Continuous Epidural Analgesia in Labour Using 0.0625% Bupivacaine with 0.0002% Fentanyl and 0.125% Bupivacaine Alone: A Randomized Study
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Aim: To evaluate the efficacy of Bupivacaine 0.0625% with Fentanyl 0.0002% and Bupivacaine 0.125%, in epidural analgesia for labour in relation to onset and duration of motor blockade, duration of analgesia, hemodynamic parameters. Materials and Methods: After approval of our institutional ethical committee and informed written consent from parturients, a randomized study was conducted. Over 60 parturients admitted to the labour room were selected to give epidural anaesthesia for labour pain included in the study. The study included 60 parturient patients, aged 18-35 years, in spontaneous 1st stage of labour with no obvious cephalopelvic disproportion, randomly distributed into two groups Group A (n=30)- Parturient in this group received 0.0625% bupivacaine with 0.0002% fentanyl for initiation and maintenance of lumbar epidural anaesthesia Group B (n=30) Parturient in this group received 0.125% bupivacaine for initiation and maintenance of lumbar epidural anaesthesia. Inclusion criteria were parturients with age above 18 years with ASA grade I & II. Exclusion criteria were patients not willing for epidural anesthesia, pre-existing neurological disorders, coagulopathies and infection at the site of puncture, spinal abnormalities and grand multiparas. Results: The success rate of both groups were comparable in relation to onset and duration of motor blockade, duration of analgesia & hemodynamic parameters. But the group B has higher incidence of motor paresis than group A. Conclusion: 0.0625% bupivacaine with 2μg/ml fentanyl emerged as a better than 0.125% bupivacaine alone.
Authors and Affiliations
Rajkumar Mohapatra, Manjubala Acharya
Keywords
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- EP ID EP544142
- DOI 10.21276/ijmrp.2017.3.2.044
- Views 72
- Downloads 0
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