Open AccessFentanyl versus tramadol with levobupivacaine for combined spinal-epidural analgesia in labor
Author(s) -
Chatrath,
Ranjana Khetarpal,
Sanjay Sharma,
Poonam Kumari,
. Sudha,
Kusum Bali
Publication year - 2015
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.154700
Subject(s) - medicine , levobupivacaine , fentanyl , anesthesia , tramadol , vomiting , nausea , neuraxial blockade , adverse effect , analgesic , local anesthetic , spinal anesthesia
Neuraxial labor analgesia using new local anesthetics such as levobupivacaine has become very popular by virtue of the safety and lesser motor blockade caused by these agents. Combined spinal-epidural analgesia (CSEA) has become the preferred method for labor analgesia as it combines benefits of both spinal analgesia and flexibility of the epidural catheter. Adding opioids to local anesthetic drugs provide rapid onset and prolonged analgesia but may be associated with several maternal and fetal adverse effects. The purpose of this study is to compare fentanyl and tramadol used in CSEA in terms of duration of analgesia and frequency of the adverse fetomaternal outcome.