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Is Propofol a safe agent for External Cephalic Version?
  • +7
  • Javier Sánchez Romero,
  • Jesús López-Pérez,
  • Ana Flores-Muñoz,
  • María Méndez-Martínez,
  • José Blanco-Carnero,
  • Fernando Araico-Rodríguez,
  • Diego Fuentes-García,
  • Luis Falcón-Araña,
  • Anibal Nieto-Díaz,
  • Maria lUISA Sanchez-Ferrer
Javier Sánchez Romero
Hospital Clínico Universitario Virgen de la Arrixaca

Corresponding Author:[email protected]

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Jesús López-Pérez
Hospital Clínico Universitario Virgen de la Arrixaca
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Ana Flores-Muñoz
Hospital Clínico Universitario Virgen de la Arrixaca
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María Méndez-Martínez
Hospital Clínico Universitario Virgen de la Arrixaca
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José Blanco-Carnero
Hospital Clínico Universitario Virgen de la Arrixaca
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Fernando Araico-Rodríguez
Hospital Clínico Universitario Virgen de la Arrixaca
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Diego Fuentes-García
Hospital Clínico Universitario Virgen de la Arrixaca
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Luis Falcón-Araña
Hospital Clínico Universitario Virgen de la Arrixaca
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Anibal Nieto-Díaz
Hospital Clínico Universitario Virgen de la Arrixaca
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Maria lUISA Sanchez-Ferrer
Murcia University
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Abstract

Objective: Analyze ECV results when propofol is used for sedation. Design: Longitudinal prospective analysis Setting: 1st of January of 2018 and 31st of December of 2020. Population: Pregnant women with non-cephalic presentation and no contraindication for vaginal delivery. Methods: Longitudinal prospective analysis of ECV performed in a tertiary hospital between the Just before the procedure, 0.2 mg/min of ritodrine was intravenously administered for 30 minutes. Sedation or neuraxial anesthesia was performed before the ECV. Main Outcome Measures: ECV success rate, Hypotension during procedure, ECV complication rate, cesarean section 24 h after ECV. Results: 242 pregnant women underwent ECV. All data were available for analysis just in 153 cases. ECV success rate was 66.9%. Sedation was performed in 88.8% and neuraxial anesthesia was carried out in 11.2%. For the sedation group, propofol was used in 96.3%. Emergency cesarean section rate during the following 24 hours of ECV was 6.7%. No difference in the emergent cesarean section during the 24 hours following the ECV rate when sedation or neuraxial anesthesia were performed (p=0.53). Conclusions: ECV is a safe and effective procedure. Sedation with propofol is useful for analgesia in ECV. Funding: The authors received no financial support for the research, authorship, and/or publication of this article.