Comparison of 0.5% ropivacaine with fentanyl and 0.75% ropivacaine used in extension of a preexisting labor epidural for emergency cesarean section: retrospective study
Anesthesia and Pain Medicine
;
: 65-69, 2014.
Article
in English
| WPRIM
| ID: wpr-56304
ABSTRACT
BACKGROUND:
Various regimens have been studied in extension of a preexisting labor epidural for emergency cesarean section. Lumbar epidural analgesia for delivery is safe and efficient. We compared retrospectively 0.5% ropivacaine with fentanyl and 0.75% ropivacaine in extension of a preexisting labor epidural for emergency cesarean section.METHODS:
We investigated medical records of 61 parturients in extension of a preexisting labor epidural for emergency cesarean section. There were two regimens which was 0.5% ropivacaine with fentanyl (group 1) and 0.75% ropivacaine (group 2). We recorded demographic data, local anesthetic dose, surgical readiness time, maximum level of sensory block, surgery time, intravenous supplementation, number of hypotension and total dose of ephedrine between two groups.RESULTS:
There were no differences between the study groups in demographic data, surgical readiness time, maximum sensory block level, intravenous supplementation, incidence of hypotension and total dose of ephedrine. Local anesthetic volume was larger in group 1 than group 2, but local anesthetic doses were lower in group 1 than group 2.CONCLUSIONS:
0.5% Ropivacaine with fentanyl regimen is as fast and efficacious as 0.75% ropivacaine in extension of a preexisting labor epidural for cesarean section and reduces the requiring total local anesthetic dose.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Analgesia, Epidural
/
Cesarean Section
/
Fentanyl
/
Medical Records
/
Incidence
/
Retrospective Studies
/
Emergencies
/
Ephedrine
/
Hypotension
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Pregnancy
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2014
Type:
Article
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