Postoperative analgesic requirements after subarachnoid or epidural anesthesia with ropivacaine 0.75% in cesarean section. A double-blind randomized trial

Abstract

Postoperative pain, analgesic requirements, patient satisfaction and adverse effects did not differ when subarachnoid or epidural anesthesia with ropivacaine 0.75% was used for elective cesarean section. Nevertheless, subarachnoid provides faster onset and offset of the block, compared to epidural anesthesia. The key limitation of this study is the lack of postoperative serum ropivacaine measurements taken with concurrent pain score measurements.

Quality of pain treatment after caesarean section: Results of a multicentre cohort study

“…However, in most of the above‐mentioned studies, patients with a PCA and without regional analgesia consumed 30 to 55 mg i.v. morphine during the first 24 h after CS (Ngan Kee et al., 1997, 2002; Fassoulaki et al., ; Munishankar et al., ; Bozkurt et al., ; Paraskeva et al., 2009, 2012). This concurs with our findings in patients with SA and GA and i.v.…”

Effect of ropivacaine, mepivacaine or the combination of ropivacaine and mepivacaine for epidural anaesthesia on the postoperative recovery in patients undergoing caesarean section: a randomized, prospective, double-blind study

“…A study for elderly patients undergoing hemiarthroplasty demonstrated that epidural 0.75% ropivacaine with fentanyl provides more satisfying intraoperative hemodynamic fluctuations [ 11 ]. In a study involving 108 pregnant women, the comparison between epidural application of 0.75% ropivacaine (15 ml) and subarachnoid application of 0.75% ropivacaine (1.5 mg) for elective cesareansection revealed no significant differences in outcomes related to postoperative pain, analgesic requirements, patient satisfaction and adverse effects [ 12 ]. However, ropivacaine cannot provide a faster onset for epidural anaesthesia, similar to the speed of sensory block of bupivacaine [ 13 – 16 ].…”