Utilización de Sulfato de Magnesio en Analgesia y anestesia obstétrica
DOI:
https://doi.org/10.30445/rear.v5i1.278Palabras clave:
analgesia, anestesia obstétrica, magnesioResumen
A los que nos dedicamos habitualmente a la práctica clínica de la analgesia-anestesia obstétrica y utilizamos el SO4Mg2+ intravenoso se nos plantea en esta ocasión su uso por la vía neuroaxial [Subaracnoidea (SA) y/o Epidural (Ep)].
Los adjuvantes de los Anestésicos Locales (AL) han sido utilizados previamente en un intento de prolongar la analgesia después de realizar el bloqueo nervioso. Entre ellos podemos considerar los los agonistas α-2 adrenergicos, los corticosteroides, y la ketamina.
Citas
1.- Mebazaa MS,Ouerghi S Ffrkha N,Moncer K,Mestini T,James MF,Ben ammar.Is Mg sulfate by intrathecal route efficient and safe? Ann Fr Anesth Reanimation 2011-Jan;(30:1):47-50.
2.- PappingDM,Elia N,Marret E,WeekM,Traner MR.Clonidine as an adjuvant local annesthetics for peripheral n.and plexus blocks. Anesthesiolog 2009;111:406-15.
3.- Vieira PA,Pulai I,Tsao GC,Manikantan P,Keller B,Conelly NR.Dexametasone with bupivacaine increases duration of analgesia in ultrasound ““guided interscalene brach plexus. Eur J Anaesthesiol 2010;27:285-8.
4.- Lee IO,Kim WK,Kong NH et al.No enhancement of sensory motor blockade by Ketamine added to ropivacaine interscalene brach plexus. Acta Anaesthesiol Scand 2002:46:812-6.
5.- Soave PM,Conti G,Costa R,Arcangeli A.Magnesium and anaesthesia. Curr.Drug Targets 2009;10:734-43.
6.- Simpson JI,Eide TR,Schiff GA,ClagnazJF,Hossuin I,Tverskoy A.Intrathecal Mg++ protects the spinal cord from ischemia injury during thoracic cross-clamping. Annesthesiology 1994:81;1493-99.
7- Mao J,PriceDD,Mayer DJ.Mechanism of hyperalgesia and morphine tolerance:current view of interactions. Pain 1995;62:259-74.
8.- Chanimov M,Cohen ML,Gruspun Y,HerbatM,Reif R,Kaufman I.Neurotoxicy after spinal anest induced by serial i.thecal infus of Mg++. Experment studi in rat. Anaesthesia 1997;52:223-8.
9.- Goodman EJ,Haas AJ,KontorGS.Inadvertant administer of Mg++ through the epidural catheter;report and analysis of a drug error.Int.J.Obstet Anesth 2006;15:63-7.
10.- Lejuste MJ.Inadvertant intrthecal administer of Mg++ .S.Afr Med J.1985;68:367-8.
11.- Dube L,Granry J.C.The therapeutic use of Mg++ in anaesthesiology,intensive care and emergency medicine.Can J.Anaesth.2003;50:732-46.
12.- Lysokowsky C,Damant L,Czarnetzki CTromer MR. Mg++ as adjuvant to post operative analgesia:a systematic review of randomized trials.Anesth Analg 2007:104:1532-9.
13.- Bilir A,GalecS,Erkan A,Ozcelik A.Epidural Mg++ reduces post operative analgesia requirement.Br J.Anaesth.2007;98:519-23.
14.- Yousef AA,Arm YM.The effect of adding Mg++ to epidural bupivacaine and fentanyl in elective cesarean section using combined spinal epidural anaesthesia:a prospective double mind randomized study.Int. J.Obstet Anesth.2010:19:401-4.
15.- Arcioni R,Palmisani S,Tigano S,santarsola C,Santi V,Romaní² s.Combined intrathecal and epidural Mg++ supplementation of prospective,randomizes,doublé mind,controlled trial in patients undergoing major orthopedic surgery.Acta Anaesthesiol scand .2007;51:482-9.
16.- El Kardawwy H.Analgesic requirements for patients undergoing lower extremity orthopedic surgery;the effect of combined spinal and epidural Mg++ .Middle East Anesthesiol 2008;53:346-53.
17.- Buvanenderan A,Mc Carthy RJ,Kran J.S,LeongW.Intrthecal Mg++ prolongs fentanyl analgesia: a prospective,randomized,controlled trial. Anesth Analg 2002;95:661-5.
18.- GHrab B .E,Maotang M,Kallel N,Khemakhen K,Chaari M,.Does combination of intrathecal Mg++ and morphine improve postcesarean section analgesia?. Ann Fr Anesth Reanm.2009;28:454-9.
19.- Unlugenc H,Ozalevi M,Gandur M,Gunasti S,Urcusak IF,Guler T.Comparison of intrathecal Mg++ ,fentanyl,or placebo,combined with bupivacaine 0.5% for parturients undergoing elective cesarean delivery. Acta Anaesthesiog Scand 2009;53:346-53.
2.- PappingDM,Elia N,Marret E,WeekM,Traner MR.Clonidine as an adjuvant local annesthetics for peripheral n.and plexus blocks. Anesthesiolog 2009;111:406-15.
3.- Vieira PA,Pulai I,Tsao GC,Manikantan P,Keller B,Conelly NR.Dexametasone with bupivacaine increases duration of analgesia in ultrasound ““guided interscalene brach plexus. Eur J Anaesthesiol 2010;27:285-8.
4.- Lee IO,Kim WK,Kong NH et al.No enhancement of sensory motor blockade by Ketamine added to ropivacaine interscalene brach plexus. Acta Anaesthesiol Scand 2002:46:812-6.
5.- Soave PM,Conti G,Costa R,Arcangeli A.Magnesium and anaesthesia. Curr.Drug Targets 2009;10:734-43.
6.- Simpson JI,Eide TR,Schiff GA,ClagnazJF,Hossuin I,Tverskoy A.Intrathecal Mg++ protects the spinal cord from ischemia injury during thoracic cross-clamping. Annesthesiology 1994:81;1493-99.
7- Mao J,PriceDD,Mayer DJ.Mechanism of hyperalgesia and morphine tolerance:current view of interactions. Pain 1995;62:259-74.
8.- Chanimov M,Cohen ML,Gruspun Y,HerbatM,Reif R,Kaufman I.Neurotoxicy after spinal anest induced by serial i.thecal infus of Mg++. Experment studi in rat. Anaesthesia 1997;52:223-8.
9.- Goodman EJ,Haas AJ,KontorGS.Inadvertant administer of Mg++ through the epidural catheter;report and analysis of a drug error.Int.J.Obstet Anesth 2006;15:63-7.
10.- Lejuste MJ.Inadvertant intrthecal administer of Mg++ .S.Afr Med J.1985;68:367-8.
11.- Dube L,Granry J.C.The therapeutic use of Mg++ in anaesthesiology,intensive care and emergency medicine.Can J.Anaesth.2003;50:732-46.
12.- Lysokowsky C,Damant L,Czarnetzki CTromer MR. Mg++ as adjuvant to post operative analgesia:a systematic review of randomized trials.Anesth Analg 2007:104:1532-9.
13.- Bilir A,GalecS,Erkan A,Ozcelik A.Epidural Mg++ reduces post operative analgesia requirement.Br J.Anaesth.2007;98:519-23.
14.- Yousef AA,Arm YM.The effect of adding Mg++ to epidural bupivacaine and fentanyl in elective cesarean section using combined spinal epidural anaesthesia:a prospective double mind randomized study.Int. J.Obstet Anesth.2010:19:401-4.
15.- Arcioni R,Palmisani S,Tigano S,santarsola C,Santi V,Romaní² s.Combined intrathecal and epidural Mg++ supplementation of prospective,randomizes,doublé mind,controlled trial in patients undergoing major orthopedic surgery.Acta Anaesthesiol scand .2007;51:482-9.
16.- El Kardawwy H.Analgesic requirements for patients undergoing lower extremity orthopedic surgery;the effect of combined spinal and epidural Mg++ .Middle East Anesthesiol 2008;53:346-53.
17.- Buvanenderan A,Mc Carthy RJ,Kran J.S,LeongW.Intrthecal Mg++ prolongs fentanyl analgesia: a prospective,randomized,controlled trial. Anesth Analg 2002;95:661-5.
18.- GHrab B .E,Maotang M,Kallel N,Khemakhen K,Chaari M,.Does combination of intrathecal Mg++ and morphine improve postcesarean section analgesia?. Ann Fr Anesth Reanm.2009;28:454-9.
19.- Unlugenc H,Ozalevi M,Gandur M,Gunasti S,Urcusak IF,Guler T.Comparison of intrathecal Mg++ ,fentanyl,or placebo,combined with bupivacaine 0.5% for parturients undergoing elective cesarean delivery. Acta Anaesthesiog Scand 2009;53:346-53.
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Aguirrebengoa Olaran, M. Utilización de Sulfato de Magnesio en Analgesia y anestesia obstétrica. Revista Electrónica AnestesiaR, 5(1), 4. https://doi.org/10.30445/rear.v5i1.278
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