Intrathecal bupivacaine reduces pruritus and prolongs duration of fentanyl analgesia during labor: A prospective, randomized controlled trial

Anesthesia and Analgesia

Volumn 87, Issue 6, 1998, Pages 1309-1315

  Asokumar, Buvanendran ^a   Michael Newman, L ^a   McCarthy, Robert J ^a   Ivankovich, Anthony D ^a   Tuman, Kenneth J ^a,b  

^a RUSH MEDICAL COLLEGE   (United States)

^b RUSH UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; EPHEDRINE; FENTANYL; NALOXONE; RINGER LACTATE SOLUTION; SODIUM CHLORIDE;

ADULT; ANESTHESIA LEVEL; ARTICLE; CLINICAL PROTOCOL; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EPIDURAL ANESTHESIA; FACE; FEMALE; HUMAN; INCIDENCE; INTRATHECAL DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; MAJOR CLINICAL STUDY; MUSCLE STRENGTH; OBSTETRIC ANALGESIA; PAIN ASSESSMENT; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; SPINAL ANESTHESIA;

EID: 0031768610     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/00000539-199812000-00018     Document Type: Article

References (22)

1. Palmer CM, Cork RC, Hays R, et al. The dose-response relation of intrathecal fentanyl for labor analgesia. Anesthesiology 1998; 88:355-61.
2. Honet JE, Arkoosh VA, Norris MC, et al. Comparison among intrathecal fentanyl, meperidine and sufentanil for labor analgesia. Anesth Analg 1992;75:743-9.
3. Richardson MG, Thakur R, Abramowicz JS, Wissler RN. Maternal posture influences the extent of sensory block produced by intrathecal dextrose-free bupivacaine with fentanyl for labor analgesia. Anesth Analg 1996;83:1229-33.
4. Chestnut DH. Obstetrics anesthesia: principles and practice. St. Louis, MO: Mosby, 1995, 391.
5. Collis RE, Baxandall ML, Srikantharajah D, et al. Combined spinal epidural (CSE) analgesia: technique, management, and outcome of 300 mothers. Int J Obstet Anesth 1994;3:75-81.
6. Chadwick HS, Ready LB. Intrathecal and epidural morphine sulphate for postcesarean analgesia: a clinical comparison. Anesthesiology 1988;68:925-9.
7. Cohen SE, Cherry CM, Holbrook RH Jr, et al. Intrathecal sufentanil for labor analgesia: sensory changes, side effects, and fetal heart rate changes. Anesth Analg 1993;77:1155-60.
8. Pert CB, Snyder SH. Opiate receptor: demonstration in nervous tissue. Science 1973;179:1011-4.
9. Ballantyne JC, Loach AB, Carr DB. Itching after epidural and spinal opiates. Pain 1988;33:149-60.
10. Penning JP, Samson B, Baxter AD. Reversal of epidural morphine-induced respiratory depression and pruritus with nalbuphine. Can J Anaesth 1988;35:599-604.
11. Henderson SK, Cohen H. Nalbuphine augmentation of analgesia and reversal of side effects following epidural hydromorphone. Anesthesiology 1986;65:216-8.
12. Thomas DA, Williams GM, Iwata K, et al. The medullary dorsal horn: a site of action of morphine in producing facial scratching in monkeys. Anesthesiology 1993;79:548-54.
13. Scott PV, Fischer HBJ. Spinal opiate analgesia and facial pruritus: a neural theory. Postgrad Med J 1982;58:531-5.
14. Tejwani GA, Rattan AK, McDonald JS. Role of spinal opioid receptors in the antinociceptive interactions between intrathecal morphine and bupivacaine. Anesth Analg 1992;74:726-34.
15. Werz MA, McDonald RL. Dynorphin reduces calcium dependent action duration by decreasing voltage-dependent calcium conductance. Neurosci Lett 1984;46:185-90.
16. Ackerman W, Juneja M, Kaczorowski D, Colclough G. A comparison of the incidence of pruritus following epidural opioid administration in the parturients. Can J Anaesth 1989;36:388-91.
17. Abboud TK, Goebesmann U, Raya J, et al. Effects of intrathecal morphine during labor on maternal plasma beta-endorphin levels. Am J Obstet Gynecol 1984;149:709-10.
18. Campbell DC, Camann WR, Datta S. The addition of bupivacaine to intrathecal sufentanil for labor analgesia. Anesth Analg 1995;81:305-9.
19. Pan PH, Fragnetto R, Moore C, et al. Effects of bupivacaine on intrathecal fentanyl for labor analgesia [abstract]. Anesthesiology 1996;85:A865.
20. Courtney MA, Bader AM, Hartwell B, et al. Perioperative analgesia with subarachnoid sufentanil administration. Reg Anesth 1992;17:274-8.-
21. Mandell GL, Jamnback L, Ramanathan S. Hemodynamic effects of subarachnoid fentanyl in laboring parturients. Reg Anesth 1996;21:103-11.
22. Cascio M, Pygon B, Bernett C, Ramanathan S. Labour analgesia with intrathecal fentanyl decreases maternal stress. Can J Anaesth 1997;44:605-9.