Efecto del trabajo de parto sobre las necesidades de Sevoflurano
Erden V, Erkalp K, Yangin Z, Delatioglu H, Kiroglu S, Ortaküz S, Ozdemir B. The effect of labor on sevoflurane requirements during caesarean delivery. Int J Obstet Anaesth. 2011 Jan; 20(1): 17-21
DOI:
https://doi.org/10.30445/rear.v3i8.462Palabras clave:
cesárea, Sevoflurano, parto, anestesia generalResumen
Como parte de la respuesta neuroendocrina al estrés el trabajo de parto desencadena la liberación de cortisol y otras sustancias tales como progesterona, prolactina, prostaglandinas y citokinas.
Se ha demostrado que algunas de estas sustancias parecen intervenir en la regulación del sueño o presentan efectos “benzodiacepin-like”.
Se plantea la hipótesis de que, en pacientes con trabajo de parto establecido que van a ser sometidas a cesárea bajo Anestesia General (AG), dichas sustancias puedan disminuir los requerimientos de Sevoflurano.
Citas
1.- Yoo KY, Jeong CW, Kang MW et al. Bispectral index values during sevoflurane-nitrous oxide general anesthesia in women undergoing cesarean delivery: a comparison between women with and without prior labor. Anesth Analg 2008;106:1827–32.
2.- Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004;363:1757–63.
3.- Paul SM, Purdy RH. Neuroactive steroids. FASEB J 1992;6:2311–22.
4.- Erden V, Yangin Z, Erkalp K, Delatioglu H, Bahceci F, Seyhan A. Increased progesterone production during the luteal phase of menstruation may decrease anesthetic requirement. Anesth Analg 2005;101:1007–11.
5.- Carvalho B, Angst MS, Fuller AJ, Lin E, Mathusamy AD, Riley ET. Experimental heat pain for detecting pregnancy-induced analgesia in humans. Anesth Analg 2006;103:1283–7.
6.- Dunbar AH, Price DD, Newton RA. An assessment of pain responses to thermal stimuli during stages of pregnancy. Pain 1988;35:265–9. (PubMed) PMID 3226756
7.- Abboud TK. Maternal and fetal beta endorphin: effects of pregnancy and labour. Arch Dis Child. 1988 Jul;63(7 Spec No):707-9.
2.- Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004;363:1757–63.
3.- Paul SM, Purdy RH. Neuroactive steroids. FASEB J 1992;6:2311–22.
4.- Erden V, Yangin Z, Erkalp K, Delatioglu H, Bahceci F, Seyhan A. Increased progesterone production during the luteal phase of menstruation may decrease anesthetic requirement. Anesth Analg 2005;101:1007–11.
5.- Carvalho B, Angst MS, Fuller AJ, Lin E, Mathusamy AD, Riley ET. Experimental heat pain for detecting pregnancy-induced analgesia in humans. Anesth Analg 2006;103:1283–7.
6.- Dunbar AH, Price DD, Newton RA. An assessment of pain responses to thermal stimuli during stages of pregnancy. Pain 1988;35:265–9. (PubMed) PMID 3226756
7.- Abboud TK. Maternal and fetal beta endorphin: effects of pregnancy and labour. Arch Dis Child. 1988 Jul;63(7 Spec No):707-9.
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López López, R. Efecto del trabajo de parto sobre las necesidades de Sevoflurano: Erden V, Erkalp K, Yangin Z, Delatioglu H, Kiroglu S, Ortaküz S, Ozdemir B. The effect of labor on sevoflurane requirements during caesarean delivery. Int J Obstet Anaesth. 2011 Jan; 20(1): 17-21. Revista Electrónica AnestesiaR, 3(8), 2. https://doi.org/10.30445/rear.v3i8.462
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