Epidural and intrathecal narcotics in obstetrics

Current Opinion in Anaesthesiology

Volumn 10, Issue 3, 1997, Pages 199-202

  Grange, Caroline S ^a   Douglas, M Joanne ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

FENTANYL; LOCAL ANESTHETIC AGENT; NARCOTIC AGENT; OPIATE; SUFENTANIL;

EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; FEMALE; FETUS HEART RATE; HUMAN; HYPOTENSION; HYPOXEMIA; INTRATHECAL DRUG ADMINISTRATION; LABOR; OBSTETRIC ANALGESIA; POSTOPERATIVE ANALGESIA; PRIORITY JOURNAL; PRURITUS; RESPIRATION DEPRESSION; SHORT SURVEY; SOMNOLENCE; SPINAL ANESTHESIA; STOMACH EMPTYING;

EID: 0030754498     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001503-199706000-00008     Document Type: Short Survey

References (19)

1. Norris MC, Honet JE, Leighton BL, Arkoosh VA: A comparison of meperidine and lidocaine for spinal anesthesia for postpartum tubal ligation. Reg Anesth 1996, 21:84-88.
2. Butterworth J, Walker F: Is spinal anesthesia produced only by local anesthetics [Editorial]? Reg Anesth 1996, 21:81-83. This editorial discusses the available information on the mechanism of action of meperidine for spinal anaesthesia and points out the need for further studies.
3. Desprats R, Giroux M, Dumas JC, Campistron G, Teixeìra MG, Houin G, Grandjean H: Effect of adrenaline on plasma concentrations of fentanyl during epidural anaesthesia for caesarean section, Int J Obstet Anesth 1995, 4:225-229. This study found no difference in the cord fentanyl levels after epidural administration of fentanyl with or without adrenaline added to the local anaesthetic.
4. Goh JL, Evans SF, Pavy TJG: Patient-controlled epidural analgesia following caesarean delivery: a comparison of pethidine and fentanyl. Anaesth Intensive Care 1996, 24:45-50.
5. Cooper DW, Ryall DM, McHardy FE, Lindsay SL, Eldabe SS: Patient-controlled extradural analgesia with bupivacaine, fentanyl, or a mixture of both after caesarean section. Br J Anaesth 1996, 76:611-615.
6. Ngan Kee WD, Lam KK, Chen PP, Gin T: Epidural meperidine after cesarean section. A dose-reponse study. Anesthesiology 1996, 85:289-294. This excellent study found that increasing the dose of epidural meperidine above 25mg did not improve analgesia but did increase the side effects.
7. Cohen S, Amar D, Pantuck CB, Pantuck EJ, Goodman EJ, Leung DHY: Epidural analgesia for labour and delivery: fentanyl or sufentanil? Can J Anaesth 1996, 43:341-346.
8. Russell R, Reynolds F: Epidural infusion of low-dose bupivacaine and opioid in labour. Does reducing motor block increase the spontaneous delivery rate? Anaesthesia 1996, 51:266-273. This study did not find an improvement in spontaneous delivery rate despite decreasing the degree of motor block.
9. Kartawiadi SL, Vercauteren MP, Van Steenberge AL, Adriaensen HA: Spinal analgesia during labor with low-dose bupivacaine, sufentanil, and epinephrine. Reg Anesth 1996, 21:191-196.
10. Viscomi CM, Rathmell JP, Mason SB, Livermore M, Schapiro H: Analgesic efficacy and side effects of subarachnoid sufentanil-bupivacaine administered to women in advanced labor. Reg Anesth 1996, 21:424-429.
11. Buggy DJ, MacDowell C: Extradural analgesia with clonidine and fentanyl compared with 0.25% bupivacaine in the first stage of labour. Br J Anaesth 1996, 76:319-321.
12. Hamilton CL, Cohen SE: High sensory block after intrathecal sufentanil for labor analgesia. Anesthesiology 1995, 83:1118-1121.
13. Mandell GL, Jamnback L, Ramanathan S: Hemodynamic effects of subarachnoid fentanyl in laboring parturients. Reg Anesth 1996, 21:103-111. This study found that intrathecal fentanyl decreased the blood pressure but that this was not due to vasodilatation. The precise mechanism is still unknown.
14. Zimmermann DL, Breen TW, Fick G: Adding fentanyl 0.0002% to epidural bupivacaine 0.125% does not delay gastric emptying in laboring parturients. Anesth Analg 1996, 82:612-616. In contrast to earlier studies involving bolus fentanyl, this study found that gastric emptying was not delayed.
15. Porter JS, Bonello E, Reynolds F: The effect of epidural opioids on maternal oxygenation during labour and delivery. Anaesthesia 1996, 51:899-903.
16. Greenhalgh CA: Respiratory arrest in a parturient following intrathecal injection of sufentanil and bupivacaine. Anaesthesia 1996, 51:173-175.
17. Kendrick WD, Woods AM, Daly MY, Birch RFH, DiFazio C: Naloxone versus nalbuphine infusion for prophylaxis of epidural morphine induced pruritus. Anesth Analg 1996, 82:641-647.
18. Helbo-Hansen HS: Neonatal effects of maternally administered fentanyl, alfentanil and sufentanil. Baillieres Clin Anaesthesiol 1995, 9:675-689.
19. Nielsen PE, Erickson RJ, Abouleish El, Perriatt S, Sheppard C: Fetal heart rate changes after intrathecal sufentanil or epidural bupivacaine for labor analgesia: incidence and clinical significance. Anesth Analg 1996, 83:742-746. This study found changes in the fetal heart rate tracing after the use of both intrathecal sufentanil and epidural bupivacaine. Lack of a control group makes it difficult to draw firm conclusions.