Extension of epidural blockade in labour for emergency Caesarean section using 2% lidocaine with epinephrine and fentanyl, with or without alkalinisation
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摘要In a randomised, double-blind study, we investigated rapid extension of epidural analgesia to surgical anaesthesia for emergency Caesarean section. Parturients receiving epidural analgesia in labour who subsequently required Caesarean section were given a test dose of 3 ml lidocaine 2% with epinephrine 1 : 200 000, followed 3 min later by 12 ml hdocaine 2% with epinephrine 1 : 200 000 and fentanyl 75 mug, to which was added 1.2 nil sodium bicarbonate 8.4% (bicarbonate group; n = 20) or saline (saline group; n = 20). Mean (SD [range]) time to surgical anaesthesia. was less in the bicarbonate group (5.2 (1.5) [2-8] min) than the saline group (9.7 (1.6) [6-12] min; mean difference 4.5 min (95% CI 3.5-5.5) min; p < 0.001). Maternal side-effects and neonatal outcome were similar between groups. We conclude that pH-adjusted lidocaine 2% with epinephrine and fentanyl is effective for rapidly establishing surgical anaesthesia in patients with a functioning epidural catheter for labour who require emergency Caesarean section.
著者Lam DTC, Kee WDN, Khaw KS
期刊名稱Anaesthesia
出版年份2001
月份8
日期1
卷號56
期次8
出版社BLACKWELL SCIENCE LTD
頁次790 - 794
國際標準期刊號0003-2409
電子國際標準期刊號1365-2044
語言英式英語
關鍵詞anaesthesia, obstetric; anaesthetic techniques, epidural; local anaesthetics, lidocaine; surgery, Caesarean section
Web of Science 學科類別Anesthesiology; ANESTHESIOLOGY

上次更新時間 2021-13-01 於 23:38