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.
- Author:
Yun Sic BANG
1
;
Hyeonjeong YANG
;
Su jeong NAM
;
Seo Min PARK
;
Kum Hee CHUNG
;
Su Yeon LEE
;
Dong Wook SHIN
;
Duk Hee CHUN
Author Information
1. Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Cesarean section;
Epidural analgesia;
Ropivacaine
- MeSH:
Analgesia, Epidural;
Cesarean Section*;
Emergencies*;
Ephedrine;
Female;
Fentanyl*;
Hypotension;
Incidence;
Medical Records;
Pregnancy;
Retrospective Studies*
- From:Anesthesia and Pain Medicine
2014;9(1):65-69
- CountryRepublic of Korea
- Language:English
-
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.
