EPIDURAL INFUSION OF DIAMORPHINE WITH BUPIVACAINE IN LABOR - A COMPARISON WITH FENTANYL AND BUPIVACAINE

被引:16
作者
ENEVER, GR [1 ]
NOBLE, HA [1 ]
KOLDITZ, D [1 ]
VALENTINE, S [1 ]
THOMAS, TA [1 ]
机构
[1] BRISTOL MATERN HOSP,DEPT ANAESTHESIA,BRISTOL BS2 8EG,ENGLAND
关键词
ANESTHETIC TECHNIQUES; REGIONAL; EPIDURAL; ANALGESICS; DIAMORPHINE; FENTANYL;
D O I
10.1111/j.1365-2044.1991.tb09401.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have compared the analgesic effects of three epidural infusions in a randomised, double‐blind study of 61 mothers in labour. An initial dose of bupivacaine 0.5% 8 ml was followed by either bupivacaine 0.125%, bupivacaine 0.125% with diamorphine 0.0025% or bupivacaine 0.125% with fentanyl 0.0002%. All infusions were run at a rate of 7.5 ml/hour. Analgesia was significantly better in both the groups receiving opioids. Diamorphine was shown to be the more effective supplement to bupivacaine. The 5% incidence of pruritis in the opioid groups was less than that reported by earlier authors. Copyright © 1991, Wiley Blackwell. All rights reserved
引用
收藏
页码:169 / 173
页数:5
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