Article information
Resumen
Los autores aportan una raquianestesia con 10 μg de sufentanilo, efectuada al término del trabajo de parto para el expulsivo de un niño en presentación de nalgas y de dos gemelos, en parturientas cuyo estado de agitación hacía sospechar un expulsivo por vía baja hipotético o difícil. El efecto antiálgico se instaló en 5 min y fue posible el parto por vía vaginal. La utilidadde la técnica es discutida en casos de situaciones difíciles al término del trabajo de parto, en el caso de que una analgesia peridural no se hubiera instaurado.
Summary
The authors report 2 cases of spinal analgesia with 10ug of Sufentanil at the end of second stage of labour, in a breech delivery and vaginal twin delivery. In both cases maternal agitation could have made foetal extraction difficult. The analgesic effect started 5 minutes after administration, and vaginal delivery was possible. The usefulness of this technique for analgesia during the second stage of labour, when epidural analgesia has not been used, is discussed.
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