Introducción: Los bloqueos del nervio pudendo poseen un amplio rango de ultrasonido del nervio pudendo, neuralgia del pudendo, atra-. Download Citation on ResearchGate | Bloqueo de nervios pudendos guiados por radioscopía.: Presentación de Caso Clínico. | Block of. El bloqueo nervioso anestésico local es una modalidad importante para el tratamiento del dolor en el trabajo de parto. El bloqueo pudendo y el bloqueo.
|Published (Last):||1 May 2018|
|PDF File Size:||4.52 Mb|
|ePub File Size:||7.88 Mb|
|Price:||Free* [*Free Regsitration Required]|
Patients were divided in three groups: Effects of pudendal nerve, epidural and subarachnoid block on coagulation of pregnant women. We did not find in the literature any reports on the profile of aPTT in pregnant women during or after anesthesia.
It should be noted that blood loss was greater in the BP group, as indicated by the concentration of hemoglobin and updendo, which might have influenced the results. Although significant, those results have no clinical implications. Labor was the fundamental difference between this group and the other two.
This study evaluated, in all three groups, which of the two factors affected coagulation.
Continuous epidural block versus general anesthesia bloquwo controlled ventilation. Outline Masquer le plan. Pre-anesthetic medication was not administered. There was a Anesthesiology, ;55 Suppl 3A: Studies comparing general anesthesia to epidural block demonstrated the presence of a postoperative hypercoagulable state in patients undergoing general anesthesia, with a greater incidence of thromboembolic events Therefore, it is possible that this group of patients experienced above average blood loss.
This observation is in accordance with that of several authors who reported that thromboelastography is more sensitive and provides faster results in clinical and surgical settings that require repeated measurements to evaluate changes in coagulation dynamics Previous Article Bloqueos nerviosos de la cara A.
The results indicate that the pufendo technique did not influence coagulation of pregnant women. The increase in prothrombin time usually reflects the presence of inhibitors of coagulation, such as heparin or fibrin split products.
Besides, routine laboratorial tests do not contribute to elucidate this question, since they do not report the blouqeo of activity of coagulation factors, only their plasma levels. Coagulation was assessed, in all three groups, through the following tests: Carles cM. The objectives of this study were to establish the coagulation profile and evaluate the influence of regional block on said profile in pregnant women in labor and in those undergoing cesarean section, using thromboelastography and routine tests coagulation tests, fibrinogen.
Se recomienda el uso de agujas de bisel corto. There were no differences among the three groups regarding: In patients undergoing general anesthesia, it was observed a tendency to develop a hypercoagulable state, reduction in fibrinolysis, inhibition of platelet aggregation caused by inhalational agents and an increase in the total number of platelets Those changes protect pregnant women from uncontrollable hemorrhage during labor, but at the same time they are responsible for a three- to four-fold increase in the risk of thromboembolism during the puerperium when compared with the remaining of the pregnancy N Engl J Med, ; How to cite this article.
Rev Bras Anestesiol, ; In the BP group, the evaluation was done before the blockade, after delivery, and 24 hours after the blockade. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
Sultan aM. It is interesting to note that, when the BP group was excluded from the statistical analysis, PD and SA groups did not demonstrate variation at the different moments.
It is known that reduced levels of those factors secondary to hemodilution can affect coagulation In the operating room, venipuncture was performed and D5W was administered at approximately mL.
It is possible that, in the present study, the slight increase detected was an expression of the increased consumption of coagulation factors that begins after expulsion of the placenta, during hemostasis of the surface of the uterus In the present study, the spinal block was not responsible for important changes in the coagulation profile.
Blood samples were scheduled to be drawn during the period of maximal intensity of the sympathetic blockade and during the peak plasma level of the local anesthetic 23, Br J Pueendo, ; Fibrinogen levels were similar in all three groups, with a significant reduction after labor M 2 and an increase after 24 hours, but those changes were not clinically significant.
Effects of pudendal nerve, epidural and subarachnoid block on coagulation of pregnant women
Br J Anaesth ; Personal information regarding our website’s visitors, including their identity, is confidential. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
PD and SA groups did not show statistically significant differences throughout the study.
Parameters were analyzed in the following moments: Ppudendo J Clin Pathol, ; The objective of this study was to determine the effects of regional block on coagulation of pregnant women. Br J Anaesth, ;