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Foundation: Postoperative pain is considered time-limited pain, often poorly controlled. Its management represents a great challenge, since postoperative analgesia must provide the mother with adequate control, and at the same time facilitate care for the baby.Objective: to evaluate the effectiveness of subarachnoid anesthesia with morphine as a treatment for postoperative pain in cesarean section.Methods: descriptive and cross-sectional study carried out at the Martín Chang Puga General Teaching Hospital, in the Nuevitas municipality, Camagüey province, between January 2021 and December 2022. 36 patients to whom subarachnoid anesthesia was applied with Hyperbaric lidocaine plus morphine for cesarean section were considered as the sample.Results: the age between 27-31 years predominated. 63.9% of cesarean patients did not report postoperative pain. Almost half of the population (47.2%) studied presented side effects with the use of intrathecal morphine, mainly pruritus. 80.5% expressed satisfaction with postoperative analgesia.Conclusions: the majority of patients were satisfied with the analgesic treatment, despite the presence of adverse effects, so that the use of intrathecal morphine is effective in the management of post-cesarean section pain.

The case of a 35-years-old female patient with a history of presenting a murmur since childhood and who had to undergo surgery for uterine fibroid is presented. The anesthesiologist, during the preoperative consultation, verified the aforementioned murmur, so it was decided to postpone surgery and consult with a cardiologist. The echocardiographic examination showed that the patient had severe aortic stenosis with preserved ejection fraction, stress test: functional class I, without ischemia. Using orotracheal general anesthesia, a total abdominal hysterectomy was performed without complications. The perioperative management of aortic stenosis is of vital importance for the anesthesiologist.

Introducción: la anestesia espinal es una técnica simple que proporciona un rápido y profundo bloqueo para la cirugía, es ampliamente utilizada por su seguridad y eficacia. Objetivo: describir las causas y el manejo anestésico de un caso que luego de ser administrada de la anestesia espinal se constató fallo completo de la misma. Caso Clínico: paciente femenina de 30 años de edad, antecedentes de salud personal de Síndrome de Ehlers Danlos tipo hiperlaxitud articular, además de escaso efecto anestésico para extracción dental. Fue anunciada al salón de operaciones para realizar electivamente salpingectomía parcial bilateral. Luego de practicar anestesia intratecal sin dificultad se constató ausencia de bloqueo sensitivo y motor. El fallo anestésico inicial fue manejado con anestesia general insertando máscara laríngea, obteniendo resultados tansoperatorio favorable. Conclusiones: se describió las causas y el manejo anestésico de una paciente que luego de aplicar anestesia intratecal para realizar salpingectomía parcial bilateral se constató fracaso total de la anestesia.