Extending low-dose epidural analgesia for emergency Caesarean section using ropivacaine 0.75%

被引:17
作者
Sanders, RD [1 ]
Mallory, S [1 ]
Lucas, DN [1 ]
Chan, T [1 ]
Yeo, S [1 ]
Yentis, SM [1 ]
机构
[1] Chelsea & Westminster Hosp, Magill Dept Anaesthesia Intens Care & Pain Manage, London SW10 9NH, England
关键词
anaesthesia; obstetric; epidural; local anaesthetics; ropivacaine; bupivacaine; caesarean section;
D O I
10.1111/j.1365-2044.2004.03753.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We compared ropivacaine 0.75% and bupivacaine 0.5% for extending low-dose epidural analgesia for emergency Caesarean section, using a prospective double-blind randomised controlled trial design. The trial was halted after 45 patients were studied (23 ropivacaine; 22 bupivacaine) because bupivacaine was replaced by levobupivacaine in our unit. Time to reach T4 for loss of cold sensation was similar in both groups, although analgesic supplementation was required less often in the ropivacaine group than in the bupivacaine group (2/23 vs. 9/21; p = 0.01).
引用
收藏
页码:988 / 992
页数:5
相关论文
共 17 条
[1]   THE EFFECTS OF EPIDURAL ROPIVACAINE AND BUPIVACAINE FOR CESAREAN-SECTION ON UTEROPLACENTAL AND FETAL CIRCULATION [J].
ALAHUHTA, S ;
RASANEN, J ;
JOUPPILA, P ;
KANGASSAARELA, T ;
JOUPPILA, R ;
WESTERLING, P ;
HOLLMEN, AI .
ANESTHESIOLOGY, 1995, 83 (01) :23-32
[2]  
[Anonymous], SEQUENTIAL ANAL DESI, DOI DOI 10.1080/07474949008836200
[3]   Clinical effects and maternal and fetal plasma concentrations of 0.5% epidural levobupivacaine versus bupivacaine for cesarean delivery [J].
Bader, AM ;
Tsen, LC ;
Camann, WR ;
Nephew, E ;
Datta, S .
ANESTHESIOLOGY, 1999, 90 (06) :1596-1601
[4]   Comparison of epidural anaesthesia with ropivacaine 0.5% and bupivacaine 0.5% for caesarean section [J].
Crosby, E ;
Sandler, A ;
Finucane, B ;
Writer, D ;
Reid, D ;
McKenna, J ;
Friedlander, M ;
Miller, A ;
O'Callaghan-Enright, S ;
Muir, H ;
Shukla, R .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1998, 45 (11) :1066-1071
[5]   CLINICAL EFFECTS AND MATERNAL AND FETAL PLASMA-CONCENTRATION OF EPIDURAL ROPIVACAINE VERSUS BUPIVACAINE FOR CESAREAN-SECTION [J].
DATTA, S ;
CAMANN, W ;
BADER, A ;
VANDERBURGH, L .
ANESTHESIOLOGY, 1995, 82 (06) :1346-1352
[6]  
DICKSON MAS, 1994, ANAESTHESIA, V49, P636
[7]   EXTRADURAL ANESTHESIA FOR CESAREAN-SECTION - A DOUBLE-BLIND COMPARISON OF 0.5-PERCENT ROPIVACAINE WITH 0.5-PERCENT BUPIVACAINE [J].
GRIFFIN, RP ;
REYNOLDS, F .
BRITISH JOURNAL OF ANAESTHESIA, 1995, 74 (05) :512-516
[8]   Cardiovascular and central nervous system effects of intravenous levobupivacaine and bupivacaine in sheep [J].
Huang, YF ;
Pryor, ME ;
Mather, LE ;
Veering, BT .
ANESTHESIA AND ANALGESIA, 1998, 86 (04) :797-804
[9]   Ropivacaine 7.5 mg/ml for elective Caesarean section. A clinical and pharmacokinetic comparison of 150 mg and 187.5 mg [J].
Irestedt, L ;
Emanuelsson, BM ;
Ekblom, A ;
Olofsson, C ;
Reventlid, H .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1997, 41 (09) :1149-1156
[10]   Extending low-dose epidural analgesia for emergency Caesarean section - A comparison of three solutions [J].
Lucas, DN ;
Ciccone, GK ;
Yentis, SM .
ANAESTHESIA, 1999, 54 (12) :1173-1177