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Obstetric Anesthesia
Anesthesia and Pain Medicine 2014;9(1):65-69.
Published online January 30, 2014.
Comparison of 0.5% ropivacaine with fentanyl and 0.75% ropivacaine used in extension of a preexisting labor epidural for emergency cesarean section: retrospective study
Yun Sic Bang, Hyeonjeong Yang, Su jeong Nam, Seo Min Park, Kum Hee Chung, Su Yeon Lee, Dong Wook Shin, Duk Hee Chun
1Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
2Department of Anesthesiology and Pain Medicine, CHA Gangnam Medical Center, CHA University, Seoul, Korea. yanghj@medigate.net
3Department of Anesthesiology and Pain Medicine, CHA Gumi Medical Center, CHA University, Gumi, Korea.
Received: 5 May 2013   • Revised: 1 October 2013
Abstract
BACKGROUND
Various regimens have been studied in extension of a preexisting labor epidural for emergency cesarean section. Lumbar epidural analgesia for delivery is safe and efficient. We compared retrospectively 0.5% ropivacaine with fentanyl and 0.75% ropivacaine in extension of a preexisting labor epidural for emergency cesarean section.
METHODS
We investigated medical records of 61 parturients in extension of a preexisting labor epidural for emergency cesarean section. There were two regimens which was 0.5% ropivacaine with fentanyl (group 1) and 0.75% ropivacaine (group 2). We recorded demographic data, local anesthetic dose, surgical readiness time, maximum level of sensory block, surgery time, intravenous supplementation, number of hypotension and total dose of ephedrine between two groups.
RESULTS
There were no differences between the study groups in demographic data, surgical readiness time, maximum sensory block level, intravenous supplementation, incidence of hypotension and total dose of ephedrine. Local anesthetic volume was larger in group 1 than group 2, but local anesthetic doses were lower in group 1 than group 2.
CONCLUSIONS
0.5% Ropivacaine with fentanyl regimen is as fast and efficacious as 0.75% ropivacaine in extension of a preexisting labor epidural for cesarean section and reduces the requiring total local anesthetic dose.
Key Words: Cesarean section, Epidural analgesia, Ropivacaine


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