Bupivacaine versus bupivacaine plus fentanyl for epidural analgesia: Effect on maternal satisfaction

Jd, Murphy; Henderson, Kristin; Bowden, M I; Lewis, Michael Bevan; Cooper, Gregory

doi:10.1016/0020-7292(92)90520-s

Cited by 8 publications

(12 citation statements)

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“…was comparable in both groups. Our results are in concordance with Chestnut et al (9) and Murphy et al (13) …”

Section: Descriptivesupporting

confidence: 83%

Epidural Labour Analgesia With Low Dose of Bupivacaine With Low Dose of Fentanyl vs Butorphanol

Kaur¹,

Grewal²,

Sidhu³

et al. 2017

jemds

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BACKGROUNDEpidural analgesia is the most commonly accepted and used technique for painless labour. Local anaesthetic bupivacaine when combined with low dose of opioid analgesics gives excellent results.The aim of this study is to evaluate and compare the efficacy and safety of epidural fentanyl vs butorphanol for painless labour and effect on newborn (Apgar score).Settings and Design -Randomised double-blind trial. MATERIALS AND METHODS50 parturients were randomly allocated in two groups. Group I: receive epidurally 15 mL bupivacaine 0.0625% + fentanyl 30 mcg and Group II: receive epidurally 15 mL bupivacaine 0.0625% + butorphanol 1 mg. RESULTSThe mean onset of analgesia was faster in Group I, whereas duration of analgesia was longer in Group II. There was no incidence of motor block, high rate of Normal Vaginal Delivery and very low incidence of forceps application or LSCS in both the groups. Somnolence was the main side effect in Group II and other side effects were seen equally in both groups. CONCLUSIONThe addition of low dose of opioids has greatly improved the quality of labour analgesia and at the same time reduced the incidence of instrumental deliveries and LSCS without depressing the neurobehavioral status of the newborn.

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“…was comparable in both groups. Our results are in concordance with Chestnut et al (9) and Murphy et al (13) …”

Section: Descriptivesupporting

confidence: 83%

Epidural Labour Analgesia With Low Dose of Bupivacaine With Low Dose of Fentanyl vs Butorphanol

Kaur¹,

Grewal²,

Sidhu³

et al. 2017

jemds

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“…» . [14][15][16] La réponse est consignée dans la section du dossier patient électronique dédié au contrôle de qualité. Au cours de cette visite, d'éventuelles difficultés dans l'interaction avec l'équipe d'anesthésie lors de la réalisation du geste anesthésique ainsi que la performance technique de l'acte anesthésique sont mesurées et consignées sous la rubrique « mauvais ve´cu de la proce´dure anesthe´sique » .…”

Section: Introductionunclassified

Satisfaction maternelle de la prise en charge anesthésique durant l’accouchement: une étude de cohorte rétrospective

Gil-Wey¹,

Savoldelli²,

Kern

et al. 2011

Can J Anesth/J Can Anesth

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“…Several studies have shown a higher degree of maternal satisfaction with these mixtures [1][2][3], which has been attributed to reduced motor blockade allowing greater mobility during labour [1].…”

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confidence: 99%

Regional analgesia in early active labour: combined spinal epidural vs. epidural

et al. 1998

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SummaryWe randomly allocated 93 women in early active labour and requesting epidural analgesia to receive either epidural (n ¼ 48) or combined spinal-epidural analgesia (n ¼ 45). For epidural analgesia 15 ml of bupivacaine 0.1% with 75 mg of fentanyl were injected into the epidural space. For combined spinal-epidural analgesia 1 ml of bupivacaine 0.25% with 25 mg of fentanyl were injected into the subarachnoid space. For both groups subsequent top-ups of 10 ml of bupivacaine 0.1% with fentanyl 20 mg were given using a lightweight patient-controlled epidural analgesia (PCEA) pump with a lockout time of 30 min. We assessed analgesia and the degree of motor blockade and found no significant differences in pain or maternal satisfaction scores between the two groups. The time to first top-up was significantly longer in the epidural group than in the CSE group (p ¼ 0.01). The combined spinal-epidural group had significantly greater motor blockade at 30 min than the epidural group (p ¼ 0.01), but there was no difference after this. The PCEA machine failed completely twice and temporarily many times. We conclude that the combined spinal-epidural technique confers no advantages in early active labour. Also, a lightweight PCEA pump needs to be more reliable before we can recommend its use.

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Bupivacaine versus bupivacaine plus fentanyl for epidural analgesia: Effect on maternal satisfaction

Cited by 8 publications

References 0 publications

Epidural Labour Analgesia With Low Dose of Bupivacaine With Low Dose of Fentanyl vs Butorphanol

Epidural Labour Analgesia With Low Dose of Bupivacaine With Low Dose of Fentanyl vs Butorphanol

Satisfaction maternelle de la prise en charge anesthésique durant l’accouchement: une étude de cohorte rétrospective

Regional analgesia in early active labour: combined spinal epidural vs. epidural

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