Browsing by Author "Jankelevich, Alejandro"

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    Conversión de analgesia con catéter epidural a anestesia para cesárea intraparto: tres situaciones clínicamente conflictivas comunes en la paciente obstétrica
    (2025) Astete B., Martín; Lacassie Quiroga, Héctor Javier; Jankelevich, Alejandro; Ghiringhelli, Juan P.
    The use of epidural catheter for intrapartum cesarean section has always been a controversial topic. While the use of the epidural catheter should be the first choice for anesthesia, the decision to use it is based on factors such as the effectiveness of analgesia during labor and the category of the cesaream section, not being exempt from possible failures or complications. To perform an epidural anesthesia in cesarean section, a fractioned and adjusted dose is recommended according to the required anesthetic level. In case of epidural catheter failure, spinal anesthesia is an alternative, but it caerries significan risks such as high neuroaxial blockade, therefore intrathecal doses should be reduced to minimize associated risks. For labor analgesia, infusion pumps with patient/controlled analgesia (PCEA) and with programmed intermittent boluses (PIEB) are the standard of care. The use of the epidural catheter for intrapartum cesarean section in patients with analgesia with these automated pumps is a valid option with doses adjusted according to current recommendations, reserving spinal anesthesia for specific cases.
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    LASRA 2022 Chile (26, 27 y 28 de mayo) Hotel W, Santiago, Chile (25 y 27 de mayo) Pontificia Universidad Católica de Chile. Optimizando Resultados
    (2022) Aliste, Julián; Altermatt Couratier, Fernando René; Atton, Rousmery; Bermúdez, Ernesto; Bernucci, María Francisca; Bravo, Daniela; Cabrera, María Carolina; Elgueta Le-Beuffe, María Francisca; Jankelevich, Alejandro; Layera, Sebastián; Miranda Hiriart, Pablo; Pesce, Ítalo