Abstract | BACKGROUND: METHODS: Parturients were randomly assigned to receive intravenous patient-controlled analgesia with remifentanil (n=10) or epidural analgesia (n=10). Pain and satisfaction scores were assessed every hour by means of visual analogue scale, together with an observer sedation score. Side effects and neonatal outcome were noted. RESULTS: After one hour, visual analogue pain scores had decreased significantly in both groups ( remifentanil: -3.8 ± 2.6, P<0.01; epidural -6.7 ± 2.0, P<0.01). The decrease in pain scores in the epidural group was significantly greater than the remifentanil group at all time intervals. The decrease in pain scores was sustained in the epidural group whereas in the remifentanil group pain scores increased over time. Oxygen saturation was significantly lower in the remifentanil group after one hour of treatment compared to the epidural group (95.2 ± 2.4% vs. 99.0 ± 1.1%, P<0.01). Patient satisfaction scores during and after delivery were similar in both groups. No differences were found in neonatal outcome. CONCLUSIONS:
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Authors | M R Douma, J M Middeldorp, R A Verwey, A Dahan, R Stienstra |
Journal | International journal of obstetric anesthesia
(Int J Obstet Anesth)
Vol. 20
Issue 2
Pg. 118-23
(Apr 2011)
ISSN: 1532-3374 [Electronic] Netherlands |
PMID | 21376564
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2010 Elsevier Ltd. All rights reserved. |
Chemical References |
- Amides
- Analgesics, Opioid
- Anesthetics, Local
- Piperidines
- Ropivacaine
- Sufentanil
- Remifentanil
- Oxygen
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Topics |
- Adult
- Amides
(administration & dosage)
- Analgesia, Epidural
- Analgesia, Obstetrical
- Analgesia, Patient-Controlled
- Analgesics, Opioid
(administration & dosage)
- Anesthetics, Local
(administration & dosage)
- Female
- Humans
- Oxygen
(blood)
- Pain Measurement
- Piperidines
(administration & dosage)
- Pregnancy
- Remifentanil
- Ropivacaine
- Sufentanil
(administration & dosage)
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