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Motor blockade is reduced with ropivacaine 0.125% for parturient-controlled epidural analgesia during labour


, : Motor blockade is reduced with ropivacaine 0.125% for parturient-controlled epidural analgesia during labour. Canadian Journal of Anaesthesia 46(11): 1019-1023

Purpose: To compare the effect on the incidence of motor block by reducing the concentration of ropivacaine from 0.2% to 0.125% in parturient-controlled epidural analgesia (PCEA) for labour. Methods: Randomized, controlled and double- blind trial involving parturients in early labour who received demand-only PCEA regimen (bolus 5 ml, lockout 10 min, maximum volume per hour of 20 ml) with either 0.2% (R0.2 group, n = 25) or 0.125% (R0.125 group, n = 25) ropivacaine. Pain scores, the degree of motor block, the rate of drug consumption, the proportion of good to total PCEA demands and the overall satisfaction scores were documented. Results: Fewer parturients in the R0.125 group had lower limb motor block (4 vs II, P < 0.05) although the degree of block was mild in all the affected parturients. The ratio of good to total PCEA demands was more favourable in the R0.2% group (median 0.72 vs 0.52, P < 0.01) although the hourly rate of ropivacaine consumption, the degree of pain relief, the maternal-fetal outcome and the overall satisfaction scores were similar. Conclusion: Both ropivacaine 0.2% and 0.125% provided comparably effective analgesia but motor block occurred more commonly in the 0.2% group.

US$19.90

PMID: 10566920

DOI: 10.1007/BF03013195


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Freitas, R.Moreno.de.; Spin-Neto, R.; Marcantonio Junior, E.; Pereira, Lís.Antônio.Violin.Dias.; Wikesjö, U.M.E.; Susin, C., 2013: Alveolar ridge and maxillary sinus augmentation using rhBMP-2: a systematic review. The aim of this systematic review was to evaluate clinical and safety data for recombinant human bone morphogenetic protein-2 (rhBMP-2) in an absorbable collagen sponge (ACS) carrier when used for alveolar ridge/maxillary sinus augmentation in hum...

Arroyo, M.V.A.varez; Yague, S.; Ritz, D.H.; Wenger, R.; Salomon, M.E.; Caramelo, C., 2000: Role of cyclophilin and vascular endothelial growth factor in cyclosporin A endothelial cell protection. Nephrology Dialysis Transplantation 15(9): A247, September

Dristas J.A., 1985: Study of the clay deposits of Cerro Reconquista, San Manuel, northern mountains of Buenos Aires Province. Actas del Congreso Geologico Argentino 9(5): 507-521

Fénelon, G., 1990: Non-traumatic coma. Diagnostic orientation and management. La Revue du Praticien 40(8): 754-756

Bardon, Mf, 1980: Methanol and ethanol as gas turbine fuels Biomass fuels for use in gas powered turbins. Proceedings of the IV International Symposium on Alcohol Fuels Technology Guaruja SP Brasil 5-8 Oct 1980: 395

Umhoefer Paul J.; Schiarizza Paul, 1993: Timing and offset on strike-slip faults in the SE coast belt, B.C. and WA., and 40-80 Ma fault reconstructions. Abstracts with Programs - Geological Society of America 25(5): 156

Brown David J., 1983: Groundwater contamination from the McVille waste stabilization ponds. Proceedings of the North Dakota Academy of Science 37: 37

Tung, J.S.; Shen, F.W.; Viamontes, G.; Palladino, M.; Fleissner, E., 1982: The same genetic locus directs differentiation-linked expression of endogenous retrovirus gp70 on thymocytes and spleen cells in the mouse. Spleen cells of mice of the 129 and C57BL/6 strains and their congenic derivatives were surface-radioiodinated, and the cells were lysed with detergents. A group-specific goat anti-MuLV-gp 70 serum was reacted with the cell lysates, and the immuno...

van Mastrigt Piet; Vaage Svein; Dunn Marie; Pramik Bill, 2002: Improvements in 3-D marine acquisition using continuous long offset (CLO). The Leading Edge (Tulsa, OK) 21(4): 394, 399

Kumon K.; Hirata T.; Tanaka K.; Nakajima N.; Fujita T., 1987: Successful treatment of multiple organ failure by plasma exchange. Oda, T , Y Shiokawa And N Inoue Isao (International Society For Artificial Organs) Press Publication, No 311 Proceedings Of The First International Congress Of The World Apheresis Association: Therapeutic Plasmapheresis (Vi); Tokyo, Japan, May 1986 Xvi+810p Isao Press: Cleveland, Ohio, Usa Illus Paper 431-435