<?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>1726-6718</journal-id>
<journal-title><![CDATA[Revista Cubana de Anestesiología y Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cuba anestesiol reanim]]></abbrev-journal-title>
<issn>1726-6718</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-67182019000300007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Analgesia subaracnoidea en el trabajo de parto: bupivacaína/fentanilo vs. petidina]]></article-title>
<article-title xml:lang="en"><![CDATA[Subarachnoid analgesia in labor: bupivacaine/fentanyl vs pethidine]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Crespo]]></surname>
<given-names><![CDATA[Mariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Tamayo]]></surname>
<given-names><![CDATA[Marcelino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Valdés]]></surname>
<given-names><![CDATA[María Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Martín]]></surname>
<given-names><![CDATA[Miguel Liván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Real]]></surname>
<given-names><![CDATA[Eivet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Comandante Pinares&#8221;  ]]></institution>
<addr-line><![CDATA[San Cristóbal, Artemisa ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Docente &#8220;Abel Santamaría Cuadrado  ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>18</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182019000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182019000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182019000300007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La analgesia subaracnoidea es una alternativa para el trabajo de parto por su seguridad y adecuada relación riesgo/beneficio.  Objetivo:  Evaluar la efectividad de la analgesia durante el trabajo de parto con la comparación de dos métodos analgésicos.  Método:  Se realizó un estudio cuasiexperimental, longitudinal y prospectivo en 92 gestantes que se atendieron en el Hospital General Docente &#8220;Abel Santamaría Cuadrado&#8221; durante el período entre enero de 2014 y enero de 2017. Las pacientes se dividieron en dos grupos de 46 cada uno, al azar, por orden de llegada a la unidad quirúrgica. El grupo A, bupivacaína al 0,5 %, en dosis de 2 mg y fentanilo en dosis de 25 mcg; y grupo B en el que se utilizó petidina en dosis de 25 mg, en todos los casos por vía intratecal. Las variables analizadas fueron: tensión arterial media, frecuencia cardíaca media, saturación parcial de oxígeno, tiempo de inicio de la analgesia, calidad analgésica, efectos adversos y nivel de satisfacción de las pacientes. Se empleó el análisis descriptivo y la diferencia de proporciones.  Resultados:  El grupo A mantuvo una TAM entre 84 y 88 mmHg, (Z= 6,0 significativa); FC media entre 80 y 88 lat/min, (Z= 1,94 no significativa); SpO2 con una media de 99,2 %. En 46,74 % (43 casos) el tiempo de inicio de la analgesia fue corto (Z= 8,47), siendo &#8220;Buena&#8221; en 100 % de los casos (Z= 6,89 significativa), con recién nacido vigoroso en 100 % (Z= 10,25 significativa). La evolución fue satisfactoria en 48,19 % de las pacientes. Presentaron prurito 8,69 %. En el grupo B hubo hipertensión arterial en 2,17 % de los casos, con menos estabilidad de la FC, tiempos mayores de inicio de trabajo de parto en 12,96 % y fue &#8220;Buena&#8221; en 40,22 %. Estas pacientes mostraron menos satisfacción (41,30 %).  Conclusiones:  La administración subaracnoidea de fentanilo/bupivacaína fue más efectiva que la petidina para la analgesia durante el trabajo de parto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Subarachnoid analgesia is an alternative for labor due to its safety and suitable risk-benefit relationship.  Objective:  To evaluate the effectiveness of analgesia during labor with the comparison of two analgesic methods.  Method:  A quasiexperimental, longitudinal and prospective study was carried out in 92 pregnant women who attended Abel Santamaría Cuadrado General Teaching Hospital during the period between January 2014 and January 2017. The patients were divided into two groups of 46 each, randomly assigned, in order of arrival to the surgical unit. Group A was treated with intrathecal administration of bupivacaine 0.5%, in a dose of 2 mg, and fentanyl in a dose of 25 mcg; and group B was treated with intrathecal administration of pethidine, in a dose of 25 mg. The variables analyzed were mean arterial blood pressure, mean heart rate, partial oxygen saturation, time of onset of analgesia, analgesic quality, adverse effects and level of patient satisfaction. The descriptive analysis and the difference in proportions were used.  Results:  Group A maintained a mean arterial blood pressure between 84 and 88 mmHg, (Z=6.0 significant); heart rate averages between 80 and 88 beats per minute, (Z=1.94 not significant); partial oxygen saturation with an average of 99.2%. In 46.74% (43 cases) the time of onset of analgesia was short (Z=8.47), being good in 100% of the cases (Z=6.89 significant), with vigorous newborn in 100% (Z=10.25 significant). The evolution was satisfactory in 48.19% of the patients. They presented pruritus 8.69%. In group B, there was arterial hypertension in 2.17% of the cases, with less stability of the heart rate, greater times of labor beginning in 12.96% and it was good in 40.22%. These patients showed less satisfaction (41.30%).  Conclusions:  Subarachnoid administration of fentanyl/bupivacaine was more effective than pethidine for analgesia during labor.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Labor de parto]]></kwd>
<kwd lng="es"><![CDATA[analgesia]]></kwd>
<kwd lng="es"><![CDATA[meperidina, fentanilo]]></kwd>
<kwd lng="en"><![CDATA[labor]]></kwd>
<kwd lng="en"><![CDATA[analgesia]]></kwd>
<kwd lng="en"><![CDATA[meperidine]]></kwd>
<kwd lng="en"><![CDATA[fentanyl]]></kwd>
</kwd-group>
</article-meta>
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