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ropivacaine fentanyl epidural

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https://www.readbyqxmd.com/read/27871585/optimal-epidural-analgesia-for-patients-diagnosed-as-having-gynecologic-cancer-undergoing-interstitial-brachytherapy
#1
Ashley K Amsbaugh, Mark J Amsbaugh, Moataz N El-Ghamry, Brian M Derhake
STUDY OBJECTIVE: To determine the optimal epidural analgesia for patients receiving interstitial brachytherapy (ISBT) for gynecologic cancers. DESIGN: Retrospective analysis. SETTING: Operating room and hospital ward. PATIENTS: Seventy-three patients diagnosed as having gynecologic cancer and undergoing ISBT. INTERVENTIONS: Twelve patients received ropivacaine alone, 14 patients received ropivacaine with fentanyl, and 45 patients received ropivacaine with hydromorphone by epidural infusion...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27746539/levobupivacaine-for-labor-analgesia
#2
Joginder Pal Attri, Reena Makhni, Savinder Sethi
BACKGROUND: Combined spinal-epidural analgesia has become the preferred technique for labor analgesia as it combines the benefits of both spinal analgesia and flexibility of epidural catheter. Study was carried out with the primary aim to compare levobupivacaine and ropivacaine with fentanyl in terms of onset and duration of sensory block and to know maternal and fetal outcome. MATERIALS AND METHODS: In a prospective randomized double-blind study, 60 primipara of the American Society of Anesthesiologists health status Class I and II with singleton pregnancy in active stage of labor were randomly allocated into two groups of 30 each...
September 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27687384/effect-of-thoracic-epidural-analgesia-on-recovery-of-bowel-function-after-major-upper-abdominal-surgery
#3
Jin Hee Ahn, Hyun Joo Ahn
STUDY OBJECTIVE: We investigated whether thoracic epidural analgesia (TEA) shortens the first gas-out time compared to intravenous patient-controlled analgesia (iv-PCA) and promotes earlier discharge after major upper abdominal surgery. DESIGN: Prospective observational study. SETTING: A tertiary care university hospital. PATIENTS: Fifty-six patients undergoing major upper abdominal surgery. INTERVENTIONS: TEA (n=28) was performed using a paramedian approach at T6-7 or T7-8...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27307763/postoperative-epidural-analgesia-for-patients-undergoing-pectus-excavatum-corrective-surgery-a-10-year-retrospective-analysis
#4
Asad Siddiqui, Andrew Tse, James E Paul, Peter Fitzgerald, Bernice Teh
INTRODUCTION: Managing postoperative pain in patients undergoing minimally invasive pectus excavatum repair (Nuss procedure) is challenging but essential in facilitating ambulation and minimizing the length of stay. Although multiple epidural regimens with varying opioids are presently used for pain management, there is currently no clinical consensus regarding which epidural regimen provides the best analgesia outcomes with the fewest side effects. This 10-year retrospective cohort study was performed to compare the quality of analgesia and the incidence of side effects associated with the three most common epidural regimens used at a tertiary care children's hospital, in patients undergoing the Nuss procedure...
2016: Local and Regional Anesthesia
https://www.readbyqxmd.com/read/27290966/effects-of-intraoperative-high-dose-vs-low-dose-remifentanil-for-postoperative-epidural-analgesia-after-gynecological-abdominal-surgery-a-randomized-clinical-trial
#5
Soichiro Yamashita, Takako Yokouchi, Makoto Tanaka
STUDY OBJECTIVES: To evaluate whether intraoperative high-dose remifentanil infusion increased local anesthetic consumption in postoperative epidural analgesia and postoperative pain scores compared with low-dose remifentanil infusion. DESIGN: Prospective, randomized controlled study. SETTING: Operating room, university hospital. PATIENTS: Thirty female patients scheduled for elective gynecological abdominal surgery...
August 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27212771/intravenous-analgesia-with-opioids-versus-femoral-nerve-block-with-0-2-ropivacaine-as-preemptive-analgesic-for-fracture-femur-a-randomized-comparative-study
#6
Arvinder Pal Singh, Vaneet Kohli, Sukhminder Jit Singh Bajwa
BACKGROUND AND OBJECTIVE: Femoral fractures are extremely painful and pain invariably worsens on any movement. Anesthesia for fracture femur surgery is usually provided by spinal block. This study was undertaken to compare the analgesic effects of femoral nerve block (FNB) using nerve stimulator with 0.2% ropivacaine (15 ml) and intravenous (I.V.) fentanyl before patient positioning for fracture femur surgery under spinal anesthesia. MATERIALS AND METHODS: A prospective, randomized, double-blind, comparative study was conducted on 60 American Society of Anesthesiologists I and II patients (18-60 years) scheduled for femur surgery under combined spinal epidural anesthesia...
May 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27025134/-perioperative-epidural-analgesia-in-lung-surgery-in-low-functional-respiratory-reserve-patients
#7
V E Gruzdev, E S Gorobets
It is now proven that the use of thoracic epidural blockage in thoracic surgery results in a significant reduction in the incidence of pulmonary infection, reduces the duration of postoperative mechanical ventilation and length of stay in the ICU. Moreover, the epidural analgesia is the most effective way of pain relief which is especially important after lung operations. Finding the most optimal variant of the method has drawn attention to a procedure based on the use of small doses of local anesthetic (ropivacaine), opioid (fentanyl) and epinephrine, as proposed by the Norwegian anesthesiologists Breivik and Niemi...
November 2015: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/27017761/-postoperative-analgesia-for-video-assisted-thoracoscopic-surgery-continuous-intravenous-infusion-of-fentanyl-combined-with-intercostal-nerve-block-v-s-continuous-epidural-analgesia
#8
Kanako Hiro, Tomohiro Sugiyama, Masashi Kurata, Yumiko Oi, Masahiro Okuda
BACKGROUND: Epidural analgesia or paravertebral block is widely used in postoperative analgesia for video-assisted thoracic surgery (VATS). We investigated the efficacy of the continuous intravenous infuion of fentanyl combined with intercostal nerve block, in comparison with the continuous epidural analgesia. METHODS: Forty-one patients received a bolus of 0.375% ropivacaine 6-10 ml through the epidural catheter placed at the T5-9 at the end of surgery. Then, continuous epidural infusion of 0...
February 2016: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/27013750/maternal-and-foetal-outcome-after-epidural-labour-analgesia-in-high-risk-pregnancies
#9
Sukhen Samanta, Kajal Jain, Neerja Bhardwaj, Vanita Jain, Sujay Samanta, Rini Saha
BACKGROUND AND AIMS: Low concentration local anaesthetic improves uteroplacental blood flow in antenatal period and during labour in preeclampsia. We compared neonatal outcome after epidural ropivacaine plus fentanyl with intramuscular tramadol analgesia during labour in high-risk parturients with intrauterine growth restriction of mixed aetiology. METHODS: Forty-eight parturients with sonographic evidence of foetal weight <1.5 kg were enrolled in this non-randomized, double-blinded prospective study...
February 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27006539/double-blind-comparison-of-combination-of-0-1-ropivacaine-and-fentanyl-to-combination-of-0-1-bupivacaine-and-fentanyl-for-extradural-analgesia-in-labour
#10
Kishori Dhaku Bawdane, Jyoti S Magar, Bharati A Tendolkar
BACKGROUND AND AIMS: Ropivacaine is considered as a safe alternative to bupivacaine for labor analgesia. The aim was to compare epidural ropivacaine and bupivacaine in intermittent doses for obstetric analgesia. MATERIAL AND METHODS: In this prospective, randomized, double-blind study, 60 women in labor were randomly allocated to receive either bupivacaine 0.1% with fentanyl 2 μg/mL (BF), or ropivacaine 0.1% with fentanyl 2 μg/mL (RF). Bromage scale, loss of cold sensation to ether swab in midclavicular line, visual analog scale were used to test for motor block, sensory block and pain, respectively...
January 2016: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/26787345/a-prospective-randomized-comparative-study-of-postoperative-pain-control-using-an-epidural-catheter-in-patients-undergoing-posterior-lumbar-interbody-fusion
#11
Si Young Park, Howard S An, Soon Hyuck Lee, Seung Woo Suh, Jeong Lae Kim, Seung Joo Yoon
PURPOSE: To assess the efficacy of continuous epidural infusion analgesia (ED) with 0.2 % Ropivacaine versus IV PCA (Fentanyl) in spinal fusion surgery patients. METHOD: A prospective randomized comparative clinical trial. Patients were randomized into one of two groups-the epidural group (ED-51 patients) and the IV PCA group (IV-43 patients). The epidural catheter tip was placed one level cephalad to the level of the PLIF in patients in the ED group. Patients were assessed by determining the pain score, cumulative opioid requirement, adverse effects, and satisfaction...
May 2016: European Spine Journal
https://www.readbyqxmd.com/read/26702203/ropivacaine-0-025-mixed-with-fentanyl-3-0-%C3%AE-g-ml-and-epinephrine-0-5-%C3%AE-g-ml-is-effective-for-epidural-patient-controlled-analgesia-after-cesarean-section
#12
Shaul Cohen, Renu Chhokra, Mark H Stein, John T Denny, Shruti Shah, Adil Mohiuddin, Rotem Naftalovich, Rong Zhao, Anna Pashkova, Noah Rolleri, Arpan G Patel, Christine W Hunter-Fratzola
BACKGROUND AND AIMS: We aimed to determine the ropivacaine concentration that provided adequate analgesia with early ambulation and minimal urinary retention or other side-effects when used with fentanyl and epinephrine for patient-controlled epidural analgesia (PCEA) after elective cesarean section. MATERIAL AND METHODS: Forty-eight patients were randomized to four groups in a double-blinded fashion. All groups received an initial 10 ml/h of epidural study solution for 24 h...
October 2015: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/26689070/-anesthetic-management-of-a-dialysis-patient-with-chronic-inflammatory-demyelinating-polyneuropathy
#13
Yoshihiro Takahashi, Koji Hara, Takeyoshi Sata
We report the successful management of anesthesia in a 46-year-old male dialysis patient with chronic inflammatory demyelinating polyneuropathy (CIDP). He underwent an osteosynthesis of the ankle joint using general anesthesia combined with epidural anesthesia. The anesthetic concerns in patients with CIDP are the possibility of postoperative respiratory dysfunction due to anesthetics or muscle relaxants and that of postoperative neurological deterioration due to spinal or epidural anesthesia. In this case, sevoflurane (1...
November 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26437561/-a-case-of-suspected-delayed-postoperative-malignant-hyperthermia
#14
Yumiko Kohno, Keiko Koishi, Tomoki Nishiyama
Malignant hyperthermia occurred 10 hours after surgery in a 72-year-old man who had received emergency laparoscopic cholecystectomy for severe acute cholecystitis with cholelethiasis. He had a high fever (39.4 degrees C) with liver damage before surgery. Anesthesia was induced with propofol and fentanyl and maintained with sevoflurane and epidural block using ropivacaine. Rocuronium was used as a muscle relaxant During surgery, body temperature decreased by cooling the body surface, but tachycardia continued...
June 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26417128/caudal-epidural-bupivacaine-versus-ropivacaine-with-fentanyl-for-paediatric-postoperative-analgesia
#15
Swapnadeep Sengupta, Sudakshina Mukherji, Jagabandhu Sheet, Anamitra Mandal, Sarbari Swaika
BACKGROUND AND AIMS: Caudal-epidural, the most commonly used regional analgesia technique, is virtually free of measurable hemodynamic effects, thus adding a new dimension to the evolving necessity of pediatric postoperative pain management. Though, bupivacaine is the most commonly used drug for this purpose, ropivacaine has emerged as a safer alternative, with the addition of opioids, like fentanyl, increasing the effective duration of analgesia. With this overview, our present study was designed to compare the postoperative analgesic efficacy of bupivacaine-fentanyl and ropivacaine-fentanyl combinations by caudal-epidural technique in pediatric infraumbilical surgeries...
May 2015: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26061307/epidural-analgesia-with-bupivacaine-and-fentanyl-versus-ropivacaine-and-fentanyl-for-pain-relief-in-labor-a-meta-analysis
#16
COMPARATIVE STUDY
Shanbin Guo, Bo Li, Chengjie Gao, Yue Tian
The aim of this study was to compare the efficacy and safety of the combinational use of bupivacaine and fentanyl versus ropivacaine and fentanyl in epidural analgesia for labor. Multiple electronic databases were searched by using appropriate MeSH terms, and keywords for original research papers published before October 2014. Meta-analyses were based on mean differences between the groups as well as odds ratios. Statistical heterogeneity was tested by I² index. Fifteen randomized controlled trials, recruiting 2097 parturient mothers overall, were selected for the meta-analyses...
June 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26046455/epinephrine-adjuvant-reduced-epidural-blood-vessel-penetration-incidence-in-a-randomized-double-blinded-trial
#17
J T Denny, S Cohen, M H Stein, T Banerjee, R Naftalovich, C W Hunter-Fratzola
BACKGROUND: Accidental intravascular injection is a significant and potentially devastating risk of epidural block, particularly in parturients whose epidural veins are engorged and hence more easily pierced. This prospective randomized, double-blinded study determined whether the addition of epinephrine to epidural ropivacaine administered by gravity before catheter insertion was associated with fewer epidural catheter blood vessel penetrations. METHOD: Four hundred and two parturient patients receiving epidural block for elective C/S were randomly allocated to two groups; group I (n = 201) received only ropivacaine 0...
November 2015: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/25948908/a-comparison-of-continuous-infusion-and-intermittent-bolus-administration-of-0-1-ropivacaine-with-0-0002-fentanyl-for-epidural-labor-analgesia
#18
Chinmayi Surendra Patkar, Kalpana Vora, Harshal Patel, Veena Shah, Manisha Pranjal Modi, Geeta Parikh
BACKGROUND AND AIMS: Minimal consumption of local anesthetic and opioid for epidural labor analgesia has been advocated for safe obstetric outcome and superior maternal satisfaction. The primary objective of this study was to evaluate and compare the analgesic efficacy of mode of administration of epidural 0.1% ropivacaine with 0.0002% fentanyl via continuous infusion or intermittent boluses during labor. MATERIAL AND METHODS: Sixty term primi or second gravida healthy parturients in labor requesting epidural analgesia were recruited in this study...
April 2015: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/25936784/pencil-point-needle-bevel-direction-influences-ed50-of-isobaric-ropivacaine-with-fentanyl-in-spinal-anesthesia-for-cesarean-delivery-a-prospective-double-blind-sequential-allocation-study
#19
RANDOMIZED CONTROLLED TRIAL
K Stroumpoulis, E Stamatakis, P Koutroumanis, A Loukeri, D Valsamidis
BACKGROUND: There is little evidence on the influence of bevel direction of a pencil-point needle on the median effective dose (ED50) of isobaric ropivacaine and fentanyl in spinal anesthesia for cesarean delivery. METHODS: In this prospective, double-blind, sequential allocation study, 82 parturients scheduled for elective cesarean delivery under combined spinal-epidural anesthesia were included. We sought to determine the median effective dose of intrathecal 0...
August 2015: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/25904383/fentanyl-with-ropivacaine-infusion-for-postoperative-pain-relief-in-infants-and-children-kinetics-of-epidural-fentanyl
#20
Magdalena Karas-Trzeciak, Tomasz Grabowski, Bogumila Woloszczuk-Gebicka, Beata Borucka
OBJECTIVES: The aim of the study was to evaluate pharmacokinetics of fentanyl administered as continuous epidural infusion with 0.2% ropivacaine for postoperative pain relief in infants and toddlers, and older children undergoing major abdominal and urological procedures. METHODS: Thirteen infants and toddlers (median age 14 [range 3-36] months, 11 [5-17] kg, Group I) and 11 children (68 [45-131] months, 21 [16-52] kg, Group II) participated in the study. Epidural catheter was placed under general anesthesia in the L1-L2, L2-L3, or L3-L4 epidural space and threaded up to 4 cm into the epidural space...
August 2015: Paediatric Anaesthesia
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