Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea
El uso de ondansetrón administrado de forma profiláctica para la náusea y el vómito postoperatorio en pacientes sometidas a cesárea bajo anestesia subaracnoidea puede estar asociado a menor riesgo de hipotensión.
- Autores:
-
Rueda Quijano, Natalia Andrea
- Tipo de recurso:
- Fecha de publicación:
- 2024
- Institución:
- Universidad Autónoma de Bucaramanga - UNAB
- Repositorio:
- Repositorio UNAB
- Idioma:
- spa
- OAI Identifier:
- oai:repository.unab.edu.co:20.500.12749/25349
- Acceso en línea:
- http://hdl.handle.net/20.500.12749/25349
- Palabra clave:
- Medical sciences
Health sciences
Medicine
Anesthesia
Hypotension
Cesarean
Anesthesiology
Medicine
Blood circulation disorders
Anesthesia in obstetrics
Obstetrics
Conduction anesthesia
Spinal puncture
Anestesiología
Ciencias médicas
Medicina
Trastornos de la circulación sanguínea
Anestesia en obstetricia
Obstetricia
Anestesia de conducción
Punción espinal
Ciencias de la salud
Ondansetrón
Cesárea
Hipotensión
Subaracnoidea
Anestesia
- Rights
- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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| dc.title.spa.fl_str_mv |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea |
| dc.title.translated.spa.fl_str_mv |
Association of the use of IV ondansetron in prevention of hypotension in patients undergoing cesarean section under subarachnoid regional anesthesia |
| title |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea |
| spellingShingle |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea Medical sciences Health sciences Medicine Anesthesia Hypotension Cesarean Anesthesiology Medicine Blood circulation disorders Anesthesia in obstetrics Obstetrics Conduction anesthesia Spinal puncture Anestesiología Ciencias médicas Medicina Trastornos de la circulación sanguínea Anestesia en obstetricia Obstetricia Anestesia de conducción Punción espinal Ciencias de la salud Ondansetrón Cesárea Hipotensión Subaracnoidea Anestesia |
| title_short |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea |
| title_full |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea |
| title_fullStr |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea |
| title_full_unstemmed |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea |
| title_sort |
Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoidea |
| dc.creator.fl_str_mv |
Rueda Quijano, Natalia Andrea |
| dc.contributor.advisor.none.fl_str_mv |
Alape Benítez, Eduardo Gómez Garcés, Sonia Luz |
| dc.contributor.author.none.fl_str_mv |
Rueda Quijano, Natalia Andrea |
| dc.contributor.cvlac.spa.fl_str_mv |
Alape Benítez, Eduardo [0002003089] Gómez Garcés, Sonia Luz [0001659600] |
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Gómez Garcés, Sonia Luz [0000-0003-1865-2923] |
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Grupo de Investigaciones Clínicas |
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Alape Benítez, Eduardo [eduardo-alape-benítez] Gómez Garcés, Sonia Luz [sonia-luz-gómez-garcés] |
| dc.subject.keywords.spa.fl_str_mv |
Medical sciences Health sciences Medicine Anesthesia Hypotension Cesarean Anesthesiology Medicine Blood circulation disorders Anesthesia in obstetrics Obstetrics Conduction anesthesia Spinal puncture |
| topic |
Medical sciences Health sciences Medicine Anesthesia Hypotension Cesarean Anesthesiology Medicine Blood circulation disorders Anesthesia in obstetrics Obstetrics Conduction anesthesia Spinal puncture Anestesiología Ciencias médicas Medicina Trastornos de la circulación sanguínea Anestesia en obstetricia Obstetricia Anestesia de conducción Punción espinal Ciencias de la salud Ondansetrón Cesárea Hipotensión Subaracnoidea Anestesia |
| dc.subject.lemb.spa.fl_str_mv |
Anestesiología Ciencias médicas Medicina Trastornos de la circulación sanguínea Anestesia en obstetricia Obstetricia Anestesia de conducción Punción espinal |
| dc.subject.proposal.spa.fl_str_mv |
Ciencias de la salud Ondansetrón Cesárea Hipotensión Subaracnoidea Anestesia |
| description |
El uso de ondansetrón administrado de forma profiláctica para la náusea y el vómito postoperatorio en pacientes sometidas a cesárea bajo anestesia subaracnoidea puede estar asociado a menor riesgo de hipotensión. |
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2024 |
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2024-07-08T15:30:48Z |
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2024-07-08T15:30:48Z |
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2024-07-02 |
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info:eu-repo/semantics/masterThesis |
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Tesis |
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http://purl.org/redcol/resource_type/TM |
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acceptedVersion |
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http://hdl.handle.net/20.500.12749/25349 |
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spa |
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spa |
| dc.relation.references.spa.fl_str_mv |
Nivatpumin P, Thamvittayakul V. Ephedrine versus ondansetron in the prevention of hypotension during cesarean delivery: a randomized, double- blind, placebo-controlled trial. Int J Obstet Anesth. 2016 Aug;27:25–31. Bhiwal A, Chauhan K, Choudhary S, Bhatt H, Gupta S. Intravenous ondansetron to prevent hypotension during cesarean section under spinal anaesthesia. Journal of Obstetric Anaesthesia and Critical Care. 2021;11(1):15. Algarni RA, Albakri HY, Albakri LA, Alsharif RM, Alrajhi RK, Makki RM, et al. Incidence and Risk Factors of Spinal Anesthesia-Related Complications After an Elective Cesarean Section: A Retrospective Cohort Study. Cureus. 2023 Jan 25; Wang M, Zhuo L, Wang Q, Shen MK, Yu YY, Yu JJ, et al. Efficacy of prophylactic intravenous ondansetron on the prevention of hypotension during cesarean delivery: a dose-dependent study. Int J Clin Exp Med. 2014;7(12):5210–6. El Khouly NI, Meligy AM. Randomized controlled trial comparing ondansetron and placebo for the reduction of spinal anesthesia-induced hypotension during elective cesarean delivery in Egypt. International Journal of Gynecology & Obstetrics. 2016 Nov;135(2):205–9. Ortiz-Gómez JR, Palacio-Abizanda FJ, Morillas-Ramirez F, Fornet-Ruiz I, Lorenzo-Jiménez A, Bermejo-Albares ML. The effect of intravenous ondansetron on maternal haemodynamics during elective caesarean delivery under spinal anaesthesia: a double-blind, randomised, placebo-controlled trial. Int J Obstet Anesth. 2014 May;23(2):138–43. Kinsella SM, Carvalho B, Dyer RA, Fernando R, McDonnell N, Mercier FJ, et al. International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia. Anaesthesia. 2018 Jan;73(1):71–92. Chooi C, Cox JJ, Lumb RS, Middleton P, Chemali M, Emmett RS, et al. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Cochrane Database of Systematic Reviews. 2017 Aug 4; Massoth C, Töpel L, Wenk M. Hypotension after spinal anesthesia for cesarean section: how to approach the iatrogenic sympathectomy. Curr Opin Anaesthesiol. 2020 Jun;33(3):291–8. O’Sullivan O, Cockerham R. Spinal-induced hypotension at caesarean section. Anaesthesia & Intensive Care Medicine. 2016 Jul;17(7):328–30. Ngene NC, Moodley J. Physiology of blood pressure relevant to managing hypertension in pregnancy. The Journal of Maternal-Fetal & Neonatal Medicine. 2019 Apr 18;32(8):1368–77. Sanghavi M, Rutherford JD. Cardiovascular Physiology of Pregnancy. Circulation. 2014 Sep 16;130(12):1003–8. Herbosa GAB, Tho NN, Gapay AA, Lorsomradee S, Thang CQ. Consensus on the Southeast Asian management of hypotension using vasopressors and adjunct modalities during cesarean section under spinal anesthesia. Journal of Anesthesia, Analgesia and Critical Care. 2022 Dec 28;2(1):56. |
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Universidad Autónoma de Bucaramanga UNAB |
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Facultad Ciencias de la Salud |
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Especialización en Anestesiología |
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Alape Benítez, Eduardo64334254-88ee-4871-9690-c971fcb3297dGómez Garcés, Sonia Luz4f3477c3-6604-43c6-b5f7-11dc8215d7cbRueda Quijano, Natalia Andread947d4c4-404e-4866-aedd-213d3bc53f3eAlape Benítez, Eduardo [0002003089]Gómez Garcés, Sonia Luz [0001659600]Gómez Garcés, Sonia Luz [0000-0003-1865-2923]Grupo de Investigaciones ClínicasAlape Benítez, Eduardo [eduardo-alape-benítez]Gómez Garcés, Sonia Luz [sonia-luz-gómez-garcés]Floridablanca (Santander, Colombia)2023 - 2024UNAB Campus Bucaramanga2024-07-08T15:30:48Z2024-07-08T15:30:48Z2024-07-02http://hdl.handle.net/20.500.12749/25349instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coEl uso de ondansetrón administrado de forma profiláctica para la náusea y el vómito postoperatorio en pacientes sometidas a cesárea bajo anestesia subaracnoidea puede estar asociado a menor riesgo de hipotensión.1. Planteamiento del problema ...................................................................................... 4 2. Hipótesis investigativa............................................................................................... 6 3. Marco Teórico ........................................................................................................... 7 4. Estado de arte......................................................................................................... 18 5. Objetivos ................................................................................................................ 22 5.1 Objetivo general................................................................................................... 22 5.2 Objetivos específicos........................................................................................... 22 6. Metodología............................................................................................................ 22 6.1 Tipo de Estudio .................................................................................................... 22 6.2 Población............................................................................................................ 23 6.3 Criterios de Inclusión ........................................................................................... 23 6.4 Criterios de Exclusión........................................................................................... 23 6.5 Cálculo de tamaño de muestra ............................................................................. 23 6.6 Muestreo............................................................................................................. 24 6.7 Variables ............................................................................................................. 24 6.8 Instrumento de recolección de datos .................................................................... 26 6.9 Flujograma .......................................................................................................... 27 6.10Plan análisis de datos........................................................................................... 27 6.11Consideraciones éticas........................................................................................ 28 7. Resultados ............................................................................................................. 32 8. Discusión ............................................................................................................... 43 10. Cronograma............................................................................................................ 50 11. Referencias bibliográficas........................................................................................ 50EspecializaciónThe use of ondansetron administered prophylactically for postoperative nausea and vomiting in patients undergoing cesarean section under subarachnoid anesthesia may be associated with lower risk of hypotension.Modalidad Presencialapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Asociación del uso de ondansetrón IV en prevención de hipotensión en pacientes sometidas a cesárea bajo anestesia regional subaracnoideaAssociation of the use of IV ondansetron in prevention of hypotension in patients undergoing cesarean section under subarachnoid regional anesthesiaEspecialista en AnestesiologíaUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Anestesiologíainfo:eu-repo/semantics/masterThesisTesisinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/redcol/resource_type/TMMedical sciencesHealth sciencesMedicineAnesthesiaHypotensionCesareanAnesthesiologyMedicineBlood circulation disordersAnesthesia in obstetricsObstetricsConduction anesthesiaSpinal punctureAnestesiologíaCiencias médicasMedicinaTrastornos de la circulación sanguíneaAnestesia en obstetriciaObstetriciaAnestesia de conducciónPunción espinalCiencias de la saludOndansetrónCesáreaHipotensiónSubaracnoideaAnestesiaNivatpumin P, Thamvittayakul V. Ephedrine versus ondansetron in the prevention of hypotension during cesarean delivery: a randomized, double- blind, placebo-controlled trial. Int J Obstet Anesth. 2016 Aug;27:25–31.Bhiwal A, Chauhan K, Choudhary S, Bhatt H, Gupta S. Intravenous ondansetron to prevent hypotension during cesarean section under spinal anaesthesia. Journal of Obstetric Anaesthesia and Critical Care. 2021;11(1):15.Algarni RA, Albakri HY, Albakri LA, Alsharif RM, Alrajhi RK, Makki RM, et al. Incidence and Risk Factors of Spinal Anesthesia-Related Complications After an Elective Cesarean Section: A Retrospective Cohort Study. Cureus. 2023 Jan 25;Wang M, Zhuo L, Wang Q, Shen MK, Yu YY, Yu JJ, et al. Efficacy of prophylactic intravenous ondansetron on the prevention of hypotension during cesarean delivery: a dose-dependent study. Int J Clin Exp Med. 2014;7(12):5210–6.El Khouly NI, Meligy AM. Randomized controlled trial comparing ondansetron and placebo for the reduction of spinal anesthesia-induced hypotension during elective cesarean delivery in Egypt. International Journal of Gynecology & Obstetrics. 2016 Nov;135(2):205–9.Ortiz-Gómez JR, Palacio-Abizanda FJ, Morillas-Ramirez F, Fornet-Ruiz I, Lorenzo-Jiménez A, Bermejo-Albares ML. The effect of intravenous ondansetron on maternal haemodynamics during elective caesarean delivery under spinal anaesthesia: a double-blind, randomised, placebo-controlled trial. Int J Obstet Anesth. 2014 May;23(2):138–43.Kinsella SM, Carvalho B, Dyer RA, Fernando R, McDonnell N, Mercier FJ, et al. International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia. Anaesthesia. 2018 Jan;73(1):71–92.Chooi C, Cox JJ, Lumb RS, Middleton P, Chemali M, Emmett RS, et al. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Cochrane Database of Systematic Reviews. 2017 Aug 4;Massoth C, Töpel L, Wenk M. Hypotension after spinal anesthesia for cesarean section: how to approach the iatrogenic sympathectomy. Curr Opin Anaesthesiol. 2020 Jun;33(3):291–8.O’Sullivan O, Cockerham R. Spinal-induced hypotension at caesarean section. Anaesthesia & Intensive Care Medicine. 2016 Jul;17(7):328–30.Ngene NC, Moodley J. Physiology of blood pressure relevant to managing hypertension in pregnancy. The Journal of Maternal-Fetal & Neonatal Medicine. 2019 Apr 18;32(8):1368–77.Sanghavi M, Rutherford JD. Cardiovascular Physiology of Pregnancy. Circulation. 2014 Sep 16;130(12):1003–8.Herbosa GAB, Tho NN, Gapay AA, Lorsomradee S, Thang CQ. Consensus on the Southeast Asian management of hypotension using vasopressors and adjunct modalities during cesarean section under spinal anesthesia. Journal of Anesthesia, Analgesia and Critical Care. 2022 Dec 28;2(1):56.https://apolo.unab.edu.co/en/persons/eduardo-alape-ben%C3%ADtezORIGINALTesis.pdfTesis.pdfTesisapplication/pdf636091https://repository.unab.edu.co/bitstream/20.500.12749/25349/5/Tesis.pdfed2d108b745c6c9a0ef660bba93f2081MD55open accessLicencia.pdfLicencia.pdfLicenciaapplication/pdf807492https://repository.unab.edu.co/bitstream/20.500.12749/25349/7/Licencia.pdf7dd2fc3fee17ceb31c41b422ba1dfc29MD57metadata only accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8829https://repository.unab.edu.co/bitstream/20.500.12749/25349/6/license.txt3755c0cfdb77e29f2b9125d7a45dd316MD56open accessTHUMBNAILTesis.pdf.jpgTesis.pdf.jpgIM Thumbnailimage/jpeg6491https://repository.unab.edu.co/bitstream/20.500.12749/25349/8/Tesis.pdf.jpg8ff1562966079b6bd671ac4c0e2d1ecdMD58open accessLicencia.pdf.jpgLicencia.pdf.jpgIM Thumbnailimage/jpeg12592https://repository.unab.edu.co/bitstream/20.500.12749/25349/9/Licencia.pdf.jpg0e99e1395ce6fe70968b76de3f9ba95aMD59metadata only access20.500.12749/25349oai:repository.unab.edu.co:20.500.12749/253492024-10-16 10:09:07.765open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.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 |