{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:21:28Z","timestamp":1787318488345,"version":"build-2736575974"},"reference-count":29,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T00:00:00Z","timestamp":1642550400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Although the influence of neuraxial anesthesia or sedation with remifentanil in external cephalic version (ECV) is widely known, ECV results using propofol have not been previously analyzed. This study aimed to evaluate ECV outcomes when propofol was used. An observational analysis of ECV was performed between 1 January 2018 and 31 December 2020. ECV was accomplished with tocolysis and propofol. One hundred and thirty-one pregnant women were recruited. The propofol mean dose was 156.1 mg (SD 6.1). A cephalic presentation was achieved in 61.1% (80\/131) of the pregnant women. In total, 56.7% (38\/67) of pregnant women with cephalic presentation at labor had a spontaneous delivery, 26.9% (18\/67) had an operative delivery, and an intrapartum urgent cesarean section was performed in 16.4% (11\/67). In total, 46 pregnant women (35.9%) were scheduled for an elective cesarean section due to non-cephalic presentation. The emergency cesarean section rate during the following 24 h was 10.7% (14\/131). A major ECV complication arose in 15 cases (11.5%). ECV outcomes when propofol was used seems to be similar to those with other anesthetic adjunct, so sedation with propofol could be an adequate option for ECV. More studies are needed to compare its effectiveness with neuraxial techniques.<\/jats:p>","DOI":"10.3390\/jcm11030489","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T08:20:57Z","timestamp":1642580457000},"page":"489","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Sedation with Propofol plus Paracetamol in External Cephalic Version: An Observational Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-3556","authenticated-orcid":false,"given":"Javier","family":"S\u00e1nchez-Romero","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"},{"name":"Department of Obstetrics and Gynecology, The University of Murcia, 30011 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"L\u00f3pez-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Bel\u00e9n","family":"Flores-Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Josefa","family":"M\u00e9ndez-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Araico-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"},{"name":"Department of Obstetrics and Gynecology, The University of Murcia, 30011 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0657-9346","authenticated-orcid":false,"given":"Jaime","family":"Mendiola-Olivares","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine and Public Health, School of Medicine and Biomedical Research, Institute of Murcia (IMIB-Arrixaca-UMU), University of Murcia, 30120 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Eliseo","family":"Blanco-Carnero","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"},{"name":"Department of Obstetrics and Gynecology, The University of Murcia, 30011 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Falc\u00f3n-Ara\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0792-7119","authenticated-orcid":false,"given":"An\u00edbal","family":"Nieto-D\u00edaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"},{"name":"Department of Obstetrics and Gynecology, The University of Murcia, 30011 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9173-5229","authenticated-orcid":false,"given":"Mar\u00eda Luisa","family":"S\u00e1nchez-Ferrer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u2018Virgen de la Arrixaca\u2019 University Hospital, 30120 Murcia, Spain"},{"name":"Department of Obstetrics and Gynecology, The University of Murcia, 30011 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1016\/S0140-6736(00)02840-3","article-title":"Planned Caesarean Section versus Planned Vaginal Birth for Breech Presentation at Term: A Randomised Multicentre Trial","volume":"356","author":"Hannah","year":"2000","journal-title":"Lancet"},{"key":"ref_2","first-page":"633","article-title":"Value and Pregnancy Outcome of External Cephalic Version","volume":"11","author":"Hindawi","year":"2005","journal-title":"East. 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