Article Menu

Export Article

More by Authors Links

Article Data

  • Views 1543
  • Dowloads 156

Meeting Abstracts

Open Access Special Issue

Comparison of two different local anesthetic infusion methods (with or without opioids) for epidural analgesia after cesarean section delivery

  • Spanopoulos Konstantinos1
  • Papagiannopoulou Ofilia1
  • Kousidis Ioiannis P1
  • Anagnostou Georgios1
  • Zografidou Polixeni1
  • Tsiotsiou Maria1
  • Gogali Despoina1
  • Pinas Dimitrios1
  • Grenda Georgia1
  • Grigoriou Ioulia1
  • Goutziomitrou Evangelia1

1Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece

DOI: 10.22514/sv.2021.166 Vol.17,Issue S1,September 2021 pp.21-21

Submitted: 26 August 2021 Accepted: 06 September 2021

Published: 15 September 2021

*Corresponding Author(s): Spanopoulos Konstantinos E-mail: dinosmed@gmail.com

PDF (208.92 KB) View Full-text

Abstract

Aim: The aim of this study was to compare the efficacy and safety between ropivacaine 0.25% and ropivacaine 0.2% combined with a 0.025 mg/kg morphine regimen, administered as a continuous epidural infusion for analgesia after cesarean section delivery.

Materials and methods: We compared 55 parturient women undergoing a cesarean section delivery with a combined spinal-epidural technique. All women received intrathecally 2–2.3 mL ropivacaine 0.75% combined with 0.3 mL fentanyl through a G27 needle. An epidural catheter was inserted immediately after spinal anesthesia. Two hours after the onset of spinal anesthesia a ropivacaine 0.25% continuous epidural infusion (7 mL/h) was administered in group A whereas a ropivacaine 0.2% combined with 0.025 morphine epidural infusion (7 mL/h) was administered in group B. The degree of motor and sensory block (using a Bromage and VAS score 1–10) were evaluated immediately after, 2 h, 4 h, 8 h and 12 h after the onset of continuous epidural infusion administration. We also evaluated all patients’ blood pressure (BP) and heart rate at the same time intervals.

Results: There were no statistically significant differences in hemodynamic parameters, sensory block or analgesic effect between the groups however there were differences in motor block (Bromage score in group A 0.7 ± 0.5 vs 0.2 ± 0.4 in group B, p = 0.002).

Conclusion: The use of a local anesthetic and morphine combination in group B provided efficient epidural analgesia accomplishing a lower motor blockade compared to group A.


Cite and Share

Spanopoulos Konstantinos,Papagiannopoulou Ofilia,Kousidis Ioiannis P,Anagnostou Georgios,Zografidou Polixeni,Tsiotsiou Maria,Gogali Despoina,Pinas Dimitrios,Grenda Georgia,Grigoriou Ioulia,Goutziomitrou Evangelia. Comparison of two different local anesthetic infusion methods (with or without opioids) for epidural analgesia after cesarean section delivery. Signa Vitae. 2021. 17(S1);21-21.

URL:

https://www.signavitae.com/articles/10.22514/sv.2021.166

References

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top