<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032024000300164</article-id>
<article-id pub-id-type="doi">10.35366/116168</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fast track en cesáreas. Ensayo clínico para comparar el bloqueo TAP versus morfina epidural]]></article-title>
<article-title xml:lang="en"><![CDATA[Fast track in cesarean sections. Clinical trial to compare tap block versus epidural morphine]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Palomo]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esteban-Pizarro]]></surname>
<given-names><![CDATA[Néstor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calle-Elguezabal]]></surname>
<given-names><![CDATA[Pedro de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Martínez]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brogly]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santé-Serna]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico San Carlos Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico San Carlos Servicio de Cirugía Torácica ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital La Paz Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<fpage>164</fpage>
<lpage>168</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032024000300164&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032024000300164&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032024000300164&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  existen pocos datos sobre los protocolos fast track en cesáreas. Éstos recomiendan bloqueos de nervios periféricos para el control del dolor.  Material y métodos:  ochenta y cuatro pacientes programadas para cesárea fueron aleatorizadas para un ensayo clínico triple ciego en tres grupos paralelos (TAP, morfina y control). Hipótesis: el bloqueo TAP (plano transverso abdominal) no es inferior a la morfina epidural. Variable principal: dolor a las 24 horas.  Resultados:  la media de dolor a las 24 horas y su desviación estándar del grupo TAP es 2.86 y 2.01, respectivamente, mientras que en el grupo morfina es 2.9 y 1.88. La diferencia de medias entre TAP y morfina es de -0.04 (IC95% -1.07; 0.99). Considerando que el límite superior del intervalo es inferior al límite de no inferioridad establecido, se establece la hipótesis de no inferioridad. El grupo TAP presenta menos dolor a las seis horas (p = 0.037/IC95% -2.52; -0.08) y al deambular al alta (p = 0.001/IC95% -2.36; -0.65), inicia antes la deambulación (p = 0.04/IC95% -2.52; -0.08) causa menos efectos secundarios y mejora la satisfacción global que el grupo morfina.  Conclusiones:  el bloqueo TAP no es inferior a 1 mg de morfina epidural para el control del dolor en cesáreas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  there are few studies about fast track protocols in caesarean sections. They recommend peripheral nerve blocks for pain control. Cesarean section causes severe pain. There are analgesic techniques in the literature, but few studies compare them.  Material and methods:  84 patients scheduled for cesarean section were randomized for a triple-blind clinical trial in three parallel groups (TAP, morphine and control). Hypothesis: TAP (transverse abdominal plane) block is not inferiority than epidural morphine. Primary outcome: pain after 24 hours.  Results:  pain mean at 24 hours and its standard deviation of the TAP group is 2.86 and 2.01 respectively, while in the morphine group it is 2.9 and 1.88. The mean difference between TAP and morphine is -0.04 (95%CI -1.07; 0.99). Considering that the upper limit of the interval is lower than the established non-inferiority limit, the non-inferiority hypothesis is established. TAP group presented less pain at 6 hours (p = 0.037/95%CI -2.52; -0.08) and walking at discharge (p = 0.001/95%CI -2.36; -0.65), starts walking earlier (p = 0.04/95%CI -2.52; -0.08), causes fewer side effects and improves overall satisfaction than the morphine group.  Conclusions:  the TAP block is not inferior to 1 mg epidural morphine for pain control in cesarean sections.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dolor]]></kwd>
<kwd lng="es"><![CDATA[TAP]]></kwd>
<kwd lng="es"><![CDATA[morfina neuroaxial]]></kwd>
<kwd lng="es"><![CDATA[fast track]]></kwd>
<kwd lng="en"><![CDATA[pain]]></kwd>
<kwd lng="en"><![CDATA[TAP]]></kwd>
<kwd lng="en"><![CDATA[neuraxial morphine]]></kwd>
<kwd lng="en"><![CDATA[fast track]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Lipman]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Fuller]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mathusamy]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Macario]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patient preferences for anesthesia outcomes associated with cesarean delivery]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2005</year>
<volume>101</volume>
<page-range>1182-7</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Varadhan]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
<name>
<surname><![CDATA[Neal]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
<name>
<surname><![CDATA[Dejong]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Fearon]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Ljungqvist]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Lobo]]></surname>
<given-names><![CDATA[DN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials]]></article-title>
<source><![CDATA[Clin Nutr]]></source>
<year>2010</year>
<volume>29</volume>
<page-range>434-40</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kehlet]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wilmore]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fast-track surgery]]></article-title>
<source><![CDATA[Br J Surg]]></source>
<year>2005</year>
<volume>92</volume>
<page-range>3-4</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oderda]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Gan]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[BH]]></given-names>
</name>
<name>
<surname><![CDATA[Robinson]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of opioid-related adverse events on outcomes in selected surgical patients]]></article-title>
<source><![CDATA[J Pain Palliat Care Pharmacother]]></source>
<year>2013</year>
<volume>27</volume>
<page-range>62-70</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oderda]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Said]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Evans]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Stoddard]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lloyd]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Opioid-related adverse drug events in surgical hospitalizations: impact on costs and length of stay]]></article-title>
<source><![CDATA[Ann Pharmacother]]></source>
<year>2007</year>
<volume>41</volume>
<page-range>400-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kanazi]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[Aouad]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Abdallah]]></surname>
<given-names><![CDATA[FW]]></given-names>
</name>
<name>
<surname><![CDATA[Khatib]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<name>
<surname><![CDATA[Adham]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Harfoush]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The analgesic efficacy of subarachnoid morphine in comparison with ultrasound-guided transversus abdominis plane block after cesarean delivery: a randomized controlled trial]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2010</year>
<volume>111</volume>
<page-range>475-81</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palmer]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Nogami]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
<name>
<surname><![CDATA[Van Maren]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Postcesarean epidural morphine: a dose-response study]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2000</year>
<volume>90</volume>
<page-range>887-91</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[SI]]></given-names>
</name>
<name>
<surname><![CDATA[Rehou]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Marmai]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[APM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The efficacy of 2 doses of epidural morphine for postcesarean delivery analgesia: a randomized noninferiority trial]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2013</year>
<volume>117</volume>
<page-range>677-85</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McMorrow]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Ni Mhuircheartaigh]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Aslani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ng]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Conrick-Martin]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of transversus abdominis plane block vs spinal morphine for pain relief after Caesarean section]]></article-title>
<source><![CDATA[Br J Anaesth]]></source>
<year>2011</year>
<volume>106</volume>
<page-range>706-12</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hebbard]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transversalis fascia plane block, a novel ultrasound-guided abdominal wall nerve block]]></article-title>
<source><![CDATA[Can J Anaesth]]></source>
<year>2009</year>
<volume>56</volume>
<page-range>618-20</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Canakci]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gultekin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cebeci]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Hanedan]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Kilinc]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The analgesic efficacy of transverse abdominis plane block versus epidural block after caesarean delivery: which one is effective?]]></article-title>
<source><![CDATA[TAP block? Epidural block? Pain Res Manag]]></source>
<year>2018</year>
<volume>2018</volume>
<page-range>3562701</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<collab>Grupo de trabajo de la Guía de Práctica Clínica sobre Cuidados Perioperatorios en Cirugía Mayor Abdominal</collab>
<article-title xml:lang=""><![CDATA[Guía de Práctica Clínica sobre Cuidados Perioperatorios en Cirugía Mayor Abdominal. Ministerio de Sanidad, Servicios Sociales e Igualdad]]></article-title>
<source><![CDATA[Guías de Práctica Clínica en el SNS]]></source>
<year>2016</year>
<publisher-name><![CDATA[Instituto Aragonés de Ciencias de la Salud (IACS)]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cao]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of enhanced recovery after surgery principles used for scheduled caesarean delivery]]></article-title>
<source><![CDATA[J Obstet Gynaecol Can]]></source>
<year>2019</year>
<volume>41</volume>
<page-range>1775-88</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
