Addition of epinephrine to intrathecal bupivacaine and sufentanil for ambulatory labor analgesia.

BackgroundThe intrathecal combination of sufentanil and bupivacaine provides rapid, effective analgesia for labor with a limited duration. Many anesthesiologists have concerns that the use of intrathecal local anesthetics precludes maternal ambulation. This prospective, randomized, double-blind stud

[1]  M. Vercauteren,et al.  Spinal Analgesia During Labor With Low-dose Bupivacaine, Sufentanil, and Epinephrine: A Comparison With Epidural Analgesia , 1995, Regional Anesthesia & Pain Medicine.

[2]  S. Datta,et al.  The Addition of Bupivacaine to Intrathecal Sufentanil for Labor Analgesia , 1995, Anesthesia and analgesia.

[3]  James,et al.  Intrathecal sufentanil labor analgesia: the effects of adding morphine or epinephrine. , 1994, Anesthesia and analgesia.

[4]  D. Penning,et al.  Does early administration of epidural analgesia affect obstetric outcome in nulliparous women who are in spontaneous labor , 1994 .

[5]  Y. El‐Sayed,et al.  Intrathecal sufentanil for labor analgesia--sensory changes, side effects, and fetal heart rate changes. , 1993, Anesthesia and analgesia.

[6]  N. Oriol,et al.  Epidural anesthesia for labor in an ambulatory patient. , 1993, Anesthesia and analgesia.

[7]  J. Thorp,et al.  The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial. , 1993, American journal of obstetrics and gynecology.

[8]  R. Stacey,et al.  Single space combined spinal-extradural technique for analgesia in labour. , 1993, British journal of anaesthesia.

[9]  S. Datta,et al.  Intrathecal Sufentanil for Labor Analgesia: Effects of Added Epinephrine , 1993, Regional Anesthesia & Pain Medicine.

[10]  S. Datta,et al.  A comparison of intrathecal, epidural, and intravenous sufentanil for labor analgesia. , 1992, Anesthesiology.

[11]  B. Leighton,et al.  Comparison among intrathecal fentanyl, meperidine, and sufentanil for labor analgesia. , 1992, Anesthesia and analgesia.

[12]  J. S. McDonald,et al.  Role of spinal opioid receptors in the antinociceptive interactions between intrathecal morphine and bupivacaine. , 1992, Anesthesia and analgesia.

[13]  N. Johnson,et al.  Maternal positions during labor. , 1991, Obstetrical & gynecological survey.

[14]  J. Butterworth,et al.  Molecular Mechanisms of Local Anesthesia: A Review , 1990, Anesthesiology.

[15]  H. Spiby,et al.  Oxytocin infusion during second stage of labour in primiparous women using epidural analgesia: a randomised double blind placebo controlled trial. , 1989, BMJ.

[16]  J. Gardosi,et al.  Alternative positions in the second stage of labour: a randomized controlled trial , 1989, British journal of obstetrics and gynaecology.

[17]  M. Ossipov,et al.  Antinociceptive Interactions Between Alphha2‐Adrenergic and Opiate Agonists at the Spinal Level in Rodents , 1989, Anesthesia and analgesia.

[18]  E. Abouleish.  Epinephrine Improves the Quality of Spinal Hyperbaric Bupivacaine for Cesarean Section , 1987, Anesthesia and analgesia.

[19]  T. Kigawa,et al.  Effects of Sitting Position on Uterine Activity During Labor , 1986, Obstetrics and gynecology.

[20]  C. Leicht,et al.  Prolongation of Lidocaine Spinal Anesthesia with Epinephrine and Phenylephrine , 1985, Anesthesia and analgesia.

[21]  B. Covino,et al.  Vasoconstrictors in Spinal Anesthesia with Tetracaine—A Comparison of Epinephrine and Phenylephrine , 1984, Anesthesia and analgesia.

[22]  R. North,et al.  Electrophysiology of opioids. , 1983, Pharmacological reviews.

[23]  R. M. Williams,et al.  A STUDY OF THE BENEFITS AND ACCEPTABILITY OF AMBULATION IN SPONTANEOUS LABOUR , 1980, British journal of obstetrics and gynaecology.

[24]  A. Flynn,et al.  Ambulation in labour. , 1978, British medical journal.

[25]  G. Andros,et al.  Primary spinal anesthetic effects of epinephrine. , 1950, Current researches in anesthesia & analgesia.

[26]  M. Maze,et al.  Clonidine and other alpha2 adrenergic agonists: strategies for the rational use of these novel anesthetic agents. , 1988, Journal of clinical anesthesia.

[27]  W. Zieglgänsberger.  Opioid actions on mammalian spinal neurons. , 1984, International review of neurobiology.