Baricity, Needle Direction, and Intrathecal Sufentanil Labor Analgesia

@article{Ferouz1997BaricityND,
  title={Baricity, Needle Direction, and Intrathecal Sufentanil Labor Analgesia},
  author={F. Ferouz and M. Norris and V. Arkoosh and B. Leighton and L. Boxer and R. Corba},
  journal={Anesthesiology},
  year={1997},
  volume={86},
  pages={592–598}
}
Background Intrathecal sufentanil relieves labor pain but centrally mediated side effects are common. Preventing rostral spread of intrathecal sufentanil should limit these side effects. Both direction of the lateral opening of a pencil‐point needle and drug baricity modify the spread of intrathecal local anesthetics. This randomized, prospective, double‐blind study examines the effects of these variables on intrathecal sufentanil labor analgesia. Methods Forty laboring, full‐term parturients… Expand
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TLDR
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TLDR
A plain rather than hyperbaric solution of bupivacaine 2.5 mg with fentanyl 15 μg provides a faster onset of analgesia, higher sensory levels and less motor block, while demonstrating an increased incidence of pruritus and sustained fetal bradycardia. Expand
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TLDR
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TLDR
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Reports of Original Investigations Intrathecal plain vs hyperbaric bupivacaine for labour analgesia: efficacy and side effects (Bupivacaïne intrathécale pure vs hyperbare pour l'analgésie du travail obstétrical : efficacité et effets secondaires)
TLDR
A plain rather than hyperbaric solution of bupivacaine 2.5 mg with fentanyl 15 µg provides a faster onset of analgesia, higher sensory levels and less motor block, while demonstrating an increased incidence of pruritus and sustained fetal bradycardia. Expand
Impact of Baricity of Bupivacaine on Intrathecal Fentanyl-Associated Pruritus during Combined Spinal/Epidural Anesthesia for Labor
TLDR
Hyperbaric bupivacaine reduces both the incidence and severity of pruritus associated with intrathecal fentanyl in laboring parturients when compared to the isobaric formulation. Expand
Addition of dextrose 3.5% to intrathecal sufentanil for labour analgesia reduces pruritus
TLDR
The addition of dextrose 3.5% to intrathecal sufentanil reduced the incidence of pruritus without affecting the duration or quality of analgesia in parturients in early labour. Expand
Effects of intrathecal and i.v. small-dose sufentanil on the median effective dose of intrathecal bupivacaine for Caesarean section.
TLDR
Compared with an equal dose of sufentanil i.v., intrathecally administered sufENTanil 2.5 microg has a significant local anaesthetic-sparing effect via a predominantly spinal mechanism for Caesarean section. Expand
[Spinal sufentanil associated to hyperbaric bupivacaine: Is it possible to decrease opioid dose?].
TLDR
The association of sufentanil to hyperbaric bupivacaine improves quality and prolongs analgesia duration and there is no benefit in administering more than 2.5 microg of suFENTanil for labor pain relief. Expand
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