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25 JUN 03 | Anestesia y Analgesia en el trabajo de parto
Uso de la anestesia peridural, espinal y general en obstetricia
Este artículo se focaliza en los avances en la administración de la anestesia epidural, espinal o la combinación de la espinal–epidural durante el trabajo de parto.

Dr. Holger K. Eltzschig, Dra. Ellice S. Lieberman y el Dr. William R. Camann
From the Department of Anesthesiology, Perioperative and Pain Medicine (H.K.E., W.R.C.) and the Department of Obstetrics and Gynecology (E.S.L.), Brigham and Women's Hospital and Harvard Medical School, Boston; USA
NEJM. Volume 348:319-332 January 23, 2003 Number 4.
El momento para indicar la analgesia peridural
Tratamiento del dolor durante y después de la cesárea

1. ACOG Committee on Obstetric Practice. ACOG Committee Opinion number 269 February 2002: analgesia and cesarean delivery rates. Obstet Gynecol 2002;99:369-370.
2. Albright GA, Forster RM. Does combined spinal-epidural analgesia with subarachnoid sufentanil increase the incidence of emergency cesarean delivery? Reg Anesth 1997;22:400-405.
3. Alexander JM, Sharma SK, McIntire DD, Wiley J, Leveno KJ. Intensity of labor pain and cesarean delivery. Anesth Analg 2001;92:1524-1528.
4. Anesthesia for emergency deliveries. ACOG committee opinion. No. 104. Washington, D.C.: American College of Obstetricians and Gynecologists, March 1992.
5. Bailey PL, Lu JK, Pace NL, et al. Effects of intrathecal morphine on the ventilatory response to hypoxia. N Engl J Med 2000;343:1228-1234.
6. Baraka A, Noueihid R, Hajj S. Intrathecal injection of morphine for obstetric analgesia. Anesthesiology 1981;54:136-140.
7. Barnardo PD, Jenkins JG. Failed tracheal intubation in obstetrics: a 6-year review in a UK region. Anaesthesia 2000;55:690-694.
8. Berg CJ, Atrash HK, Koonin LM, Tucker M. Pregnancy-related mortality in the United States, 1987-1990. Obstet Gynecol 1996;88:161-167.
9. Bloom SL, McIntire DD, Kelly MA, et al. Lack of effect of walking on labor and delivery. N Engl J Med 1998;339:76-79.
10. Bofill JA, Vincent RD, Ross EL, et al. Nulliparous active labor, epidural analgesia, and cesarean delivery for dystocia. Am J Obstet Gynecol 1997;177:1465-1470.
11. Borum SE, Naul LG, McLeskey CH. Postpartum dural venous sinus thrombosis after postdural puncture headache and epidural blood patch. Anesthesiology 1997;86:487-490.
12. Bricker L, Lavender T. Parenteral opioids for labor pain relief: a systematic review. Am J Obstet Gynecol 2002;186:Suppl:S94-S109
13. Camann WR, Hortvet LA, Hughes N, Bader AM, Datta S. Maternal temperature regulation during extradural analgesia for labour. Br J Anaesth 1991;67:565-568.
14. Chestnut DH, McGrath JM, Vincent RD Jr, et al. Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are in spontaneous labor? Anesthesiology 1994;80:1201-1208.
15. Chestnut DH, Vincent RD Jr, McGrath JM, Choi WW, Bates JN. Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are receiving intravenous oxytocin? Anesthesiology 1994;80:1193-1200.
16. Clarke VT, Smiley RM, Finster M. Uterine hyperactivity after intrathecal injection of fentanyl for analgesia during labor: a cause of fetal bradycardia? Anesthesiology 1994;81:1083-1083
17. Cohen SE, Yeh JY, Riley ET, Vogel TM. Walking with labor epidural analgesia: the impact of bupivacaine concentration and a lidocaine-epinephrine test dose. Anesthesiology 2000;92:387-392.
18. Collis RE, Davies DW, Aveling W. Randomised comparison of combined spinal-epidural and standard epidural analgesia in labour. Lancet 1995;345:1413-1416.
19. Dahl JB, Jeppesen IS, Jorgensen H, Wetterslev J, Moiniche S. Intraoperative and postoperative analgesic efficacy and adverse effects of intrathecal opioids in patients undergoing cesarean section with spinal anesthesia: a qualitative and quantitative systematic review of randomized controlled trials. Anesthesiology 1999;91:1919-1927.
20. D'Angelo R, Eisenach JC. Severe maternal hypotension and fetal bradycardia after a combined spinal epidural anesthetic. Anesthesiology 1997;87:166-168.
21. Dashe JS, Rogers BB, McIntire DD, Leveno KJ. Epidural analgesia and intrapartum fever: placental findings. Obstet Gynecol 1999;93:341-344.
22. Ecker JL, Chen KT, Cohen AP, Riley LE, Lieberman ES. Increased risk of cesarean delivery with advancing maternal age: indications and associated factors in nulliparous women. Am J Obstet Gynecol 2001;185:883-887.
23. Floberg J, Belfrage P, Ohlsen H. Influence of the pelvic outlet capacity on fetal head presentation at delivery. Acta Obstet Gynecol Scand 1987;66:127-130.
24. Fogel ST, Shyken JM, Leighton BL, Mormol JS, Smeltzer JS. Epidural labor analgesia and the incidence of cesarean delivery for dystocia. Anesth Analg 1998;87:119-123.
25. Gambling DR, Sharma SK, Ramin SM, et al. A randomized study of combined spinal-epidural analgesia versus intravenous meperidine during labor: impact on cesarean delivery rate. Anesthesiology 1998;89:1336-1344.
26. Goetzl L, Cohen A, Frigoletto F Jr, Ringer SA, Lang JM, Lieberman E. Maternal epidural use and neonatal sepsis evaluation in afebrile mothers. Pediatrics 2001;108:1099-1102.
27. Goldberg AB, Cohen A, Lieberman E. Nulliparas' preferences for epidural analgesia: their effects on actual use in labor. Birth 1999;26:139-143.
28. Goyert GL, Bottoms SF, Treadwell MC, Nehra PC. The physician factor in cesarean birth rates. N Engl J Med 1989;320:706-709.
29. Halpern SH, Leighton BL, Ohlsson A, Barrett JF, Rice A. Effect of epidural vs parenteral opioid analgesia on the progress of labor: a meta-analysis. JAMA 1998;280:2105-2110.
30. Hawkins JL, Beaty BR, Gibbs CP. Update on U.S. OB anesthesia practice. Anesthesiology 1999;91:Suppl:A1060-A1060. abstract.
31. Hawkins JL, Koonin LM, Palmer SK, Gibbs CP. Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anesthesiology 1997;86:277-284.
32. Hawthorne L, Wilson R, Lyons G, Dresner M. Failed intubation revisited: 17-yr experience in a teaching maternity unit. Br J Anaesth 1996;76:680-684.
33. Hodnett ED. Pain and women's satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol 2002;186:Suppl:S160-S172.
34. Howell CJ, Dean T, Lucking L, Dziedzic K, Jones PW, Johanson RB. Randomised study of long term outcome after epidural versus non-epidural analgesia during labour. BMJ 2002;325:357-357. [Erratum, BMJ 2002;325:580.]
35. Howell CJ, Kidd C, Roberts W, et al. A randomised controlled trial of epidural compared with non-epidural analgesia in labour. BJOG 2001;108:27-33.
36. Hynson JM, Sessler DI, Glosten B, McGuire J. Thermal balance and tremor patterns during epidural anesthesia. Anesthesiology 1991;74:680-690.
37. Impey L, MacQuillan K, Robson M. Epidural analgesia need not increase operative delivery rates. Am J Obstet Gynecol 2000;182:358-363.
38. Kannan S, Jamison RN, Datta S. Maternal satisfaction and pain control in women electing natural childbirth. Reg Anesth Pain Med 2001;26:468-472.
39. Khor LJ, Jeskins G, Cooper GM, Paterson-Brown S. National obstetric anaesthetic practice in the UK 1997/1998. Anaesthesia 2000;55:1168-1172.
40. Kubli M, Scrutton MJ, Seed PT, O'Sullivan G. An evaluation of isotonic "sports drinks" during labor. Anesth Analg 2002;94:404-408.
41. Lieberman E, Eichenwald E, Mathur G, Richardson D, Heffner L, Cohen A. Intrapartum fever and unexplained seizures in term infants. Pediatrics 2000;106:983-988.
42. Lieberman E, Lang J, Richardson DK, Frigoletto FD, Heffner LJ, Cohen A. Intrapartum maternal fever and neonatal outcome. Pediatrics 2000;105:8-13.
43. Lieberman E, Lang JM, Cohen A, D'Agostino R Jr, Datta S, Frigoletto FD Jr. Association of epidural analgesia with cesarean delivery in nulliparas. Obstet Gynecol 1996;88:993-1000.
44. Lieberman E, Lang JM, Frigoletto F Jr, Richardson DK, Ringer SA, Cohen A. Epidural analgesia, intrapartum fever, and neonatal sepsis evaluation. Pediatrics 1997;99:415-419.
45. Lieberman E, O'donoghue C. Unintended effects of epidural analgesia during labor: a systematic review. Am J Obstet Gynecol 2002;186:Suppl:S31-S168.
46. Lucas MJ, Sharma SK, McIntire DD, et al. A randomized trial of labor analgesia in women with pregnancy-induced hypertension. Am J Obstet Gynecol 2001;185:970-975.
47. Luxman D, Wohlman I, Groutz A, et al. The effect of early epidural block administration on the progression and outcome of labor. Int J Obstet Anesth 1998;7:161-4.
48. Lyon DS, Knuckles G, Whitaker E, Salgado S. The effect of instituting an elective labor epidural program on the operative delivery rate. Obstet Gynecol 1997;90:135-141.
49. Macarthur AJ, Macarthur C, Weeks SK. Is epidural anesthesia in labor associated with chronic low back pain? A prospective cohort study. Anesth Analg 1997;85:1066-1070.
50. Martin JA, Hamilton BE, Ventura SJ, Menacker F, Park MM. Births: final data for 2000. National vital statistics reports. Vol. 50. No. 5. Hyattsville, Md.: National Center for Health Statistics, 2002:1-101. (DHHS publication no. (PHS) 2002-1120 PRS 02-0135.)
51. Martin JA, Park MM, Sutton PD. Births: preliminary data for 2001. National vital statistics reports. Vol. 50. No. 10. Hyattsville, Md.: National Center for Health Statistics, 2002:1-20. (DHHS publication no. (PHS) 2002-1120 PRS 02-0412.)
52. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol 1946;52:191-205.
53. Nageotte MP, Larson D, Rumney PJ, Sidhu M, Hollenbach K. Epidural analgesia compared with combined spinal-epidural analgesia during labor in nulliparous women. N Engl J Med 1997;337:1715-1719.
54. Norris MC, Leighton BL, DeSimone CA. Needle bevel direction and headache after inadvertent dural puncture. Anesthesiology 1989;70:729-731.
55. Palmer CM, Emerson S, Volgoropolous D, Alves D. Dose-response relationship of intrathecal morphine for postcesarean analgesia. Anesthesiology 1999;90:437-444. [Erratum, Anesthesiology 1999;90:1241.]
56. Palmer CM, Maciulla JE, Cork RC, Nogami WM, Gossler K, Alves D. The incidence of fetal heart rate changes after intrathecal fentanyl labor analgesia. Anesth Analg 1999;88:577-581.
57. Palmer CM, Nogami WM, Van Maren G, Alves DM. Postcesarean epidural morphine: a dose-response study. Anesth Analg 2000;90:887-891.
58. Philip J, Alexander JM, Sharma SK, Leveno KJ, McIntire DD, Wiley J. Epidural analgesia during labor and maternal fever. Anesthesiology 1999;90:1271-1275.
59. Pickering AE, Parry MG, Ousta B, Fernando R. Effect of combined spinal-epidural ambulatory labor analgesia on balance. Anesthesiology 1999;91:436-441.
60. Poen AC, Felt-Bersma RJ, Strijers RL, Dekker GA, Cuesta MA, Meuwissen SG. Third-degree obstetric perineal tear: long-term clinical and functional results after primary repair. Br J Surg 1998;85:1433-1438.
61. Practice guidelines for obstetrical anesthesia: a report by the American Society of Anesthesiologists Task Force on Obstetrical Anesthesia. Anesthesiology 1999;90:600-611.
62. Ramin SM, Gambling DR, Lucas MJ, Sharma SK, Sidawi JE, Leveno KJ. Randomized trial of epidural versus intravenous analgesia during labor. Obstet Gynecol 1995;86:783-789.
63. Robinson JN, Norwitz ER, Cohen AP, McElrath TF, Lieberman ES. Epidural analgesia and third- or fourth-degree lacerations in nulliparas. Obstet Gynecol 1999;94:259-262.
64. Rogers R, Gilson G, Kammerer-Doak D. Epidural analgesia and active management of labor: effects on length of labor and mode of delivery. Obstet Gynecol 1999;93:995-998.
65. Russell R, Dundas R, Reynolds F. Long term backache after childbirth: prospective search for causative factors. BMJ 1996;312:1384-1388.
66. Sachs BP, Kobelin C, Castro MA, Frigoletto F. The risks of lowering the cesarean-delivery rate. N Engl J Med 1999;340:54-57.
67. Safa-Tisseront V, Thormann F, Malas-sine P, et al. Effectiveness of epidural blood patch in the management of post-dural puncture headache. Anesthesiology 2001;95:334-339.
68. Samsoon GL, Young JR. Difficult tracheal intubation: a retrospective study. Anaesthesia 1987;42:487-490
69. Segal S, Blatman R, Doble M, Datta S. The influence of the obstetrician in the relationship between epidural analgesia and cesarean section for dystocia. Anesthesiology 1999;91:90-96.
70. Segal S, Su M, Gilbert P. The effect of a rapid change in availability of epidural analgesia on the cesarean delivery rate: a meta-analysis. Am J Obstet Gynecol 2000;183:974-978.
71. Seyb ST, Berka RJ, Socol ML, Dooley SL. Risk of cesarean delivery with elective induction of labor at term in nulliparous women. Obstet Gynecol 1999;94:600-607.
72. Sharma SK, Alexander JM, Messick G, et al. Cesarean delivery: a randomized trial of epidural analgesia versus intravenous meperidine analgesia during labor in nulliparous women. Anesthesiology 2002;96:546-551.
73. Sharma SK, Sidawi JE, Ramin SM, Lucas MJ, Leveno KJ, Cunningham FG. Cesarean delivery: a randomized trial of epidural versus patient-controlled meperidine analgesia during labor. Anesthesiology 1997;87:487-494.
74. Simkin PP, O'Hara M. Nonpharmacologic relief of pain during labor: systematic reviews of five methods. Am J Obstet Gynecol 2002;186:Suppl:S131-S159.
75. Simpson W. The works of Sir J.Y. Simpson. Edinburgh, Scotland: Adam and Charles Black, 1871.
76. Swart M, Sewell J, Thomas D. Intrathecal morphine for caesarean section: an assessment of pain relief, satisfaction and side-effects. Anaesthesia 1997;52:373-377.
77. Thorp JA, Eckert LO, Ang MS, Johnston DA, Peaceman AM, Parisi VM. Epidural analgesia and cesarean section for dystocia: risk factors in nulliparas. Am J Perinatol 1991;8:402-410.
78. Thorp JA, Hu DH, Albin RM, et al. The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial. Am J Obstet Gynecol 1993;169:851-858.
79. Towner D, Castro MA, Eby-Wilkens E, Gilbert WM. Effect of mode of delivery in nulliparous women on neonatal intracranial injury. N Engl J Med 1999;341:1709-1714.
80. Tsen LC, Thue B, Datta S, Segal S. Is combined spinal-epidural analgesia associated with more rapid cervical dilation in nulliparous patients when compared with conventional epidural analgesia? Anesthesiology 1999;91:920-925.
81. Wang JK, Nauss LA, Thomas JE. Pain relief by intrathecally applied morphine in man. Anesthesiology 1979;50:149-151.
82. Willdeck-Lund G, Lindmark G, Nilsson BA. Effect of segmental epidural analgesia upon the uterine activity with special reference to the use of different local anaesthetic agents. Acta Anaesthesiol Scand 1979;23:519-528.
83. Yaksh TL, Rudy TA. Analgesia mediated by a direct spinal action of narcotics. Science 1976;192:1357-1358.
84. Yancey MK, Pierce B, Schweitzer D, Daniels D. Observations on labor epidural analgesia and operative delivery rates. Am J Obstet Gynecol 1999;180:353-359.
85. Zhang J, Yancey MK, Klebanoff MA, Schwarz J, Schweitzer D. Does epidural analgesia prolong labor and increase risk of cesarean delivery? A natural experiment. Am J Obstet Gynecol 2001;185:128-134.

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