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Arquitecturas Sostenibles by Enzo Piano

By Enzo Piano

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Fentanyl is highly bound to protein, which may limit its placental transfer. It has no active metabolites. 31 over the first 10 minutes after intravenous administration. Fentanyl produces moderate analgesia and mild sedation. There may be a brief period of decreased FHR variability, but no other disturbing FHR patterns have been reported. Comparative studies with meperidine indicate that the need for newborn naloxone (Narcan) administration is greater after use of meperidine than after administration of fentanyl.

Practice parameter: management of hyperbilirubinemia in the healthy term newborn. Pediatrics 1994;94:558–565. American College of Obstetricians and Gynecologists. Breastfeeding: maternal and infant aspects. ACOG Educational Bulletin No. 258, July 2000. American College of Obstetricians and Gynecologists. Prevention of early-onset Group B streptococcal disease in newborns. ACOG Committee Opinion #279, December 2002. Carroli G, Belizan J. Episiotomy for vaginal birth. Cochrane Database of Systematic Reviews 2001;issue 3.

3). 3. Characteristics of local anesthetics commonly used in obstetric anesthesia Local anesthetic drugs are absorbed systemically. Distribution to the fetus depends on maternal tissue uptake, maternal blood concentration, uterine blood flow, and maternal and fetal metabolism and excretion. Fetal-tissue drug distribution is also affected by asphyxia. Fetal asphyxia leads to increased P a CO 2 , which results in cerebral and coronary vessel dilation and increased brain and myocardial blood flow.

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