scholarly journals Motor blockade is reduced with ropivacaine 0.125% for parturient-controlled epidural analgesia during labour

1999 ◽  
Vol 46 (11) ◽  
pp. 1019-1023 ◽  
Author(s):  
Alex Tiong-Heng Sia ◽  
Poopalalingam Ruban ◽  
Jin Long Chong ◽  
Kahoe Wong
Keyword(s):  
Epidural Analgesia ◽  
Motor Blockade

Sensory and Motor Blockade During Epidural Analgesia With 1%, 0.75%, and 0.5% Ropivacaine???A Double-Blind Study

1991 ◽  
Vol 72 (4) ◽  
pp. 509???515 ◽  
Author(s):  
Dusanka Zaric ◽  
Kjell Axelsson ◽  
Per-Anders Nydahl ◽  
Lennart Philipsson ◽  
P??l Larsson ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Blind Study ◽  
Double Blind Study ◽  
Motor Blockade ◽  
Double Blind

Maintenance of neuraxial labour analgesia

2016 ◽  
Author(s):  
Alex Tiong Heng Sia ◽  
Ban Leong Sng ◽  
Serene Leo
Keyword(s):  
Epidural Analgesia ◽  
Labour Pain ◽  
Delivery Systems ◽  
Variable Frequency ◽  
Motor Blockade ◽  
Recent Developments ◽  
Systems Maintenance ◽  
Effective Pain Relief ◽  
Long Acting ◽  
Spinal Epidural

Labour pain may be treated with epidural analgesia providing effective pain relief with no maternal sedation to allow maternal participation in the labouring process. Epidural analgesia is commonly initiated using an epidural or combined spinal–epidural technique. Most epidural maintenance regimens would include a long-acting amide anaesthetic in low concentration together with a lipophilic opioid to maximize analgesia whilst reducing motor blockade. With the advent of advanced infusion delivery systems, maintenance of epidural analgesia may be individualized through the use of patient-controlled epidural analgesia systems. Patient self-administered bolus is used as a feedback to increase local anaesthetic use when labour pain intensifies. Recent developments in pump technology and innovations have enabled novel epidural delivery systems such as automated mandatory boluses, variable frequency automated mandatory boluses, and computer integrated patient controlled epidural analgesia.

scholarly journals Postoperative Patient-Controlled Thoracic Epidural Analgesia: Importance of Dose Compared to Volume or Concentration

2008 ◽  
Vol 36 (6) ◽  
pp. 814-821 ◽  
Author(s):  
M. Dernedde ◽  
M. Stadler ◽  
N. Taviaux ◽  
J. G. Boogaerts
Keyword(s):  
Side Effects ◽  
Epidural Analgesia ◽  
Sensory Block ◽  
Morphine Consumption ◽  
Motor Blockade ◽  
On Demand ◽  
Background Infusion ◽  
Lockout Interval ◽  
Epidural Catheters

This randomised and blinded study evaluated the quality of analgesia and the incidence of side-effects of two concentrations of levobupivacaine (0.15% and 0.5%) given as an equal mg-bolus-dose (5 mg) via patient-controlled epidural analgesia after lower abdominal surgery. The patients were randomly assigned into two groups to receive either 0.15% levobupivacaine as a 3.3 ml bolus on demand, with a lockout interval of 30 minutes (n = 30), or 0.5% levobupivacaine as a 1 ml bolus on demand, with a similar lockout interval (n = 30). For both groups we combined the bolus on demand with a background infusion of 5 mg/hour levobupivacaine, i.e. 3.3 ml/hour 0.15% or 1 ml/hour 0.5% of levobupivacaine. The epidural catheters were inserted in a lower thoracic intervertebral space before induction of general anaesthesia. The following variables were registered in the 48 hours after surgery: upper and lower sensory block, pain scores at rest and after coughing, rescue morphine consumption, motor blockade, haemodynamic (arterial blood pressure and heart rate), nausea and vomiting, and patient satisfaction ratings. The two groups had similar sensory block, quality of analgesia, rescue morphine consumption requirement, motor blockade and side-effects, and both had a high satisfaction rate. These findings indicate that administering the same dose of levobupivacaine in either a low or high concentration via the patient-controlled epidural analgesia mode, combined with a background infusion, provides an equal quality of analgesia for low thoracic level epidurals with no difference in the incidence of side-effects.

scholarly journals EPIDURAL VS NON-EPIDURAL ANALGESIA IN LABOUR

2007 ◽  
Vol 14 (01) ◽  
pp. 123-128
Author(s):  
FAROOQ AHMAD
Keyword(s):  
Pain Relief ◽  
Adverse Effects ◽  
Epidural Analgesia ◽  
Randomised Controlled Trials ◽  
Military Hospital ◽  
Motor Blockade ◽  
Regional Analgesia ◽  
Randomised Controlled ◽  
Long Term Adverse Effects

Objectives: To determine the effects of epidural analgesia compared with non-epidural forms of pain relief in labour. Design Randomised controlled trials comparing epidural analgesia with alternative forms of pain relief in labour. Setting Combined Military Hospital Rawalpindi. Period. March 2002 to Feb 2003. Results: Epidural analgesia was more effective than nonepidural methods in providing pain relief. Adverse effects suggested by the rather small trials reviewed include motor blockade, longer first and second stages of labour, increased oxytocin use, malrotation, instrumental delivery and Caesarean section (particularly for dystocia). Conclusions: Epidural analgesia is an effective method of pain relief during labour. Further research is needed to define the adverse effects more accurately, particularly potential long-term adverse effects, and to evaluate different regional analgesia techniques.

scholarly journals Fentanyl with low concentration ropivacaine induced less motor blockade in epidural analgesia

2019 ◽  
Vol 35 (3) ◽  
pp. 183-184
Author(s):  
Tzu‐Ying Li ◽  
I‐Cheng Lu ◽  
Kuang‐I Cheng ◽  
Hui‐Fang Huang
Keyword(s):  
Epidural Analgesia ◽  
Motor Blockade ◽  
Low Concentration

scholarly journals Comparative study of ropivacaine with tramadol and ropivacaine with midazolam for post-operative epidural analgesia

2021 ◽  
Vol 8 (4) ◽  
pp. 527-531
Author(s):  
Selvam M ◽  
Karthik V J ◽  
Sangeeth Charles ◽  
Murugan Thalaiappan
Keyword(s):  
Epidural Analgesia ◽  
Comparative Study ◽  
Epidural Injection ◽  
Single Shot ◽  
Motor Blockade ◽  
College Hospital ◽  
Sensory Blockade ◽  
Significant Prolongation ◽  
Significant Difference ◽  
Sensory Motor

Epidural analgesia is the most commonly used method for surgical anesthesia, obstetric analgesia, post-operative pain control, and chronic pain management. These epidurals are used either as a single-shot technique or with the catheter that allows intermittent boluses or continuous infusion, or both. All of these variables are controlled by choice of drug concentration, dosage, and level of injections. To compare the onset and duration of sensory block, motor block, and post-operative analgesia duration using Ropivacaine with Tramadol and Ropivacaine with Midazolam in the Epidural technique. In this prospective, non-randomized, comparative study, the total of 160 patients who underwent surgeries below the umbilicus did under epidural technique at Govt. Kilpauk Medical college hospital a Govt. Royapettah hospital, Chennai, was screened. Patients were divided into two groups. Patients in Group R received an epidural injection of 0.5% Ropivacaine (30ml) with Tramadol 2 mg/kg, whereas patients in Group L received an epidural injection of 0.5% ropivacaine (30ml) with Midazolam (50mg/kg). On studying the comparison of the onset of sensory, motor blockade, and duration of the sensory-motor blockade in the two groups, the onset of sensory blockade, motor blockade, and duration of motor blockade was more among ropivacaine with midazolam group. In comparison, the duration of sensory blockade was more among ropivacaine with tramadol group. A statistically significant difference in onset of sensory, motor blockade, and duration of sensory blockade across the group was found (p<0.005). Tramadol or Midazolam's addition to caudal epidural block with ropivacaine showed significant prolongation of post-operative analgesia compared to ropivacaine alone. The mean duration of analgesia was more among ropivacaine with the Tramadol group.

Sign in / Sign up

Export Citation Format

Share Document