A randomized controlled double blind study comparing the efficacy of epidural ropivacaine and bupivacaine with fentanyl for labor analgesia
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 4
Abstract
Introduction and Aim Ropivacaine and bupivacaine have been found to provide adequate labor analgesia when given epidurally The aim of this randomized double blind study was to compare the onset of sensory block in epidural ropivacaine and bupivacaine with Fentanyl for labor analgesia and to assess the maternal and fetal outcomeMaterials and Methods In this prospective double blind study 60 ASA II parturients with singleton vertex presentation were randomly allocated to two groups of 30 each Group R received 5 ml 02 ropivacaine with 50mcg Fentanyl as bolus followed by continuous infusion of ropivacaine 01 with Fentanyl 1 mcgml at 6 mlhr Group B received 5 ml 0125 bupivacaine with 50 mcg Fentanyl as bolus followed by continuous infusion of bupivacaine 00625 with Fentanyl 1 mcgml at 6 mlhr Onset and regression of sensory level degree of motor block hemodynamic effects mode of delivery neonatal outcome and patient satisfaction were compared The statistical analysis was done using the Mean Standard Deviation and the student t testResults There was a significantly faster onset of sensory block with ropivacaine 567099min compared to bupivacaine 667139min p Conclusion Ropivacaine provides effective analgesia with faster onset of sensory block in comparison to bupivacaine and is safe for mother and fetus Keywords Labor analgesia Epidural Bupivacaine Ropivacaine Fentanyl
Authors and Affiliations
Shalini Miriam Ipe, Rakhee S, Saramma P. Abraham, Shaloo Ipe, Sam Philip
Keywords
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- EP ID EP476534
- DOI 10.18231/2394-4994.2018.0115
- Views 90
- Downloads 0
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