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The trauma patient should be handled immediately, there are various systems of care based on the A (Airway), B (Breathing) and C (Circulation); any of these systems have the same goal which is to reduce morbidity and mortality. All physicians must be trained to treat the patient with trauma, regardless of the specialty to have. [ABSTRACT FROM AUTHOR]

Ropivacaine is the anesthetic premises introduced to the clinical practice in 1996 and its application in neuraxials techniques in obstetrics is ample, mainly for the analgesia of the work of childbirth and for the Caesarean operation. Nevertheless, in Mexico in a revision of the last 10 years of three bibliographical sources of the country, just 20 references indicate their use in this area of the medical knowledge, but none of them with the spinal technique for Caesarean, reason why in this work their main pharmacologic aspects are reviewed, their applications by the routes epidural and spinal in Caesarean and it discusses because it has not been used by this route for the resolution of the pregnancy by the abdominal route. This new anesthetic is a good alternative in the obstetrical surgery by the advantages that offer to the patient, the surgeon and the anesthesia specialist. Its spinal application for Caesarean is recommended now in controlled clinical studies. [ABSTRACT FROM AUTHOR]