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Journal of Kermanshah University of Medical Sciences
Peer-reviewed Medical Quarterly
e-ISSN 2588-2570
p-ISSN 2588-2562
Image Credit:J Kermanshah Univ Med Sci
Outline
The effect of adding epinephrine to combination of sufentanil and bupivacaine in spinal analgesia during labor
Authors
1Dept. of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
2Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Andorra
3Dept. of Nursing, School of Nursing and Midweifary, Kermanshah University of Medical Sciences, Kermanshah, Iran
*Corresponding Author: Corresponding author: Parisa Golfam, Dept. of Anesthesiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran, Tel: +98 831 4276302 Email: Pargolfam@yahoo.com
Published online:May 19, 2011
Article type:Research Article
Received:Dec 27, 2009
Accepted:May 25, 2010
How to Cite:Golfam P, Karbasforoushan A, Keshazar AA, Fakhri M. The effect of adding epinephrine to combination of sufentanil and bupivacaine in spinal analgesia during labor. J Kermanshah Univ Med Sci. 2011;15(1):e69714. doi:
Abstract
Background: Spinal analgesia is one of the effective and rapid methods for labor. It is not commonly used because of short duration of analgesia and motor block, which limits mother's force in labor progression. We attempted to prolong duration and quality of analgesia by adding Epinephrine.
Methods: In this quasi-experimental study 90 pregnant women gravid II and III who referred to Motazedi and Imam Reza Educational & Medical Centers were recruited and divided into two groups of case and control (45 subjects in each group). The case group received spinal analgesia using Sufentanil and Bupivacaine, and Epinephrine while the control group received Sufentanil and Bupivacaine. Data including feeling of pain, motor block, duration of analgesia, fetal heart rate, nausea and vomiting, blood pressure was collected and analyzed using chi-square and t test.
Results: duration of analgesia and vomiting were significantly increased in the case group. (p=0.001, p=0.01 respectively). Hemodynamic status in mothers and Apgar score of neonates were not significantly different between two groups.
Conclusion: It seems that adding Epinephrine to Sufentanil and Bupivacaine could increase analgesia duration without altering in sensory level although could increase nausea and vomiting its recommended in labor analgesia.
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Copyright
© 2011, Journal of Kermanshah University of Medical Sciences. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
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