EPIDURAL BUPIVACAINE DILUTION FOR LABOR - A COMPARISON OF 3 CONCENTRATIONS INFUSED WITH A FIXED DOSE OF FENTANYL

被引：9
作者：
NOBLE, HA
ENEVER, GR
THOMAS, TA
机构：
[1] Department of Anaesthesia, Bristol Maternity Hospital, Bristol, BS2 8EG, Southwell Street
[2] Clinical Research, Department of Anaesthesia, Bristol Maternity Hospital, Bristol, BS2 8EG, Southwell Street
[3] Department of Anaesthesia, Bristol Maternity Hospital, Bristol, BS2 8EG, Southwell Street
来源：
ANAESTHESIA | 1991年 / 46卷 / 07期
关键词：
ANESTHESIA; OBSTETRIC; ANESTHETIC TECHNIQUES; REGIONAL; EPIDURAL INFUSION;
D O I：
10.1111/j.1365-2044.1991.tb09653.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We have compared the effects of three epidural infusions in a randomised, double‐blind study of 56 primigravid mothers in labour. An initial dose of bupivacaine 0.5% 8 ml was followed by infusion of either bupivacaine 0.125%, 0.062% or 0.031%. All solutions contained fentanyl 0.0002% and were run at 7.5 ml/hour. Women receiving the most dilute solution had significantly less analgesia (p < 0.001) for the first 4 hours of the study, but pain scores were then similar for the three groups. No obvious benefit was gained by using very dilute bupivacaine. Copyright © 1991, Wiley Blackwell. All rights reserved
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收藏
页码：549 / 552
页数：4
相关论文
共 16 条
[1]   EXTRADURAL INFUSION OF 0.125-PERCENT BUPIVACAINE AT 10 ML H-1 TO WOMEN DURING LABOR [J].
BOGOD, DG ;
ROSEN, M ;
REES, GAD .
BRITISH JOURNAL OF ANAESTHESIA, 1987, 59 (03) :325-330
[2]  
BROMAGE PR, 1978, EPIDURAL ANALGESIA
[3]   CONTINUOUS INFUSION EPIDURAL ANALGESIA DURING LABOR - A RANDOMIZED, DOUBLE-BLIND COMPARISON OF 0.0625-PERCENT BUPIVACAINE 0.0002-PERCENT FENTANYL VERSUS 0.125-PERCENT BUPIVACAINE [J].
CHESTNUT, DH ;
OWEN, CL ;
BATES, JN ;
OSTMAN, LG ;
CHOI, WW ;
GEIGER, MW .
ANESTHESIOLOGY, 1988, 68 (05) :754-759
[4]   EPIDURAL FENTANYL BUPIVACAINE MIXTURES FOR OBSTETRIC ANALGESIA [J].
COHEN, SE ;
TAN, S ;
ALBRIGHT, GA ;
HALPERN, J .
ANESTHESIOLOGY, 1987, 67 (03) :403-407
[5]  
COUSINS MJ, 1984, ANESTHESIOLOGY, V61, P276
[6]  
ENEVER GR, IN PRESS ANAESTHESIA
[7]   CONTINUOUS EPIDURAL INFUSION OF BUPIVACAINE IN LABOR - SIMPLE METHOD [J].
EVANS, KRL ;
CARRIE, LES .
ANAESTHESIA, 1979, 34 (04) :310-315
[8]   CONTINUOUS INFUSION EPIDURAL ANALGESIA IN OBSTETRICS - A COMPARISON OF 0.08-PERCENT AND 0.25-PERCENT BUPIVACAINE [J].
EWEN, A ;
MCLEOD, DD ;
MACLEOD, DM ;
CAMPBELL, A ;
TUNSTALL, ME .
ANAESTHESIA, 1986, 41 (02) :143-147
[9]   COMPARISON OF BUPIVACAINE AND BUPIVACAINE WITH FENTANYL IN CONTINUOUS EXTRADURAL ANALGESIA DURING LABOR [J].
JONES, G ;
PAUL, DL ;
ELTON, RA ;
MCCLURE, JH .
BRITISH JOURNAL OF ANAESTHESIA, 1989, 63 (03) :254-259
[10]   CONTINUOUS VERSUS INTERMITTENT EPIDURAL ANALGESIA - A RANDOMIZED TRIAL TO OBSERVE OBSTETRIC OUTCOME [J].
LAMONT, RF ;
PINNEY, D ;
RODGERS, P ;
BRYANT, TN .
ANAESTHESIA, 1989, 44 (11) :893-896
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