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Parturient‐controlled epidural analgesia during labour: bupivacaine vs. ropivacaine
Author(s) -
Chua N. P.,
Sia A. T.,
Ocampo C. E.
Publication year - 2001
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2001.02321.x
Subject(s) - medicine , ropivacaine , bupivacaine , anesthesia , bolus (digestion) , regimen , surgery
In this randomised, controlled study, we compared the hourly dose requirement of ropivacaine 0.125% (group R, n = 16) with bupivacaine 0.125% (group B, n = 16) provided by demand‐only (bolus 5 ml, lockout 10 min) parturient‐controlled epidural analgesia during labour. The hourly dose requirement was comparable although group R had a lower successful to total demands ratio (p < 0.05). We also found that both groups were clinically indistinguishable in terms of pain relief and side‐effects. No difference in maternal or fetal outcome was detected. We conclude that, at a concentration of 0.125%, ropivacaine and bupivacaine were equally effective when self‐administered using this patient‐controlled regimen.