Document Detail


Subarachnoid versus epidural bupivacaine 0.5% for caesarean section.
MedLine Citation:
PMID:  3176835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to compare subarachnoid (spinal) and epidural block for caesarean section, 40 women were randomly allocated to spinal or epidural analgesia with bupivacaine. The median dose of bupivacaine was 13 mg in the spinal group versus 155 mg in the epidural group. The mean time from induction to delivery was 32 min shorter in the spinal group (P less than 0.001). In the spinal group one woman was excluded because of spontaneous labour. Three patients in the spinal and one in the epidural group failed to develop adequate analgesia to initiate surgery. For the remaining patients both techniques provided good analgesia during operation. Postoperatively, epidural block provided better pain relief. The patients in the epidural group had a lower pain score during the first 4 h after the operation (P less than 0.01). In spite of similar haemodynamic changes in the two groups, the mean base deficit in umbilical cord blood at delivery was higher in the spinal group (P less than 0.05).
Authors:
S Helbo-Hansen; U Bang; R S Garcia; A S Olesen; L Kjeldsen
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  32     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-11-23     Completed Date:  1988-11-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  473-6     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology, Odense University Hospital, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Acid-Base Equilibrium
Adult
Anesthesia, Epidural*
Anesthesia, Obstetrical*
Anesthesia, Spinal*
Bupivacaine*
Cesarean Section*
Female
Humans
Infant, Newborn
Pain, Postoperative / prevention & control
Pregnancy
Chemical
Reg. No./Substance:
2180-92-9/Bupivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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