A prospective randomized controlled study comparing efficacy of 0.2% ropivacaine, 0.125% levo-bupivacaine and 0.5% lignocaine in epidural labour analgesia
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: Lumbar epidural analgesia offers a safe and effective method of pain relief during labour. Low doses of local anesthetic or opioid combinations are administered (usually by infusion) to provide a continuous T10-L1 sensory block during the first stage of labor. Aim: To compare the efficacy of epidural labour analgesia using 0.125% levo-bupivacaine with 2mcg/ml fentanyl, 0.2% Ropivacaine with 2mcg/ml fentanyl and 0.5% lignocaine with 2mcg/ml fentanyl. Materials and Methods: Sixty parturients who were admitted to the antenatal ward and who requested pain relief during labor and who fulfilled the recruitment criteria were selected for the study. Results: 0.125% Levo-bupivacaine with 2mcg/ml fentanyl stands better than other two agents in providing satisfactory labour analgesia with very minimal side effects.
Authors and Affiliations
P S Shanmugam, Karthik Kumaran D, S Sowmya
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