Comparison of Intrathecal Isobaric Bupivacaine-Morphine and Ropivacaine-Morphine for Caesarean Delivery
Yükleniyor...
Dosyalar
Tarih
2003
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Sci Ltd
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background. This study was designed to evaluate the effects of intrathecal isobaric bupivacaine 0.5% plus morphine and isobaric ropivacaine 0.5% plus morphine combinations in women undergoing Caesarean deliveries. Method. Twenty-five parturients received ropivacaine 15 mg and morphine 150 mug (RM group) and twenty-five parturients received bupivacaine 15 mg and morphine 150 mug (BM group) for spinal anaesthesia. Sensory and motor block, haemodynamics, postoperative analgesia, fetal outcomes, and side-effects were evaluated. Results. Intrathecal bupivacaine-morphine and ropivacaine-morphine provided effective sensory anaesthesia and motor block. Time to reach complete motor block was shorter and time to complete recovery from motor block was longer in the BM group than the RM group (P<0.05). The time to regression of two dermatomes and time for the block to recede to the S2 dermatome were similar in both groups (P>0.05). Time to first complaint of pain and the mean total consumption of tenoxicam were similar in both groups (P>0.05). APGAR scores at 1 and 5 min were similar in the two groups, as were mean umbilical blood pH values (P>0.05). Hypotension and pruritus were the most common side-effects in both groups during the operation. Conclusion. Intrathecal isobaric ropivacaine 0.5% 15 mg plus morphine 150 mug provides sufficient anaesthesia for Caesarean delivery. The ropivacaine-morphine combination resulted in shorter motor block, similar sensory and postoperative analgesia.
Açıklama
Anahtar Kelimeler
Anaesthesia, Obstetric, Anaesthetic Techniques, Epidural, Anaesthetics Local, Bupivacaine, Anaesthetics Local, Ropivacaine, Analgesics Opioid, Morphine
Kaynak
British Journal of Anaesthesia
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
90
Sayı
5
Künye
Öğün, C. Ö., Kırgız, E. N., Duman, A., Ökesli, S., Akyürek, C., (2003). Comparison of Intrathecal Isobaric Bupivacaine-Morphine and Ropivacaine-Morphine for Caesarean Delivery. British Journal of Anaesthesia, 90(5), 659-664. Doi: 10.1093/bja/aeg123
