Automated mandatory bolus versus basal infusion for maintenance of epidural analgesia in labour

Tan, Howe‐Siang; Zeng, Yanzhi; Qi, Yong; Sultana, Rehena; Tan, Chin Wen; Sia, Alex Tiong Heng; Sng, Ban Leong; Siddiqui, Fahad Javaid

doi:10.1002/14651858.cd011344.pub3

Cited by 5 publications

(1 citation statement)

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“…Ropivacaine is a long-acting amide-type local anesthetic drug which acts by reversibly blocking voltage-gated sodium channels in the membrane of afferent nerve fibers (Valles Figueroa et al, 2022). It is primarily used to provide anesthesia (at higher doses) and postoperative analgesia (at lower doses) (Finneran 4th & Ilfeld, 2023;Tan et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Perioperative analgesic efficacy and adverse events of fentanyl in dentistry: A systematic review

Ardila,

Jiménez‐Arbeláez,

Vivares‐Builes

2023

Oral Diseases

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ObjectivesTo assess the efficacy and adverse events linked to the utilization of fentanyl for perioperative pain management in dentistry.MethodsThis systematic review of randomized clinical trials (RCTs) adhered to the PRISMA guidelines and incorporated various databases.ResultsEleven RCTs studying 674 patients were analyzed. Perioperative pain was predominantly evaluated in patients undergoing surgery for impacted molars, although some studies also included patients with other conditions such as oral submucous fibrosis, maxillary cancer, bony temporomandibular joint ankylosis, irreversible pulpitis, among others. Combined with dexmedetomidine, fentanyl produced enhanced analgesic effects. It demonstrated comparable efficacy when compared to nefopam and nalbuphine. Both intranasal and intravenous administration routes proved equally effective. In four RCTs, the transdermal fentanyl patch outperformed the control group, except in the clinical trial where it was compared to ropivacaine. The main adverse events associated with the use of fentanyl included nausea, vomiting, drowsiness, delirium, and respiratory depression; however, they were like those reported in the comparison groups.ConclusionsWhile fentanyl demonstrated satisfactory perioperative analgesic efficacy, there were other alternatives that displayed better or comparable outcomes. Due to the risks and potential for misuse of fentanyl, these alternatives must be considered although adverse events were also reported.

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Section: Discussionmentioning

confidence: 99%