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A Study on Combined Spinal Epidural Labour Analgesia a Comparison between 0.125% Bupivacaine
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Introduction: The responsibility of the Anaesthesiologist in obstetrics is arguably greater than in any other fields of anaesthesia. Aim: To compare the quality of epidural analgesia of 0.125% bupivacaine with 0.1% ropivacaine after intrathecal administration of fentanyl 25 μg in combined spinal epidural labour analgesia. Methodology: After obtaining ethical committee approval and written consent 60 term healthy primi gravida with cephalic singleton pregnancy were selected. Intrathecal fentanyl 25 μg initiated in all parturients. Group B receives epidural 0.125% bupivacaine 10 ml with 2 μg of fentanyl/mL agroup R receives epidural 0.1% ropivacaine 10 ml with 2 μg of fentanyl/mL two groups were compared in terms of quality of analgesia, vitals & fetal outcome. Results: Quality of analgesia was excellent in both the groups. Maximum motor blockade (grade 1 Bromage) has occurred during the first stage of labour and doesn’t affect the progression of labour or fetal outcome. Conclusion: We had concluded that both epidural bupivacaine 0.125% and ropivacaine 0.1% provides equal
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Introduction: The responsibility of the Anaesthesiologist in obstetrics is arguably greater than in any other fields of anaesthesia. Aim: To compare the quality of epidural analgesia of 0.125% bupivacaine with 0.1% ropivacaine after intrathecal administration of fentanyl 25 μg in combined spinal epidural labour analgesia. Methodology: After obtaining ethical committee approval and written consent 60 term healthy primi gravida with cephalic singleton pregnancy were selected. Intrathecal fentanyl 25 μg initiated in all parturients. Group B receives epidural 0.125% bupivacaine 10 ml with 2 μg of fentanyl/mL agroup R receives epidural 0.1% ropivacaine 10 ml with 2 μg of fentanyl/mL two groups were compared in terms of quality of analgesia, vitals & fetal outcome. Results: Quality of analgesia was excellent in both the groups. Maximum motor blockade (grade 1 Bromage) has occurred during the first stage of labour and doesn’t affect the progression of labour or fetal outcome. Conclusion: We had concluded that both epidural bupivacaine 0.125% and ropivacaine 0.1% provides equal
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This page is a summary of: A Study on Combined Spinal Epidural Labour Analgesia a Comparison between 0.125% Bupivacaine with Fentanyl Versus 0.1% Ropivacaine with Fentanyl, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6119.16.
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