Lidocaine as an Adjunct in Epidural Anesthesia for Cesarean Section: Evaluation of Efficacy and Results
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Keywords

Epidural Anesthesia; Lidocaine; Neonatal; Adverse Events.

How to Cite

Bezerra , M. C. P., Barbosa, A. A. R., Silva , M. E. A. da, Sales , J. M. B., Grasel, G. R., Wada, A., Silva , J. A. da, Cardoso , R. H. da S., Lavoyer, L. D. dos S. C., Basuino, L., Azevedo, I. Z. R., Melro Neto, J. A. F., Alexandre , R. O., Pedreira , J. L. A., Lima, C. S. E. de, Silva Filho , W. L. R. da, & Moura , J. A. (2024). Lidocaine as an Adjunct in Epidural Anesthesia for Cesarean Section: Evaluation of Efficacy and Results. Brazilian Journal of Implantology and Health Sciences, 6(1), 1631–1645. https://doi.org/10.36557/2674-8169.2024v6n1p1631-1645

Abstract

Objective: This study aims to analyze the efficacy, safety, and applicability of lidocaine as an adjuvant in epidural anesthesia for cesarean sections, considering different protocols and their impacts on clinical parameters.  Introduction: Lidocaine as an adjuvant in epidural anesthesia for cesarean sections plays a crucial role in obstetric pain management. This review encompasses its efficacy, safety, and impacts on various clinical aspects, aiming to enhance contemporary anesthetic practices. Methodology: The methodology involved a systematic integrative review of clinical studies investigating the use of lidocaine as an adjuvant in epidural anesthesia for cesarean sections. The comprehensive analysis considered different administration protocols, dosages, and concentrations, evaluating efficacy, safety, and impacts on diverse clinical parameters. Results: The results consistently revealed the efficacy of lidocaine in epidural analgesia for cesarean sections, with positive impacts on pain relief. A relative safety was also observed, emphasizing the importance of individualizing administration protocols. Conclusion: In summary, lidocaine as an adjuvant in epidural anesthesia for cesarean sections demonstrates remarkable efficacy in pain relief while maintaining a safety profile when administered prudently. Its applicability and versatility reinforce its relevant role in optimizing obstetric anesthetic practices.

https://doi.org/10.36557/2674-8169.2024v6n1p1631-1645
PDF (Português (Brasil))

References

Braga A de F de A, Frias JAF, Braga FS da S, Pereira RIC, Blumer MF, Ferreira MF. Anestesia peridural para cesariana: estudo comparativo entre Bupivacaína Racêmica (S50-R50) e Bupivacaína com excesso enantiomérico de 50% (S75-R25) a 0,5% associadas ao Sufentanil. Rev Bras Anestesiol [Internet]. 2009May;59(3):261–72. Available from: https://doi.org/10.1590/S0034-70942009000300001

Cassu RN, Melchert A, Machado GM, Meirelles CC. Anestesia peridural com lidocaína isolada ou associada à clonidina: efeito cardiorrespiratório e analgésico em cães. Cienc Rural [Internet]. 2010Oct;40(10):2129–34. Available from: https://doi.org/10.1590/S0103-84782010001000012

Yurtlu DA, Kaya K. Ropivacaína, articaína ou combinação de ropivacaína e articaína em anestesia peridural para cesariana: estudo randomizado, prospectivo e duplo-cego. Rev Bras Anestesiol [Internet]. 2013Jan;63(1):92–8. Available from: https://doi.org/10.1590/S0034-70942013000100007

Braga AA, Frias JAF, Braga FS, Potério GB, Hirata ES, Torres NA. Raquianestesia em operação cesariana. Emprego da associação de bupivacaína hiperbárica (10 mg) a diferentes adjuvantes. Rev Bras Anestesiol [Internet]. 2012Nov;62(6):781–7. Available from: https://doi.org/10.1590/S0034-70942012000600003

Souza MF de, Kraychete DC. A ação analgésica da lidocaína intravenosa no tratamento da dor crônica: uma revisão de literatura. Rev Bras Reumatol [Internet]. 2014Sep;54(5):386–92. Available from: https://doi.org/10.1016/j.rbr.2014.01.010

Cassu RN, Melchert A, Silva APG da, Reis AM dos, Meirelles CC. Lidocaína com vasoconstrictor isolada e associada ao fentanil via peridural em cães. Cienc Rural [Internet]. 2010Mar;40(3):580–6. Available from: https://doi.org/10.1590/S0103-84782010005000016

Bergamaschi F, Balle VR, Gomes MEW, Machado SB, Mendes FF. Levobupivacaína versus bupivacaína em anestesia peridural para cesarianas: estudo comparativo. Rev Bras Anestesiol [Internet]. 2005Nov;55(6):606–13. Available from: https://doi.org/10.1590/S0034-70942005000600003

Imbelloni LE, Vieira EM, Rocha A, Gouveia MA, Cordeiro JA. Raquianestesia para cesariana com bupivacaína a 0,5% isobárica associada ao fentanil e morfina: estudo prospectivo com diferentes volumes. Rev Bras Anestesiol [Internet]. 2003May;53(3):322–30. Available from: https://doi.org/10.1590/S0034-70942003000300002

Tanaka PP, Ogleari M, Valmorbida P, Tanaka MAA. Estudo comparativo entre soluções a 0,5% de levobupivacaína, bupivacaína em excesso enantiomérico de 50% e bupivacaína racêmica em anestesia peridural para cirurgia de abdômen inferior. Rev Bras Anestesiol [Internet]. 2005Nov;55(6):597–605. Available from: https://doi.org/10.1590/S0034-70942005000600002

Souza MA de, Silva JLP e, Maia Filho NL. Bloqueio combinado raquiperidural versus bloqueio peridural contínuo para analgesia de parto em primigestas: resultados maternos e perinatais. Rev Bras Ginecol Obstet [Internet]. 2009Oct;31(10):485–91. Available from: https://doi.org/10.1590/S0100-72032009001000003

Lee Y, Balki M, Parkes R, Carvalho JCA. Dose de bupivacaína subaracnóidea necessária para cesariana é semelhante em mulheres obesas e com peso normal. Rev Bras Anestesiol [Internet]. 2009Nov;59(6):674–83. Available from: https://doi.org/10.1590/S0034-70942009000600003

Oliveira MR e, Santos MG, Aude DA, Lima RM e, Módolo NSP, Navarro LH. Should maternal anesthesia delay breastfeeding? A systematic review of the literature. Rev Bras Anestesiol [Internet]. 2019Mar;69(2):184–96. Available from: https://doi.org/10.1016/j.bjane.2018.12.006

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Copyright (c) 2024 Mariana Cunha Paes Bezerra , Alladin Anderson Ramos Barbosa, Marcia Eduarda Andrade da Silva , João Marcos Barcelos Sales , Gabriella Regina Grasel, Arthur Wada, Jaqueline Alves da Silva , Rômulo Henrique da Silva Cardoso , Lenise Duarte dos Santos Cabral Lavoyer, Letícia Basuino, Igor Ziank Reis Azevedo, José Afonso Freitas Melro Neto, Ricardo Oliveira Alexandre , João Luiz Almeida Pedreira , Cindy Stephanie Esteves de Lima, Washington Luiz Rodrigues da Silva Filho , Jonathan Almeida Moura

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