% with a slight difficulty to breathe in the group II with spinal anesthesia, in both there were newborns with good Apgar. The average time of analgesia was between 2 and 3 hours and the secondary effects were presented in the group II with spinal anesthesia.
Conclusions: the greatest number of cesarean patients in both groups were found in fertile ages, in both groups prevailed the type of emergency cesarean operation, in the transoperative prevailed the variations in the blood pressure, cardiac frequency and partial saturation of oxygen in the group II with spinal anesthesia, in both groups of patients there were new borns with good Apgar. The variations of the blood pressure, cardiac frequency and partial saturation of oxygen in the postoperative were minimum.