Racemic 0.25% bupivacaine and 50% enantiomeric excess (S75-R25) 0.25% bupivacaine associated to fentanyl for labor analgesia with patient's ambulation. Comparative study;Estudo comparativo entre bupivacaína racêmica a 0,25% e bupivacaína com excesso enantiomérico de 50% (S75-R25) a 0,25%, associadas ao fentanil para analgesia de parto com deambulação da parturiente

Revista Brasileira de Anestesiologia

Volumn 56, Issue 1, 2006, Pages 16-27

  Figueiredo Côrtes, Carlos Alberto ^a,b   Lima Castro, Luis Fernando ^a   Serafim, Maurício Marsaioli ^a   Oliveira, Amaury Sanchez ^a   Gelmini, Marcelo ^b   Petri, Rodrigo Betiol ^b  

^a CET/SBA   (Brazil)

^b NONE

Author keywords

Analgesia, Obstetric: labor; Analgesics, Opioids: fentanyl; Anesthetic Techniques, Regional: continuous epidural; Anesthetics, Local: racemic bupivacaine, 50 enantiomeric excess bupivacaine (S5 R25)

Indexed keywords

ADRENALIN; BUPIVACAINE; FENTANYL; OXYTOCIN;

ADOLESCENT; ADULT; ANESTHESIA LEVEL; APGAR SCORE; ARTICLE; CESAREAN SECTION; CLINICAL TRIAL; CONTINUOUS EPIDURAL ANESTHESIA; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DELIVERY; DRUG EFFICACY; DRUG FORMULATION; FEMALE; HEMODYNAMICS; HUMAN; LABOR; LABOR PAIN; MICTURITION; MOBILIZATION; MOTOR NERVE; MUSCLE STRENGTH; NERVE BLOCK; NORMAL HUMAN; OBSTETRIC ANALGESIA; RESPIRATORY FUNCTION; SENSORY NERVE; STATISTICAL SIGNIFICANCE;

EID: 33645346762     PISSN: 00347094     EISSN: 1806907X     Source Type: Journal    
DOI: 10.1590/s0034-70942006000100003     Document Type: Article

References (24)

1. Obstetrics & Gynecology - ACOG Practice Bulletin Clinical Management Guidelines for Obstetrician Gynecologists, no 36, July 2002. Vol 100, no1, July 2002.
2. Breen TW, McNeil T, Dierenfield L - Obstetric Anesthesia practice in Canadá. Can J Anesth, 2000;47:1230-1242.
3. Nageotte MP, Larson D, Rumney PJ et al - Epidural analgesia compared with combined spinal-epidural analgesia during labor in nulliparous women. N Engl J Med, 1997;337:1715-1719.
4. Simonetti MPB - Ropivacaína: estado atual e perspectivas futuras. Rev Bras Anestesiol, 1995;45:131-145.
5. Robinson JO, Rosen M, Evans JM et al - Maternal opinion about analgesia for labor. Acontrolled trial between epidural block and intramuscular pethidine combined with inhalation. Anaesthesia, 1980;35:1173-1181.
6. Thorp JA, Hu DH, Albin RM et al - The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial. Am J Obstet Gynecol, 1993;169:851-858.
7. Scott DB, Lee A, Fagan D et al - Acute toxicity of ropivacaine compared with that of bupivacaine. Anesth Analg, 1989;69:563-569.
8. Simonetti MPB, Batista RA, Ferreira FMC - Esteroisomeria, a interface da tecnologia industrial de medicamentos e da racionalização terapêutica. Rev Bras Anestesiol, 1998;48: 390-399.
9. Vale NB, Delfino J - A cosmologia e a esteroseletividade na anestesia regional. Novo desafio à indústria farmacêutica. Rev Bras Anestesiol, 2000;50:254-262.
10. Vallejo MC, Firestone LL - Effect of epidural analgesia with ambulation on labor duration. Anesthesiology, 2001;95:857-861.
11. Wilson MJ, Cooper G, MacArthur C et al - Randomized controlled trial comparing traditional with two "mobile" epidural techniques: anesthetic and analgesic efficacy. Anesthesiology, 2002;97:1567-1575.
12. Albright GA - Cardiac arrest following regional anesthesia with etidocaine or bupivacaine. Anesthesiology, 1979;51:285-287.
13. Steinberg RB, Powell G, Hu XH et al - Epidural sufentanil for analgesia for labor and delivery. Reg Anesth, 1989;14:225-228.
14. Polley LS, Columb MO, Wagner DS et al - Dose-dependent reduction of the minimum local analgesia concentration of bupivacaine by sufentanil for epidural analgesia in labor. Anesthesiology, 1998;89:626-632.
15. Pratt SD, Sarna MC, Soni AK et al - The effective concentration (Ec50) of ropivacaine with fentanil for labor epidural analgesia. Anesthesiology, 1997;87:3-910.
16. Chestnut DH, Vincent RD Jr, McGrath JM et al - Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are receiving intravenous oxytocin? Anesthesiology, 1994;80:1193-1200.
17. Norris MC, Fogel ST, Conway-Long C - Combined spinal-epidural versus epidural labor analgesia. Anesthesiology, 2001;95:913-920.
18. Holt RO, Diehl SJ, Wright JW - Station and cervical dilation at epidural placement in predicting cesarean risk. Obstet Gynecol, 1999;93:281-284.
19. Chestnut DH - Does epidural analgesia during labor affect the incidence of cesarean delivery? Reg Anesth, 1997;22:495-499.
20. Castro LFC, Cavalcanti FS, Oliveira AS et al - Analgesia peridural contínua com fentanil no trabalho de parto. Rev Bras Anestesiol, 1992;42 (Suppl15):45.
21. Gomes MEW, Balle VR, Machado SB et al - Estudo comparativo entre concentrações de bupivacaína a 0,125% e a 0,25% associada ao fentanil para analgesia de parto por via peridural. Rev Bras Anestesiol, 2004;54:467-472.
22. Cohen SE, Yeh JY, Riley ET et al - Walking with labor epidural analgesia: the impact of bupivacaine concentration and a lidocaine-epinephrine test doses. Anesthesiology, 2000;92:387-392.
23. Foster RH, Markham A - Levobupivacaine: a review of its pharmacology and use as local anaesthetic. Drugs, 2000;59:551-579.
24. Delfino J, Vale NB - Bupivacaína levógira a 0,5% pura versus mistura enantiomérica de bupivacaína (S75-R25) a 0,5% em anestesia peridural para cirurgia de varizes. Rev Bras Anestesiol, 2001;51:474-482.