Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia
<b>Objectives:</b> A study to compare the efficacy between fentanyl and sufentanil combined with low concentration (0.0625%) of bupivacaine for epidural labor analgesia in laboring women. <b>Materials and Methods:</b> Fifty full term parturients received an initial...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2010;volume=4;issue=3;spage=178;epage=181;aulast=Kalra |
| _version_ | 1811315763293716480 |
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| author | Kalra Sumit Saraswat Namita Agnihotri G |
| author_facet | Kalra Sumit Saraswat Namita Agnihotri G |
| author_sort | Kalra Sumit |
| collection | DOAJ |
| description | <b>Objectives:</b> A study to compare the efficacy between fentanyl and sufentanil combined with low concentration (0.0625%) of bupivacaine for epidural labor analgesia in laboring women. <b>Materials and Methods:</b> Fifty full term parturients received an initial bolus dose of a 10 ml solution containing 0.125% bupivacaine. The patients were randomly divided into two: group F received 0.0625% bupivacaine with 2.5 mcg/ml fentanyl and group S received 0.0625% bupivacaine with 0.25 mcg/ml sufentanil. Verbal analogue pain scores, need of supplementary/rescue boluses dose of bupivacaine consumed, mode of delivery, maternal satisfaction, and neonatal Apgar scores were recorded. No significant difference was observed between both groups. <b>Results:</b> Both the groups provided equivalent labor analgesia and maternal satisfaction. The chances of cesarean delivery were also not increased in any group. No difference in the cephalad extent of sensory analgesia, motor block or neonatal Apgar score were observed. Although mean pain scores throughout the labor and delivery were similar in both groups, more patients in fentanyl group required supplementary boluses though not statistically significant. <b>Conclusion:</b> We conclude that both 0.0625% bupivacaine-fentanyl (2.5 μg/ml) and 0.0625% bupivacaine-sufentanil (0.25 μg/ml) were equally effective by continuous epidural infusion in providing labor analgesia with hemodynamic stability achieving equivalent maternal satisfaction without serious maternal or fetal side effects. We found that sufentanil was 10 times more potent than fentanyl as an analgesic for continuous epidural labor analgesia. |
| first_indexed | 2024-04-13T11:37:07Z |
| format | Article |
| id | doaj.art-26ff58af789f465c9d164649b9107acf |
| institution | Directory Open Access Journal |
| issn | 1658-354X 0975-3125 |
| language | English |
| last_indexed | 2024-04-13T11:37:07Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-26ff58af789f465c9d164649b9107acf2022-12-22T02:48:25ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252010-01-0143178181Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesiaKalra SumitSaraswat NamitaAgnihotri G<b>Objectives:</b> A study to compare the efficacy between fentanyl and sufentanil combined with low concentration (0.0625%) of bupivacaine for epidural labor analgesia in laboring women. <b>Materials and Methods:</b> Fifty full term parturients received an initial bolus dose of a 10 ml solution containing 0.125% bupivacaine. The patients were randomly divided into two: group F received 0.0625% bupivacaine with 2.5 mcg/ml fentanyl and group S received 0.0625% bupivacaine with 0.25 mcg/ml sufentanil. Verbal analogue pain scores, need of supplementary/rescue boluses dose of bupivacaine consumed, mode of delivery, maternal satisfaction, and neonatal Apgar scores were recorded. No significant difference was observed between both groups. <b>Results:</b> Both the groups provided equivalent labor analgesia and maternal satisfaction. The chances of cesarean delivery were also not increased in any group. No difference in the cephalad extent of sensory analgesia, motor block or neonatal Apgar score were observed. Although mean pain scores throughout the labor and delivery were similar in both groups, more patients in fentanyl group required supplementary boluses though not statistically significant. <b>Conclusion:</b> We conclude that both 0.0625% bupivacaine-fentanyl (2.5 μg/ml) and 0.0625% bupivacaine-sufentanil (0.25 μg/ml) were equally effective by continuous epidural infusion in providing labor analgesia with hemodynamic stability achieving equivalent maternal satisfaction without serious maternal or fetal side effects. We found that sufentanil was 10 times more potent than fentanyl as an analgesic for continuous epidural labor analgesia.http://www.saudija.org/article.asp?issn=1658-354X;year=2010;volume=4;issue=3;spage=178;epage=181;aulast=Kalra<i>Labor analgesiabupivacaine fentanylsufentanilepidural analgesia</i> |
| spellingShingle | Kalra Sumit Saraswat Namita Agnihotri G Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia Saudi Journal of Anaesthesia <i>Labor analgesia bupivacaine fentanyl sufentanil epidural analgesia</i> |
| title | Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia |
| title_full | Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia |
| title_fullStr | Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia |
| title_full_unstemmed | Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia |
| title_short | Comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia |
| title_sort | comparison of efficacy of bupivacaine and fentanyl with bupivacaine and sufentanil for epidural labor analgesia |
| topic | <i>Labor analgesia bupivacaine fentanyl sufentanil epidural analgesia</i> |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2010;volume=4;issue=3;spage=178;epage=181;aulast=Kalra |
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