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Inicio Revista Colombiana de Anestesiología Dexmedetomidina como coadyuvante analgésico para el trabajo de parto. Reporte d...
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Vol. 40. Issue 1.
Pages 79-81 (January - March 2012)
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Vol. 40. Issue 1.
Pages 79-81 (January - March 2012)
Open Access
Dexmedetomidina como coadyuvante analgésico para el trabajo de parto. Reporte de dos casos
Dexmedetomidine as adjunct for analgesia in labor: a report of two cases
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Juliana María Mendoza Villa
Corresponding author
jmmv80@gmail.com

Autor para correspondencia: Carrera 73B # 74-86, apto. 1102, Medellín, Colombia.
Anestesióloga, Docente de anestesia obstétrica, Universidad Pontificia Bolivariana. Miembro del Comité de Anestesia Obstétrica de la Sociedad Antioqueña de Anestesiología. Medellín, Colombia
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Resumen

Actualmente el remifentanil es el medicamento de elección en las pacientes candidatas para analgesia intravenosa durante el trabajo de parto; sin embargo, en algunas parturientas no se consigue un adecuado control del dolor con el uso de este opioide. El presente artículo resume dos casos donde la dexmedetomidina se utiliza como coadyuvante en la analgesia intravenosa con remifentanil, con buenos resultados.

Palabras clave:
Dexmedetomidina
Analgesia obstétrica
Trabajo de parto
Anestesia
Keywords:
Dexmedetomidine
Obstetrical analgesia
Obstetric labor
Anesthesia
Abstract

At present, remifentanil is the first choice in obstetrical patients who are candidates for intravenous analgesia during labor, although in some cases, the use of this opioid does not provide adequate pain control. This article summarizes two cases where dexmedetomidine was used successfully as an analgesic adjunct to intravenous remifentanil during labor.

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Referencias
[1.]
D.B. Coursin, D.B. Coursin, G.A. Maccioli.
Dexmedetomidine.
Curr Opin Crit Care, 7 (2001), pp. 221-226
[2.]
J.E. Hall, T.D. Uhrich, J.A. Barney, et al.
Sedative, amnestic, and analgesic properties of small-dose dexmedetomidine infusions.
Anesth Analg, 90 (2000), pp. 699-705
[3.]
I. Grosu.
Lavand’homme P. Use of dexmedetomidine for pain control.
F1000 Med Rep, 2 (2010), pp. 90
[4.]
T.I. Ala-Kokko, P. Pienimäki, E. Lampela, et al.
Transfer of clonidine and dexmedetomidine across the isolated perfused human placenta.
Acta Anaesthesiol Scand, 41 (1997), pp. 313-319
[5.]
S. Karaman, V. Evren, V. Firat, et al.
The effects of dexmedetomidine on spontaneous contractions of isolated gravid rat myometrium.
Adv Ther, 23 (2006), pp. 238-243
[6.]
A.T. Sia, K. Kwek, G.S. Yeo.
The in vitro effects of clonidine and dexmedetomidine on human myometrium.
Int J Obstet Anesth, 14 (2005), pp. 104-107
[7.]
A. Palanisamy, R.J. Klickovich, M. Ramsay, et al.
Intravenous dexmedetomidine as an adjunct for labor analgesia and cesarean delivery anaesthesia in a parturient with a tethered spinal cord.
Int J Obstet Anesth, 18 (2009), pp. 258-261
[8.]
S.A. Abu-Halaweh, A.K. Al Oweidi, H. Abu-Malooh, et al.
Intravenous dexmedetomidine infusion for labour analgesia in patient with preeclampsia.
Eur J Anaesthesiol, 26 (2009), pp. 86-87
[9.]
K.M. Souza, L.C. Anzoátegui, W.C. Pedroso, et al.
Dexmedetomidine in general anesthesia for surgical treatment of cerebral aneurysm in pregnant patient with specific hypertensive disease of pregnancy.
Rev Bras Anestesiol, 55 (2005), pp. 212-216
[10.]
H. Toyama, T. Wagatsuma, Y. Ejima, et al.
Cesarean section and primary pulmonary hypertension: the role of intravenous dexmedetomidine.
Int J Obstet Anesth, 18 (2009), pp. 262-267
[11.]
M. Tariq, V. Cerny, I. Elfaki, et al.
Effects of subchronic versus acute in utero exposure to dexmedetomidine on foetal developments in rats.
Basic Clin Pharmacol Toxicol, 103 (2008), pp. 180-185
[12.]
V. Laudenbach, J. Mantz, H. Lagercrantz, et al.
Effects of alfa-2 adrenoceptor agonists on perinatal excitotoxic brain injury. comparison of clonidine and dexmedetomidine.
Anesthesiology, 96 (2002), pp. 134-141
Copyright © 2012. Sociedad Colombiana de Anestesiología y Reanimación
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