| Comparison of Four Local Epidural Anesthetic Solution for Elective Caesarean Section. |
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Han Suk Park, Chan Jong Chung, Young Jhoon Chin |
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Department of Anesthesiology, Dong-A University College of Medicine, Pusan, Korea. |
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| Abstract |
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The effect of four groups of epidural local anesthetic solutions were compared, 0.5% bupivacaine 22 ml(Group I), 2% lidocaine 22 ml(Group II), 0.5% bupivacaine l1 ml and 2% lidocaine 11 ml(Group III), 0.5% bupivacaine 20 ml and fentanyl 100 ug(Group IV) in forty patients undergoing elective Caesarean section. The major outcome measure were time to analgesia of T and their corresponding changes in vital sign, need for intraoperative analgesic supplements, patients assessment of analgesia, motor and sensory recovery time, complications and their incidence. The result were as follows; The time to onset of analgesia to T4 and their corresponding vital sign changes were not significant among groups. The quality of analgesia assessed by the need for analgesic supplement was superior and the motor and sensory recovery time were significantly prolonged in patients given fentanyl. The incidence of complications were relatively higher in patients given gentanyl but no serious complication has occurred. It is concluded that use of bupivacaine with fentanyl has relatively no serious complications and advantage of prolonged postoperative analgesia. |
| Key Words:
Epidural analgesia; Bupivacaine; Fentanyl |
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