Comparative Maternal, Fetal, and Neonatal Effects of Chloroprocaine with and without Epinephrine for Epidural Anesthesia in Obstetrics
| Autor: | Therese K. Abboud, Lasik DerSarkissian, J. Terrasi, Kasushige Murakawa, J. Zhu, M. Longhitano |
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| Rok vydání: | 1987 |
| Předmět: |
Uterine activity
Pregnancy Fetus medicine.medical_specialty Local anesthetic medicine.drug_class business.industry Obstetrics Group ii Maternal blood medicine.disease Anesthesiology and Pain Medicine Epinephrine Anesthesia medicine Maternal fetal Apgar score Local anesthesia business Adverse effect Chloroprocaine medicine.drug |
| Zdroj: | Anesthesia & Analgesia. 66:71 |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/00000539-198701000-00012 |
| Popis: | The effects of epidural chloroprocaine with and without 1:200,000 epinephrine during labor and delivery on uterine activity, progress of labor, fetal heart rate, maternal blood pressure, newborn Apgar scores, neonatal acid-base status, and the Neurologic and Adaptive Capacity Scoring System (NACS) were compared in 28 parturients. Patients in group I (n = 14) received 2% chloroprocaine with 1:200,000 epinephrine and patients in group II (n = 14) received 2% plain chloroprocaine. Addition of epinephrine to chloroprocaine had no significant effects on uterine activity, duration of first or second stages of labor, or fetal heart parameters. Apgar scores, neonatal acid-base status, and the NACS were equally good in the two groups. Duration of analgesia was significantly longer in group I than in group II patients (76 +/- 3.8 vs 42.9 +/- 1 min, P less than 0.001). We conclude that addition of epinephrine to chloroprocaine during epidural anesthesia in the normal parturient has no adverse effects on mother, fetus, neonate, or the progress of labor and that it significantly prolongs the duration of anesthesia. |
| Databáze: | OpenAIRE |
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