<?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>S0484-79032023000300179</article-id>
<article-id pub-id-type="doi">10.35366/111073</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Anestesia multimodal intratecal en cesáreas, cambios que mejoran su eficacia y seguridad: ensayo clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Intrathecal multimodal anesthesia in caesarean sections, changes that improve its efficacy and safety: clinical trial]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alba-Valverde]]></surname>
<given-names><![CDATA[Raúl Antonio de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-González]]></surname>
<given-names><![CDATA[Carla Lizeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-Barrón]]></surname>
<given-names><![CDATA[María de Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social (IMSS) Hospital de Gineco-Pediatría (HGP) No. 48 Unidad de Alta Especialidad (UMAE)]]></institution>
<addr-line><![CDATA[León Gto]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado (ISSSTE) Hospital General Regional ]]></institution>
<addr-line><![CDATA[León Gto]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social (IMSS) Hospital de Gineco-Pediatría (HGP) No. 48 Unidad de Alta Especialidad (UMAE)]]></institution>
<addr-line><![CDATA[León Gto]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>46</volume>
<numero>3</numero>
<fpage>179</fpage>
<lpage>183</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032023000300179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032023000300179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032023000300179&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la concentración y velocidad en la administración de la anestesia multimodal intratecal con fentanilo en cesáreas mejoran la eficacia anestésica manteniendo buen control hemodinámico.  Objetivo:  evaluar si algunos cambios en la anestesia multimodal intratecal mejoran su eficacia y seguridad en cesáreas.  Material y métodos:  ensayo clínico, controlado, aleatorizado, doble ciego en mujeres embarazadas programadas para cesárea, distribuidas en tres grupos: grupo F6B2: fentanilo 65 &#956;g + bupivacaína hiperbárica 2.5 mg + morfina 10 &#956;g + dexmedetomidina 5 &#956;g; grupo F6B3: fentanilo 60 &#956;g + bupivacaína hiperbárica 3 mg+ morfina 100 &#956;g+ dexmedetomidina 5 &#956;g; y grupo F7B2: fentanilo 70 &#956;g + bupivacaína hiperbárica 2 mg + morfina 100 &#956;g + dexmedetomidina 5 &#956;g. Se evaluó la eficacia anestésica previo a la incisión, durante la disección de la pared abdominal, al ingreso a cavidad abdominal, en la revisión de correderas parietocólicas y en el postquirúrgico inmediato, así como los signos vitales.  Resultados:  los grupos F6B2 y F6B3 resultaron tener mayor eficacia anestésica en la revisión de correderas parietocólicas (p = 0.02) y el grupo F7B2 el de mayor seguridad con mejor control hemodinámico a los minutos 1 y 10 (p = 0.03 y p = 0.03 respectivamente).  Conclusiones:  los cambios en la administración de la anestesia multimodal intratecal con fentanilo mejoraron la eficacia anestésica, pero disminuyen la seguridad sobre el control hemodinámico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  the concentration and speed in the administration of intrathecal multimodal anesthesia with fentanyl in cesareans section improve anesthetic efficacy while maintaining good hemodynamic control.  Objective:  to evaluate if some changes in intrathecal multimodal anesthesia improve its efficacy and safety in cesareans section.  Material and methods:  clinical trial, controlled, randomized, double blind; in pregnant women scheduled for cesarean section, divided into 3 groups: group F6B2: fentanyl 65 &#956;g + hyperbaric bupivacaine 2.5 mg+ morphine 100 &#956;g+ dexmedetomidine 5 &#956;g; group F6B3: fentanyl 60 &#956;g + hyperbaric bupivacaine 3 mg + morphine 100 &#956;g + dexmedetomidine 5 &#956;g; and group F7B2: fentanyl 70 &#956;g + hyperbaric bupivacaine 2 mg + morphine 100 &#956;g + dexmedetomidine 5 &#956;g. The anesthetic efficacy was evaluated prior to the incision, during the dissection of the abdominal wall, upon the admission to the abdominal cavity, in the review of paracolic slides and in the immediate postoperative period, as well as the vital signs.  Results:  the F6B2 and F6B3 groups turned out to have greater anesthetic efficacy in the revision of paracolic slides (p = 0.02) and the F7B2 group had the highest safety with better hemodynamic control at 1 and 10 minutes (p = 0.03 and p = 0.03, respectively).  Conclusions:  changes in the administration of intrathecal multimodal anesthesia with fentanyl improved anesthetic efficacy, but decreased safety over hemodynamyc control.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[anestesia multimodal]]></kwd>
<kwd lng="es"><![CDATA[fentanilo]]></kwd>
<kwd lng="es"><![CDATA[bupivacaína hiperbárica]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="en"><![CDATA[multimodal anesthesia]]></kwd>
<kwd lng="en"><![CDATA[fentanyl]]></kwd>
<kwd lng="en"><![CDATA[hyperbaric bupivacaine]]></kwd>
<kwd lng="en"><![CDATA[cesarean section]]></kwd>
</kwd-group>
</article-meta>
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