Osman Kaçmaz1, Nurcin Gülhaş2, Gülay Erdoğan Kayhan3, Mahmut Durmuş2. 1. Department of Anesthesiology and Reanimation, Malatya Traning and Research Hospital, Malatya, Turkey 2. Department of Anesthesiology and Reanimation, Faculty of Medicine, İnönü University, Malatya, Turkey 3. Department of Anesthesiology and Reanimation, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
Abstract
Background/aim: The aim of this study was to compare the effects of different epidural initiationvolumes on postoperative pain scores, analgesic requirements, and side effects in pregnant women administered patient-controlled epidural analgesia (PCEA) for postoperative pain after cesarean sections. Materials and methods: Eighty-onepregnant women, aged 18–45 years, were included in this randomized, double-blind study. Combined spinal epidural anesthesia was administered for each cesarean section. The patients were divided into 3 groups and different volumes (20 mL, 10 mL, and 5 mL) of the study drug (0.0625% bupivacaine plus 2 μg/mL of fentanyl) were administered 90 min after the spinal block via epidural catheter. The visual analogue scale (VAS) scores at rest and during movement, first PCEA dose time, number of PCEA doses required per hour, total analgesic consumed, and side effects were recorded postoperatively. Results: There were no statistically significant differences among the groups in terms of the VAS rest and VAS movement scores. The times to the first analgesic dose requirement were longer in Group 10 and Group 20 than in Group 5. The analgesic requirement during the first 2 h was lower in Group 20 than in the other groups. Conclusions: The PCEA initiations with different volumes provided similar pain scores. However, the 20 mL volume resulted in a lower analgesic dose requirement during the early postoperative period, and it also delayed the requirement for analgesia. This work is licensed under a Creative Commons Attribution 4.0 International License.
RCT Entities:
Background/aim: The aim of this study was to compare the effects of different epidural initiation volumes on postoperative pain scores, analgesic requirements, and side effects in pregnant women administered patient-controlled epidural analgesia (PCEA) for postoperative pain after cesarean sections. Materials and methods: Eighty-one pregnant women, aged 18–45 years, were included in this randomized, double-blind study. Combined spinal epidural anesthesia was administered for each cesarean section. The patients were divided into 3 groups and different volumes (20 mL, 10 mL, and 5 mL) of the study drug (0.0625% bupivacaine plus 2 μg/mL of fentanyl) were administered 90 min after the spinal block via epidural catheter. The visual analogue scale (VAS) scores at rest and during movement, first PCEA dose time, number of PCEA doses required per hour, total analgesic consumed, and side effects were recorded postoperatively. Results: There were no statistically significant differences among the groups in terms of the VAS rest and VAS movement scores. The times to the first analgesic dose requirement were longer in Group 10 and Group 20 than in Group 5. The analgesic requirement during the first 2 h was lower in Group 20 than in the other groups. Conclusions: The PCEA initiations with different volumes provided similar pain scores. However, the 20 mL volume resulted in a lower analgesic dose requirement during the early postoperative period, and it also delayed the requirement for analgesia. This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors: G Stratmann; D R Gambling; T Moeller-Bertram; J Stackpole; A F Pue; J Berkowitz Journal: Int J Obstet Anesth Date: 2005-07 Impact factor: 2.603
Authors: 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 Journal: J Anaesthesiol Clin Pharmacol Date: 2015 Oct-Dec