Comparison of combined spinal-epidural and low dose epidural for labour analgesia
| Autor: | Brett B. Gutsche, Robert R. Gaiser, Theodore G. Cheek, David L. Hepner |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Time Factors Epinephrine medicine.drug_class medicine.medical_treatment Pain Buffers Fentanyl Motor block Patient satisfaction Double-Blind Method Pregnancy Anesthesiology parasitic diseases medicine Humans Vasoconstrictor Agents Prospective Studies Anesthetics Local Injections Spinal Pain Measurement Motor Neurons Bupivacaine Chi-Square Distribution business.industry Local anesthetic Nerve Block General Medicine Surgery Analgesia Epidural Analgesics Opioid Sodium Bicarbonate Anesthesiology and Pain Medicine Combined spinal epidural Patient Satisfaction Anesthesia Nerve block Analgesia Obstetrical Female business medicine.drug |
| Zdroj: | Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 47:232-236 |
| ISSN: | 1496-8975 0832-610X |
| DOI: | 10.1007/bf03018918 |
| Popis: | To compare the combined spinal-epidural (CSE) technique with the epidural technique with regard to time to initiate and manage, motor block, onset of analgesia and satisfaction during labour.Upon requesting analgesia, 50 healthy term parturients were randomized in a prospective, double-blind fashion to receive either CSE analgesia or lumbar epidural analgesia in the labour floor of a university hospital at an academic medical centre. The epidural group (n = 24) received bupivacaine 0.0625%-fentanyl 0.0002% with 0.05 ml in 10 ml local anesthetic sodium bicarbonate 8.4% and epinephrine 1:200,000. The CSE group (n = 26) received intrathecal 25 microg fentanyl and 2.5 mg bupivacaine. Additional analgesia was provided upon maternal request.There were no differences (P0.05) in time to perform either technique, motor blockade, or parturient satisfaction or in the number of times that the anesthesiologist was called to perform any intervention. Although the first sign of analgesia was not different between the two groups, the onset of complete analgesia was more rapid with the CSE technique (Visual Analogue Pain Score (VAPS) at five minutesthree: 26/26 vs. 17/24, P+/-0.001).Although epidural analgesia with a low concentration of local anesthetic and opioid mixture takes longer to produce complete analgesia, it is a satisfactory alternative to CSE. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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