Comparison of 0.5% ropivacaine with fentanyl and 0.75% ropivacaine used in extension of a preexisting labor epidural for emergency cesarean section: retrospective study
Anesthesia and Pain Medicine 2014³â 9±Ç 1È£ p.65 ~ p.69
¹æÀ±½Ä(Bang Yun-Sic) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
¾çÇöÁ¤(Yang Hyeon-Jeong) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
³²¼öÁ¤(Nam Su-Jeong) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
¹Ú¼¹Î(Park Seo-Min) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
Á¤±ÝÈñ(Chung Kum-Hee) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
À̼ö¿¬(Lee Su-Yeon) - CHA University CHA Gangnam Medical Center Department of Anesthesiology and Pain Medicine,
½Åµ¿¿í(Shin Dong-Wook) - CHA University CHA Gumi Medical Center Department of Anesthesiology and Pain Medicine
Àü´öÈñ(Chun Duk-Hee) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
Abstract
Background: Various regimens have been studied in extension of a preexisting labor epidural for emergency cesarean section. Lumbar epidural analgesia for delivery is safe and efficient. We compared retrospectively 0.5% ropivacaine with fentanyl and 0.75% ropivacaine in extension of a preexisting labor epidural for emergency cesarean section.
Methods: We investigated medical records of 61 parturients in extension of a preexisting labor epidural for emergency cesarean section. There were two regimens which was 0.5% ropivacaine with fentanyl (group 1) and 0.75% ropivacaine (group 2). We recorded demographic data, local anesthetic dose, surgical readiness time, maximum level of sensory block, surgery time, intravenous supplementation, number of hypotension and total dose of ephedrine between two groups.
Results: There were no differences between the study groups in demographic data, surgical readiness time, maximum sensory block level, intravenous supplementation, incidence of hypotension and total dose of ephedrine. Local anesthetic volume was larger in group 1 than group 2, but local anesthetic doses were lower in group 1 than group 2.
Conclusions: 0.5% Ropivacaine with fentanyl regimen is as fast and efficacious as 0.75% ropivacaine in extension of a preexisting labor epidural for cesarean section and reduces the requiring total local anesthetic dose.
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Cesarean section, Epidural analgesia, Ropivacaine
KMID :
1155520140090010065
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