Effect of Diluent Volume on Analgesia Produced by Epidural Fentanyl

Birnbach, David J.; Johnson, Mark D.; Arcario, T.; Datta, S; Naulty, J. S.; Ostheimer, Gerard W.

doi:10.1213/00000539-198906000-00024

Cited by 68 publications

(17 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They concluded that chronic pain after surgery was common as that has been confirmed with another review (Camann, 1998). Another conclusion of this study is; the intensity of acute postoperative pain was one of the most striking predictive factor for chronic pain, especially following breast surgery (Elia, 2005), thorasic surgery (Carli F,2002; and hernia repair (Birnbach, 1989).…”

Section: Chronic Effects supporting

confidence: 67%

Multimodal Analgesia for Postoperative Pain Management

Sivrikaya¹

2012

Pain Management - Current Issues and Opinions

View full text Add to dashboard Cite

Section: Chronic Effects supporting

confidence: 67%

Multimodal Analgesia for Postoperative Pain Management

Sivrikaya¹

2012

Pain Management - Current Issues and Opinions

View full text Add to dashboard Cite

“…We included only parturients at comparable stages of labor, and we excluded parturients whose labor progressed too rapidly during the study period. It has been reported that the administration of Ͻ10 mL of epidural fentanyl is less effective in producing labor analgesia (12), and for this reason we decided, as have many other authors (1)(2)(3)10), to dilute our sufentanil and fentanyl doses up to a total volume of 10 mL.…”

Section: Discussionmentioning

confidence: 99%

Minimum Analgesic Doses of Fentanyl and Sufentanil for Epidural Analgesia in the First Stage of Labor

Capogna¹,

Camorcia²,

Columb³

2003

Anesthesia & Analgesia

View full text Add to dashboard Cite

show abstract

“…Epidural analgesia for women in labor is commonly administered with local anesthetic(s) plus a narcotic. The volume used (15 mL) was chosen because larger volumes may be preferable to smaller volumes in terms of both speed of onset and duration of analgesia (27). Although much has been written about bupivacaine-fentanyl combinations, we are not aware of any information concerning epidural fentanyl infusions for labor analgesia.…”

Section: Discussionmentioning

confidence: 99%

Epidural Anesthesia for Labor in an Ambulatory Patient

Breen

Shapiro

Glass

et al. 1993

Anesthesia & Analgesia

234

136

View full text Add to dashboard Cite

The effectiveness of two epidural analgesic regimens on the ability to ambulate was compared in women in labor by a prospective, randomized, double-blind design. One group of patients received epidural fentanyl, a 75-micrograms bolus and an infusion of fentanyl 2.5 micrograms/mL at 15 mL/h (FENT, n = 53). A second group received ultra low-dose bupivacaine (0.04%), epinephrine (1.7 micrograms/mL), and fentanyl (1.7 micrograms/mL) (BEF, n = 77), a 15-mL bolus followed by an infusion at 15 mL/h. Adequate analgesia was rapidly obtained in 90.6% of patients in the FENT group and 92.2% of patients in the BEF group (P = 0.89). Seventy percent of patients in the FENT group ambulated versus 68% in the other group. The BEF mixture provided analgesia of longer duration (287 +/- 171 min versus 156 +/- 72 min, P = 0.0001). The number of patients delivering during administration of only their study drug (without needing higher doses of local anesthetics) was 52% for BEF and 21% for FENT (P = 0.0005). Hip flexion weakness precluding ambulation occurred in 17% (P = 0.002) of BEF patients and orthostatic hypotension in 9% (P = 0.08). Neither problem occurred in FENT patients. Neonatal outcome was similar in both groups. Approximately 70% of women receiving epidural analgesia with fentanyl or ultra low-dose bupivacaine, epinephrine, and fentanyl may ambulate safely during labor.

show abstract

Effect of Diluent Volume on Analgesia Produced by Epidural Fentanyl

Cited by 68 publications

References 0 publications

Multimodal Analgesia for Postoperative Pain Management

Multimodal Analgesia for Postoperative Pain Management

Minimum Analgesic Doses of Fentanyl and Sufentanil for Epidural Analgesia in the First Stage of Labor

Epidural Anesthesia for Labor in an Ambulatory Patient

Contact Info

Product

Resources

About