ARTICULO DE REVISION Rex Col Anett 25:45, 1998 Analgesia en trabajo de parto: . Sonoda H.,Takkamatsn J.,etal. valuation of 2G pencil point ‘spinal needle in combined epidural-spinal anesthesia. Nast! 1995 Oct; 44:1410-4 |. Pach MJ., Evans SF. Prospective clinical evaluation of two Combined spinalepicurallst, Anaesth intensive Care, 1998 Se 285, 600-8 labor anal: gesia: epidural versus combined spinal epidural techniques. ‘Aneath Analg 1904; 79(3): 529.537. . Suzuki N., Koganemara M., et al. Dural puncture with a. 26-gauge spinal needle affects spread of epidural anesthesia, Anesth Analg, 1996; 82: 1040-2. Leighton BL., Arkoosh VA., etal. The dermatomal spread of epidural bupivacaine with and without prior intrathecal ‘Sufentanil. Anest Analg 1996; 83: 526-9 Rawal N., Schelling J.,et al. Epidural vers combined spinal ‘epidural block for cesarean section. Acta Anaesthesiol Scand 1988; 32: 61-66 . Stienstra R,, Dahan A., et al. Mechanism of action of an epidural top-up in combined spinal epidural anesthesia. ‘Anesth Analg 1996; 83: 982-6 Patel SD., Arkoosh VA., et al. Does the combined spinal technique guarantee a working epidural? 15; 83: A962. Leighton BL., Norris MC., et al. The air as a clinically useful indicator of intravenously placed epidural epidural catheters. Anesthesiology 1990; 73: 610-613, » Gross JB. Air: an effective indicator of located epidural catheters. Anesthesiclogy 1989; 71: 848-851. . Pratt SD., Soni AK., et al. Association between response to ultra-low dose labor epidural solution and obstetricoutcome. SOAP Abstracts 1997 p 177, Sancher M.,SegslS, etl. Ultraditate epidural bupivacaine- ‘epinephrine-fentanyl does not reduce the incidence of ‘cesarean nection or improve patient satisfaction compared toa conventional bupivacaine-fentanyl mixture. SOAP Abstracts 1997 p 148, 22, a 2, 4. 50, 3 52, . Benhamou D. Rachianesthésie-péridu Analgesia combinada epidural ragaides [Albright O., Forster R. Does combined epinal/epidural arial- ‘gesin with intrathecal sufentanil increase the incidence of ‘emergency cesarean section? SOAP Abstracts 1997; pp26l Williams RM., Thom MH., et al. A study of the benefite and acceptability ‘of ambulation in spontaneous labour. Br J ‘Obstet Gynaecol 1980 ;87:122-126. |. Stewart P., Calder AA. Posture in labour: patients’ choice and its effect on performance. Br J Obstet Gynaecol 1984; 91:1091-5. Asselineats D. Does ambulation tinder epidural analgesia during labor modify the conditions of fetal extraction? Contracept Fertil Sex 1996 24: 505-8 le combinée ou piridurale en obstetrique? Cahiers d’Ancsthéslologie 1996, 44: 157-58 / Riynn AM., KellyJ., et al, Ambulation in labour, BMJ 1978; 2'591.94 . Lacassie H,, Riguelme J., et al. Epidural sufentanil alone tnd bupivacainein low dose with sufentanil and epinepbrine produce equal analgesia during labor. Reg Anesth 1996; 21: 263-4. Bugay D., Hughes N., et al. Posterior colimn sensory impairment durng embulatory extradhiral analgesia tn ler bor. BrJ Anaesth 1994; 73: 540-42. ‘Soni AK., Sema MC, etal Posterior column sensations during, ‘euroaxial labor analgesia. SOAP Abstracts 1996 p 164 ‘Parry MG., Bell R, etal. Assesment of dorsal column function "using sosmatosensory evoked potenciale after ambulatory combined spinal epidural analgesia for labor. SOAP ‘Abstracts. 1997 p 10. ‘Singh R., Plaat F., et al. Selective sensory blockade with low:dove combined epinal/epidural allows safe ambulation in labour: a pilot study, SOAP Abstracts 1996 p 163. Parry MG., Bawa GP., et al. Dorsal column function in parturients receiving epidural and combined spinal epidural for labor and elective cesarean section. SOAP Abstracts 1996, pil. Collis RE., Davies DW,, et al. Randomised comparison of combined spinal-epidural and standard epidaral analgesia inlabour. Lancet 1995; 345: 1413-16 Panchal S., Suresh MS., et al. Determination of dose response for intraspinal bupivacaineand fentanyl in laboring patients using combined spinal epidural technique. SOAP. Abstracts 1996 p 159. Kartawiadi L., Vercauteren MP., et al. Spinal snalgesia during labor with low dose bupivacaine, sufentanil and epinephrine. A comparison with epidural analgesia Reg ‘Analg, 1996, 21: 191-196. / Bimbach DJ., Johnson MD., et al. Effect of the diluent volume on analgesia produced by epidural fentanyl. Anesth Analg 1989, 68: 808-810 Palmer CM, Van Maren GA., et al Intrathecal analgesia for labor: A comperison of fentanyl, sufentanil and their combination with bupivacaine. SOAP Abstracts 1997 p 62. Camann WR., Minzter BH., et al. Intrathecal sufentanil for labor analgesia Anesthesiology 1993; 78: 870-4. Camptell DC., Banner R., et al. Addition of epineshrine to intrathecal sufentanil and bupivacaine for ambulatory la- bor analgesia. Anesthesiology 1997; 86: 525-31. Gautier PE., Debry F., et al. Ambulatory combined spinal ‘epidural analgesia for labor. Influence of epinephrine on ‘bupivacaine-stfentanil combination, Reg Anesth 1997; 22: 143-149, Palmer CM., Marque? RC., et al. Epinephrine as an adjunct, to intrathecal fentanyl/ bupivacaine for labor analgesia. ‘SOAP Abstracts 1996 p 157. 5S.Cerda S, Hidalgo G. 33, a. o7, 6. 67. 7 73: ™. 5. 56 ‘Soskin V., Betel A., ot al Effects of bupivacaine with and ‘without epinephrine added to fentany/ for intrathecal labor. SOAP Abstracts 1995 p 158 DiAngelo R., Anderson M., et al. Intrathecal sufentani! Compared to epidural bupivacaine for labor analgesia. ‘Anesthesiology 1994; 80: 1209-15 . Dunn $M., Connelly NR, etal. Intrathecal vs epidural sufentan! for ear'y labor analgesia. SOAP Abstracts 1997 p 68. . Palmer CM,, Cammarata BJ., et al. Bupivacaine augments intrathecal fentanyl for labor analgesia. SOAP Abstracts 1996 pi6l. Fragneto R., Pan P., etal: The analgesic efficacy of intrathecal fentanyland fentany|/bupivacaine. early vs ate labor, SOAP ‘Abstracts, 1997 p 76. Campbell DC., Camann WR.,et al. The addition but to intrathecal sufentanil for labor analges ‘Anesth Analg 1995;81:305-309, Pan PH, Moore C., et al- Comparison of efficacy and side ‘effects: intrathecal bupivacaine/fentanyl vs bupivacaine/ sufentanil, SOAP Abstracts 1997 p 257. . Pan PH., Fragneto R., ot al. Effecte of bupivacaine on intrathecal fentanyl for labor analgesia. SOAP Abstracts 1996 100, Viscomi CM., Rathmell JP. Duration of intrathecal labor analgesia: early va advanced labor. Anesth Analg. 1997; 86:1108-1112, ian HJ. Complications of combined spinal-epidural technique fer labor analgesia: complicating the informed consent ‘process? (Letter) Anesthesia & Analgesia 1995; 80: 854. Yan EM., Santos AC., et al. Effects of position during induction of combined spinal epidural anesthesia for ‘cesnrean delivery, SOAP Abstracts 1996 p 153 . Grant GJ., Susser L., et al. Hemodynamic effects of {intrathecal fentanyl in nonlaboring term parturients.J Clin ‘Anesth 1996; 8: 99-103. Pham LH. Camann WR., et al. Hemodynamic effects of {intrathecal sufentanil compared with epidural bupivacaine in laboring parturients. J Clin Anesth 1996; 8: 497-501. ‘Thorén T., Holmstrom B., et al. Sequential combined spinal epidural block vs spinal block for cesarean section: effects ‘on maternal hypotension and neurobehavioral function of the newbom. Anest Analg 19: 1087-92. Lambert DH., Hurley RJ, et al. Role ofneedie gauge and tip configuration in the production of lumbar puncture headache. Reg Anesth 1997;22:66-72 s. Cesarini M., TorriellR., et al. Sprotte needle for intrathecal ‘anaesthesia for cesarean section: incidence of postural puncture headhache. Anaesthesia 1990; 45: 656-653, Harding SA., Collis RE., et al. Meningitis after combined spinal-extradural anaestheria in obstetrics. BrJ Anaesth 1994; 73: 545-47. Schroter J., Wa Djamba D., et al. Epidural atsceos after combined spinal-epidural block. Can J Anaesth 1997; 44 300-208, ‘Stallard N,, Barry P. Another complication of the combined extradural-subarachnoid technique (letter) Br J Anaesth 1995; 75: 370-371, . Chaney MA, Side eflects of intrathecal and epidural opioids. Can JJof Anaesth 1995; 42: 891-903. Mercier F3., Paqueron X. Spinal analgesia for labos. Cah ‘Anesthesiol 1996, 44:173-9. ‘Cohen SE,, Cherry CM., et al, Intrathecal sufentanil for la- ‘bor analgesia: sensory changes, side effects and fetal heart ‘changes . Anest Analg 1993; 77: 1155-60. Hamilton CL., Cohen SE. High sensory blockcafter intrathecal sufentanil for labor analgesia. Anesthesiology 1995; 83:1118, 16. 78. 19, 82, a co 85. 87 89. 1 92. 9a. 95, 96. ows M., Nelson K. et al: Dose response study of intrathecal in laboring patients, Soap Abstract 1997 p14. foncentrations in sheep after administration of lumber ‘epidural morphine. Anesth Analg 1996; 83: 523-5, Greenhalgh CA, Respiratory arrest in a parturient following intratheealinjection of sufentanil and bupivacaine. Anaesthesia 1996; 51: 173-179, Hays RL. Palmer CM. Respiratory depression after intrathecal sufentarilduring labor. Anesthesiology 1994; 81: 511-512 ). Baker MN., Sama NC. Respiratory arrest after second dose ‘of intrathecal aufentanil. Anesthesiology 1095; 83: 231-22. Holmstrom B., Rawal N,, etal. Risk of catheter migration uring combined spinal epidural block: percutaneous epiduroscopy study. Anesth Analg 1995; 80:747-53. Muranaka K., Tautsui T, Comparison of the clinical ‘usefulness of the two types of combined spinal epidural needles. Masui 1994; 43:1714-1717. Robbins PM., Fernando R., et al. Accidental intrathecal insertion of an extradural catheter during combined spinal- ‘xtradural anaesthesia for caesarean section. Br J Anaesth 1995; 75:355.7. Lee JS., Abboud T. Intrathecal insertion of an extradural catheter during combined spmal-extradural anaesthesia. Br {J Anaesth 196,76 169-70. Cascio M., Pygon B,, et al, Effects of intrathecal fentanyl on plasma catecholamine levels in term laboring parturients. Anesthesiology 1995: 83: A943, Gossier K, Palmer CM.,et al. Incidence of fetal heart changes following epidural and intrathecal fentanyl analgesia for a- bor, Anesthesislogy 1996; 8S: ATI Gambling DR. Fetal bradycardia after sufentanil ueeduring labor. SOAP Abstracts 1996 p 24, ‘Segal S., Csavoy,A.,et a, Elevated maternal catecholamines in labor are tocolytic: an in-vitro study of the effects of physiologic concentrations of norepinephrine and Epinephrine on uterine activity in the pravid rat uterus. SOAP ‘Abstracts 1997; p 102 Sakewi ¥.. Eberle.t al The effect of epidural epinephrine fon fetal heart rate changes after epidural labor analgesia, SOAP Abstracts 1997 p 145, Nielsen PE., Erickson JR, et al. Fetal heart rate changes, Jal eufentanil or epidural bupivacaine for ia- r iMfcance. Anesth Epstein Li., Lysikiewics A, etal. Changes in uterine artery blood flow associated with labor analgesia via intrathecal ‘administration of sufentanil. Anesthesiology 1996; 85: A897. Herbstman CH., Zaidan JT, et al. Fetal bradycardia and tuterine hypertonicity after intrathecal fentanyl in laboring, ‘women. SOAP Abstracts 1997 p 152. ‘Thom JA, Hu DH. etl The effect of intrapartum epidural ‘analgesia ‘on nulliparous labor: a randomized, controlled, prospective tral. Am-J Obstet Gynecol 1603 160 851-858. ‘WuitchikeM., Baka! D., et al The clinical significance of pain fand cognitive activity in latent labor. Obstet Gynecol 1989; 73: 35-42. Newman LM., Perez EC., et al. Labor analgesia, cesarean ‘anesthesia and cesarean delvery rates for 18.000 deliveries from 1988 through 1994. Anesthesiology 1995; 83: A908, ‘Teen L., Segel Set al. Combined spinal/epidural vs epidural analgesia: effects en progression and outcome of labor. SOAP Abstracts 1996 p 16