Epidural fentanyl produces labor analgesia by a spinal mechanism

Anesthesiology

Volumn 88, Issue 6, 1998, Pages 1519-1523

  D'Angelo, Robert ^a,c   Gerancher, J C ^d   Eisenach, James C ^d   Raphael, Brenda L ^b  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b ALLEGHENY GENERAL HOSPITAL   (United States)

^c FORSYTH MEDICAL CENTER   (United States)

^d NONE

Author keywords

Opioid; Pain relief; Patient controlled epidural analgesia

Indexed keywords

BUPIVACAINE; FENTANYL;

ADULT; ARTICLE; CLINICAL TRIAL; CONTINUOUS INFUSION; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; FEMALE; HUMAN; HUMAN EXPERIMENT; HYPOTENSION; INTRAVENOUS DRUG ADMINISTRATION; NAUSEA; NORMAL HUMAN; OBSTETRIC ANALGESIA; PATIENT CONTROLLED ANALGESIA; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL;

ADULT; ANALGESIA, EPIDURAL; ANALGESIA, OBSTETRICAL; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, OPIOID; ANESTHETICS, INTRAVENOUS; FEMALE; FENTANYL; HUMANS; LABOR, OBSTETRIC; PREGNANCY;

EID: 0031749204     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-199806000-00016     Document Type: Article

References (30)

1. Chestnut DH, Vandewalker GE, Owen CL: The influence of continuous epidural bupivacaine analgesia on the second stage of labor and method of delivery in nulliparous women. ANESTHESIOLOGY 1987; 66:774-80
2. Russell R: Assessment of motor blockade during epidural analgesia in labour. Int J Obstet Anesth 1992; 1:230-4
3. Elliot RD: Continuous infusion epidural analgesia for obstetrics: Bupivacaine versus bupivacaine-fentanyl mixture. Can J Anaesth 1991; 38:303-10
4. Cohen S, Tan S, Albright G, Halpren J: Epidural fentanyl-bupivacaine mixtures for obstetric analgesia. ANESTHESIOLOGY 1987; 67:403-7
5. Vella L, Willatts D, Knott C, Lintin DJ, Justins DM, Reynolds F: Epidural fentanyl in labour: An evaluation of the systemic contribution to analgesia. Anaesthesia 1985; 40:741-7
6. Cellano D, Capogna G: Epidural fentanyl plus bupivacaine 0.125 percent for labour: Analgesic effects. Can J Anaesth 1988; 35:375-8
7. Chestnut DH, Owen CL, Bates JN, Ostman LG, Choi WW, Geiger MW: Continuous infusion epidural analgesia during labor: A randomized, double-blind comparison of 0.0625% bupivacaine/0.0002% fentanyl versus 0.125% bupivacaine. ANESTHESIOLOGY 1988; 68:754-9
8. Lyons G, Columb M, Hawthorne L, Dresner M: Extradural pain relief in labour: Bupivacaine sparing by extradural fentanyl is dose dependent. Br J Anaesth 1997; 78:493-7
9. Liu SS, Gerancher JC, Bainton BG, Kopacz DJ, Carpenter RL: The effect of electrical stimulation at different frequencies an perception and pain in human volunteers: Epidural versus intravenous administration of fentanyl. Anesth Analg 1996; 82:98-102
10. Coda BA, Brown MC, Schaffer R, Donaldson G, Jacobson R, Hautman B, Shen DD: Pharmacology of epidural fentanyl, alfentanil, and sufentanil in volunteers. ANESTHESIOLOGY 1994; 81:1149-61
11. Justins DM, Francis D, Houlton PG, Reynolds F: A controlled trial of extradural fentanyl in labour. Br J Anaesth 1982; 54:409-13
12. Reynolds F, O'Sullivan G: Epidural fentanyl and perineal pain in labour. Anaesthesia 1989; 44:341-4
13. Ellis DJ, Millar WL, Reisner LS: A randomized double-blind comparison of epidural versus intravenous fentanyl infusion for analgesia after cesarean section. ANESTHESIOLOGY 1990; 72:981-6
14. Welchew EA, Breen DP: Patient-controlled on-demand epidural fentanyl. Anaesthesia 1991; 46:438-41
15. Salomaki TE, Laitinen JO, Nuutinen LS: A randomized double-blind comparison of epidural versus intravenous fentanyl infusion for analgesia after thoracotomy. ANESTHESIOLOGY 1991; 75:790-5
16. Grant RP, Dolman JF, Harper JA, White SA, Parsons DG, Evans KG, Merrick PC: Patient-controlled epidural fentanyl compared with patient-controlled intravenous fentanyl for post-thoracotomy pain. Can J Anesth 1992; 39:214-9
17. Sandler AN, Stringer D, Panos L, Badner N, Friedlander M, Koren G, Katz J, Klein J: A randomized, double-blind comparison of lumbar epidural and intravenous fentanyl infusions for post thoracotomy pain relief. ANESTHESIOLOGY 1992; 77:626-4
18. Glass PS, Estok P, Ginsberg B, Goldberg JS, Sladen RN: Use of patient-controlled analgesia to compare the efficacy of epidural to intravenous fentanyl administration. Anesth Analg 1992; 74:345-51
19. Guinard JP, Mavrocordatos P, Chiolero R, Carpenter RL: A randomized comparison of intravenous versus lumbar and thoracic epidural fentanyl for analgesia after thoracotomy. ANESTHESIOLOGY 1992; 77:1108-15
20. Baxter AD, Laganiere S, Samson B, Stewart J, Hull K, Goernert L: A comparison of lumbar epidural and intravenous fentanyl infusions for post-thoracotomy analgesia. Can J Anaesth 1994; 41:184-91
21. Harukuni I, Yamaguchi H, Sato S, Naito H: The comparison of epidural fentanyl, epidural lidocaine, and intravenous fentanyl in patients undergoing gastrectomy. Anesth Analg 1995; 81:1169-74
22. Maves TJ, Gebhart GF: Antinociceptive synergy between intrathecal morphine and lidocaine during visceral and somatic nociception in the rat. ANESTHESIOLOGY 1992; 76:91-9
23. Penning JP, Yakish TL: Interaction of intrathecal morphine with bupivacaine and lidocaine in the rat. ANESTHESIOLOGY 1992; 77:1186-200
24. Chestnut D: Obstetrical Anesthesia, Principle and Practice, First Edition. St. Louis, Mosby, 1994, pp 316-7
25. Bonica JJ: The nature of pain of parturition. Clin Obstet Gynaecol 1975; 2:511
26. Gould SF: Obstetrics, Normal and Problem Pregnancies. Edited by SG Gabbe, JR Niebyl, JL Simpson. New York, Churchill Livingstone, 1986, pp 3-38
27. Scott PV, Bowen FE, Carrwright P, Rao BC, Deeley D: Intrathecal morphine as sole analgesic during labour. BMJ 1980; 281:351-3
28. Baraka A, Noueihid R, Hajj S: Intrathecal injection of morphine for obstetric analgesia. ANESTHESIOLOGY 1981; 54:136-40
29. Honet J, Arkoosh V, Norris M, Huffnagle HJ, Silverman NS, Leighton BL: Comparison among intrathecal fentanyl, meperidine, and sufentanil for labor analgesia. Anesth Analg 1992; 75:734-9
30. Gourley GK, Murphy TM, Plummer JI, Kowalski SR, Cherry DA: Pharmacokinetics of fentanyl in lumbar and cervical CSF following lumbar epidural and intravenous administration. Pain 1989; 38:252-9