Ketamina en analgesia multimodal postcesarea
Bauchat JR, Higgins N, Wojciechowski KG, McCarthy RJ, Toledo P, Wong CA. Low-dose ketamine with multimodal postcesarean delivery analgesia: a randomized controlled trial. Int J Obstet Anesth. 2011 Jan;20(1):3-9. PMID: 21224020
DOI:
https://doi.org/10.30445/rear.v3i6.452Keywords:
cesárea, dolor agudo, ketamina, Randomized controlled trialAbstract
Mediante la analgesia multimodal influimos en las diferentes vías del dolor a la vez que minimizamos los potenciales efectos adversos de los diferentes fármacos administrados. En el caso del dolor postcesárea esto adquiere un importante matiz debido a la necesidad de disminuir el uso de opioides que pasan a la leche materna en caso de lactancia natural.
El uso de dosis subanestésicas de Ketamina ha demostrado en diferentes estudios la disminución de requerimientos de opioides en las primeras 24 h postoperatorias, tanto tras anestesia espinal como general.
El presente ensayo clínico estudia el efecto de dosis subanestésicas de ketamina en el abordaje multimodal del dolor postcesárea.
References
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2. Himmelseher S, Durieux ME. Ketamine for perioperative pain management. Anesthesiology. 2005 Jan;102(1):211-20. Review. PMID: 15618805.
3. Suzuki M. Role of N-methyl-D-aspartate receptor antagonists in postoperative pain management. Curr Opin Anaesthesiol. 2009 Oct;22(5):618-22. Review. PMID: 19535974.
4. Sullivan JT. What's new in obstetric anesthesia: the 2009 Gerard W. Ostheimer lecture. Anesth Analg. 2010 Feb 1;110(2):564-9. Epub 2009 Dec 23. PMID: 20032024.
5. Loos MJ, Scheltinga MR, Mulders LG, Roumen RM. The Pfannenstiel incision as a source of chronic pain. Obstet Gynecol. 2008 Apr;111(4):839-46. PMID: 18378742.
6. Nikolajsen L, Sørensen HC, Jensen TS, Kehlet H. Chronic pain following Caesarean section. Acta Anaesthesiol Scand. 2004 Jan;48(1):111-6. PMID: 14674981.
Published
2011-06-30
How to Cite
Monzón Rubio, E. M. (2011). Ketamina en analgesia multimodal postcesarea: Bauchat JR, Higgins N, Wojciechowski KG, McCarthy RJ, Toledo P, Wong CA. Low-dose ketamine with multimodal postcesarean delivery analgesia: a randomized controlled trial. Int J Obstet Anesth. 2011 Jan;20(1):3-9. PMID: 21224020. Revista Electrónica AnestesiaR, 3(6), 4. https://doi.org/10.30445/rear.v3i6.452
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Section
Critical reviews of articles
Revista Electrónica AnestesiaR by 