Comparison of Epidural Ropivacaine 0.2% and Ropivacaine 0.2% in Combination with Sufentanil 0.75 ?g mL-1 for Postcaesarean Analgesia

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dc.contributor.authorKaya, Tahsin
dc.contributor.authorBuyukkocak, Unase
dc.contributor.authorBasar, Hulya
dc.contributor.authorSagsoz, Nevin
dc.date.accessioned2025-01-21T16:36:47Z
dc.date.available2025-01-21T16:36:47Z
dc.date.issued2008
dc.departmentKırıkkale Üniversitesi
dc.description.abstractAnalgesic techniques after c-section must be effective producing early mobilisation to enable mothers to care effort their babies. In this study, the comparison of ropivacaine 0.2% alone, with ropivacaine 0.2%+sufentanil 0.75 microg mL-1 for patient controlled epidural analgesia (PCEA) was aimed. Fifty women (ASA-I) were enrolled in the study. All patients had combined spinal-epidural anaesthesia. Infusion of analgesic solutions was started when sensory level decreased by two dermatome levels. The patients randomly assigned, into two groups (n=25). In Group-I, ropivacaine 0.2% and sufentanil 0.75 microg mL-1, in Group-II, ropivacaine 0.2% alone were applied (bolus 1.25 mL, lockout 30 min, with 2.5 mL h-1 background infusion). Pain (Visual Analog Scale), motor blockage (Bromage scale) and sedation (Four point scale) were evaluated during 24 hours after Caesarean, using the scales of visual analogue, bromage, and four-point, respectively. Haemodynamic and respiratory parameters, side effects, total drug consumption and additional analgesic need, were recorded. Statistical analysis included student-t, chi-square, and Mann Whitney U tests. There was no difference in demographic data, sedation scores, haemodynamic and respiratory parameters, between the groups. Motor block and pain scores were significantly higher in Group-II than in Group-I at 2 and 4. h. Total drug consumption was 65.24+/-4.20 mL for Group-I and 81.1+/-6.44 mL for Group-II, (P<0.05). Four patients in Group-I and 21 patients in Group-II received additional analgesic. Pruritus was observed more frequently in Group-I. The addition of sufentanil 0.75 microg mL-1 to ropivacaine 0.2% for PCEA after Caesarean led to more effective analgesia and less motor weakness when compared to ropivacaine 0.2% alone, especially during early postoperative period.
dc.identifier.endpage37
dc.identifier.issn1300-0012
dc.identifier.issue4
dc.identifier.pmid19117154
dc.identifier.startpage30
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24385
dc.identifier.volume20
dc.identifier.wosWOS:000421059900004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isotr
dc.publisherKare Publ
dc.relation.ispartofAgri-The Journal of The Turkish Society of Algology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectRopivacaine; Sufentanil; Caesarean section; Patient Controlled Epidural Analgesia (PCEA)
dc.titleComparison of Epidural Ropivacaine 0.2% and Ropivacaine 0.2% in Combination with Sufentanil 0.75 ?g mL-1 for Postcaesarean Analgesia
dc.typeArticle

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