Can combined spinal-epidural analgesia be an alternative to epidural analgesia alone in labour?
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Tarih
2003
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Currently, the final point in labour analgesia has been accepted as combined spinal-epidural analgesia (CSE). In this prospective and randomised study, we aimed to investigate whether this approach can be an alternative to epidural analgesia (EA) as a reference method. The study was performed with 50 primigravid pregnant women who planned to have vaginal delivery. The patients were allocated randomly to one of the two groups: In Group I, CSE block was applied in 25 patients and epidural block in Group II with 25 patients. A solution of 0.125% bupivacaine with 2 ?g mL-1 fentanyl was prepared for using in patient controlled epidural analgesia (PCEA). Epidural catheters were introduced following the spinal administration of bupivacain (2.5 mg) plus fentanyl (25 ?g) in patients in Group1. PCEA was started after the VAS scores exceeded the level of 3. In Group 11, PCEA was started shortly after introducing of epidural catheters. Only with the first subarachnoidal dosage in GI sufficient analgesia was obtained in all patient. Duration of spinal analgesia was 89.80±9.94 min. At the fifth minute, VAS pain scores were significantly lower in CSE group than in EA group (p<0.0001). The amount of total bupivacaine consumption was 47.96±11.42 mg in GI and was 69.72±11.54 mg in GII (p<0.0001). These amounts for fentanyl consumption was 97.21±18.76 ?g in GI and 111.52±18.50 ?g in GII (p<0.05). There were no significant differences in the other variables. We conclude that CSEA technique can be an alternative approach in conditions of required fast analgesia and short term labour action in delayed deliveries and in multipartaous pregnants.
Açıklama
Anahtar Kelimeler
Combined Spinal-Epidural Analgesia, Epidural Analgesia, Labour, Obstetric Analgesia
Kaynak
Turk Anesteziyoloji ve Reanimasyon
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
31
Sayı
2
