Associação de sufentanil a dose reduzida de bupivacaína hiperbárica em raquianestesia para cesariana: ensaio clínico randomizado

Dourado, Alexandre Dubeux; Filho, Ruy Leite de Melo Lins; Fernandes, Raphaella Amanda Maria Leite; Gondim, Marcelo Cavalcanti de Sá; Nogueira, Emmanuel Victor Magalhães

doi:10.1016/j.bjan.2015.05.002

Cited by 8 publications

(2 citation statements)

References 14 publications

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“…An earlier study suggested that adding sufentanil to intrathecal bupivacaine will reduce the required dose of local anesthetic in parturient. Nevertheless, they examined rather higher doses of bupivacaine ( 14 ). Another study reported that the maximum level of sensory block in caesarean patients who received bupivacaine 6 mg plus sufentanil 3.3 µg is comparable to those patients that received bupivacaine 12 mg without adjuvant.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Different Doses of Intrathecal Hyperbaric Bupivacaine Plus Sufentanil in Spinal Anesthesia for Cesarean Sections

et al. 2017

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BackgroundDecreasing side effects and improving the quality of block in caesarean sections by appropriate dosage of local anesthetics and adjuvants could play an important role in the safe management of cesarean section. The present study aimed at comparing the effects of 3 different doses of intrathecal hyperbaric bupivacaine injected with a fixed dose of sufentanil in cesarean sections.MethodsIn a double- blind randomized clinical trial, 105 candidates of elective cesarean section were randomly assigned into 3 groups of 8, 9, and 10 mg of intrathecal bupivacaine plus sufentanil 2.5 µg. The maximum level of sensory block, the intensity of motor block, and vital signs were measured at regular intervals. The incidence of hypotension and bradycardia were also recorded.ResultsNo significant difference was found between the maximum level of sensory block and the intensity of motor block in 3 groups. The incidences of hypotension and bradycardia as well as administration of atropine and ephedrine were comparable among the 3 groups (P > 0.05).ConclusionsAccording to similar effects of different doses of bupivacaine, administration of lower doses of bupivacaine (8mg) is more reasonable for spinal anesthesia for cesarean section.

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Section: Discussionmentioning

confidence: 99%

The Effect of Different Doses of Intrathecal Hyperbaric Bupivacaine Plus Sufentanil in Spinal Anesthesia for Cesarean Sections

et al. 2017

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“…The combination of sufentanil and bupivacaine in anesthesia of cesarean section prolongs the duration of analgesia and motor block. 12 – 15 Our study showed that there was no significant difference in the maximum sensory block time, motor block time, or hemodynamics between the two groups. These findings indicated that the combination of ropivacaine and sufentanil did not prolong the duration of anesthesia and had little effect on hemodynamics.…”

Section: Discussionmentioning

confidence: 68%

Addition of low-dose sufentanil to ropivacaine for reducing shivering and visceral traction pain during cesarean section

et al. 2021

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Objective To investigate the efficacy of low-dose sufentanil for preventing shivering and visceral traction pain during cesarean section under spinal anesthesia. Methods This was a prospective, randomized, controlled study. A total of 112 full-term parturients who underwent elective caesarean delivery were randomly divided into two groups. Group R received 0.75% isobaric ropivacaine intrathecally and group RS received 0.75% isobaric ropivacaine plus 5 µg sufentanil intrathecally. Results There were no significant differences in the maximum sensory block time, motor block time, duration of the surgery, and heart rate, mean arterial pressure, and blood oxygen saturation before and 1, 5, and 10 minutes after spinal anesthesia, and at the end of the surgery between the two groups. Shivering was significantly more common in group R (n = 30) than in group RS (n = 8). The incidence of visceral traction pain in group R (46.43%) was significantly higher than that in group RS (14.29%). There was no significant difference in the newborns’ Apgar scores between the groups. Conclusion Adding low-dose sufentanil to ropivacaine can significantly reduce the incidence of shivering and visceral traction pain after spinal anesthesia.

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Yang

Zhang

2019

J Anesth

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Associação de sufentanil a dose reduzida de bupivacaína hiperbárica em raquianestesia para cesariana: ensaio clínico randomizado

Cited by 8 publications

References 14 publications

The Effect of Different Doses of Intrathecal Hyperbaric Bupivacaine Plus Sufentanil in Spinal Anesthesia for Cesarean Sections

The Effect of Different Doses of Intrathecal Hyperbaric Bupivacaine Plus Sufentanil in Spinal Anesthesia for Cesarean Sections

Addition of low-dose sufentanil to ropivacaine for reducing shivering and visceral traction pain during cesarean section

It was not accurate

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