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Indian Journal of Anesthesia and Analgesia

Volume  6, Issue 1, Jan-Feb 2019, Pages 110-116
 

Original Article

A Study on Combined Spinal Epidural Labour Analgesia a Comparison between 0.125% Bupivacaine with Fentanyl Versus 0.1% Ropivacaine with Fentanyl

Senthilkumar Krishnan1, Priya Ramalingam2

1Associate Professor, KAP Viswanatham Government Medical College and Mahatma Gandhi Memorial Government Hospital, Tiruchirappalli, Tamil Nadu 620001, India. 2Consultanat Anaesthesiologists, The Palakkad District Cooperative Hospital and Research Center Ltd, Santhi Nagar, Sultanpet, Palakkad, Kerala 678001, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.16

Abstract

Introduction: The responsibility of the Anaesthesiologist in obstetrics is arguably greater than in any other fields of anaesthesia. Aim: To compare the quality of epidural analgesia of 0.125% bupivacaine with 0.1% ropivacaine after intrathecal administration of fentanyl 25 μg in combined spinal epidural labour analgesia. Methodology: After obtaining ethical committee approval and written consent 60 term healthy primi gravida with cephalic singleton pregnancy were selected. Intrathecal fentanyl 25 μg initiated in all parturients. Group B receives epidural 0.125% bupivacaine 10 ml with 2 μg of fentanyl/mL agroup R receives epidural 0.1% ropivacaine 10 ml with 2 μg of fentanyl/mL two groups were compared in terms of quality of analgesia, vitals & fetal outcome. Results: Quality of analgesia was excellent in both the groups. Maximum motor blockade (grade 1 Bromage) has occurred during the first stage of labour and doesn’t affect the progression of labour or fetal outcome. Conclusion: We had concluded that both epidural bupivacaine 0.125% and ropivacaine 0.1% provides equal. 


Keywords : Combined spinal epidural labour analgesia; Intrathecal fentanyl; Bupivacaine; Ropivacaine.
Corresponding Author : Priya Ramalingam