A Comparative Study of Equi-concentration of Bupivacaine-Fentanyl and Ropivacaine-Fentanyl for Epidural Labor Analgesia
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 5
Abstract
Introduction: Pain relief in labor has always been surrounded with myths and controversies and providing effective and safe analgesia during labor has remained an ongoing challenge. Neuraxial techniques were introduced for pain relief in labor in 1950. Modern neuraxial labor analgesia reflects a shift in obstetrical anesthesia, thinking away from a simple focus on pain relief toward a focus on the overall quality of analgesia. Aims and Objectives: The present study is carried out to compare equi-concentration of low dose (0.125%) bupivacaine-fentanyl 2 μg/mL and (0.125%) ropivacaine-fentanyl 2 μg/mL in primigravid full-term parturients for epidural labor analgesia. Materials and Methods: A prospective randomized double-blind controlled study was undertaken after obtaining Ethical Committee approval to compare the effect of equi-concentration of 0.125% bupivacaine with fentanyl 2 μg/mL and 0.125% ropivacaine with fentanyl 2 μg/mL in 60 parturients coming for delivery at Government Maternity Hospital, Hanamkonda. Results: This study was undertaken to compare equi-concentration of bupivacaine-fentanyl and ropivacaine-fentanyl for epidural labor analgesia in primigravida patients. Providing excellent labor analgesia, statistically significant motor blockade produced by bupivacaine compared to ropivacaine does not change mode of delivery at lower concentrations. Conclusion: In our study comparing equi-concentration (0.125%), bupivacaine-fentanyl 2 μg/mL and (0.125%) ropivacaine-fentanyl 2 μg/mL for epidural labor analgesia results indicate that both are equally effective clinically by intermittent epidural supplementation in providing excellent labor analgesia with hemodynamic stability, minimal motor blockade, mode of delivery, maternal satisfaction without serious maternal, or fetal side effects.
Authors and Affiliations
Gunda Shravan Kumar, B Srinivas Rao, U Mahesh Kumar
Keywords
Related Articles
- EP ID EP481495
- DOI -
- Views 143
- Downloads 0
Compare Onset Time of Cisatracurium for Tracheal Intubation with and without Priming Dose of Rocuronium
Background: Priming is one of those techniques in which a small dose of non-depolarizing muscle relaxants is administered followed by a large intubating dose. Cisatracurium is the newly introduced drug with Hoffman elimi...
A Study on Treatment of Recurrent Temporomandibular Joint Dislocation
Introduction: Temporomandibular joint (TMJ) dislocation is an uncommon but debilitating condition of the facial skeleton. The condition may be acute or chronic. Aim: To study the surgical treatment of recurrent TMJ dislo...
Fine-needle Aspiration Cytology in Tuberculous Lymphadenitis: A Study of 200 Cases of Superficial Lymphadenopathy
Background: In developing countries, tuberculous lymphadenitis is one of the most common causes of lymphadenopathy. Moreover, India is one of them. Patients are presenting with the only lymph node enlargement, with or wi...
Comparing Two Different Doses of Clonidine as an Adjuvant to Bupivacaine in Blind Fascia Iliaca Compartment Block Preoperatively in Patients Posted for Femur Fractures
Background: Femur fractures occur commonly due to trauma and cause excruciating pain causing difficulty in the positioning of a patient during spinal anesthesia. Fascia iliaca compartment block is an easy, bedside proced...
Profile of Burn Cases at a Tertiary Care Hospital in Goa, India
Introduction: Burn injury is an important public health problem and is largely preventable. Burn injuries could lead to lifelong disability and disfigurement. Most of these cases are reported from low- and middle-income...