International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2008
Randomized Controlled TrialRemifentanil for cesarean section under general anesthesia: effects on maternal stress hormone secretion and neonatal well-being: a randomized trial.
Remifentanil may attenuate maternal hemodynamic response during cesarean section under general anesthesia, but could cause transient but significant neonatal depression. We investigated the effect of low-dose remifentanil on maternal neuroendocrine response and fetal wellbeing. ⋯ Remifentanil administration before peritoneal incision partially reduced the hormonal stress response. Maternal benefits must be weighed against transitory but significant neonatal respiratory depression. Neonatal resuscitation facilities are mandatory when remifentanil is used.
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Int J Obstet Anesth · Apr 2008
Randomized Controlled Trial Comparative StudyA randomized comparison of levobupivacaine, bupivacaine and ropivacaine with fentanyl, for labor analgesia.
To compare the analgesic efficacy of epidural infusions of levobupivacaine, bupivacaine and ropivacaine in labor. ⋯ All three regimens were effective during first stage of labor although pain scores were higher in those receiving levobupivacaine. Motor block was greater with bupivacaine than with levobupivacaine.
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Int J Obstet Anesth · Apr 2008
Randomized Controlled Trial Comparative StudyThe incidence of maternal fever during labor is less with intermittent than with continuous epidural analgesia: a randomized controlled trial.
This prospective, randomized study was performed to see if intermittent labor epidural analgesia was protective against maternal intrapartum fever, compared to continuous epidural infusion. ⋯ Intermittent epidural injections appear to protect against intrapartum fever in the first 4 hours of labor analgesia, compared to continuous infusion. This may be due to intermittent partial recovery of heat loss mechanisms between injections. Neonatal sepsis evaluation rates were similar in the two groups.