Pain and Complications during Intraoperative and Postoperative Period following Cesarean Section in Patients Receiving Epidural Anesthesia in either Primipara or Multipara. |
Yong Chul Kim |
Department of Anesthesiology, College of Medicine, Dongguk University, pohang, Korea. |
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Abstract |
The differences of pain and complications to epidural anesthesia according to parity during cesarean section and postoperative period are obscure so far. In this study, I investigated the possibility of those differences in sixty patients: 29 primipara and 31 multipara. Epidural anesthesia was established with a local anesthetic mixture of 2% lidocaine 10 ml, 0.5% bupivacaine 20 ml, and epinephrine 1:200,000 by fractionated dose to anesthetize the patient up to T-4 sensory dermatome. All the patients were received either saline 10 ml or fentanyl 100 ug/10 ml immediately after delivery and 3.5 mg/6 ml of morphine just after peritoneal closure via epidural route. This study revealed that there was no difference in those intraoperative and postoperative responses between primipara and multipara. |
Key Words:
Parity; Epidural anesthesia; Cesarean section; Pain |
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