Patient controlled analgesia for labour: a comparison of remifentanil with pethidine
Summary We compared the analgesic efficacy and safety of remifentanil and pethidine via patient controlled analgesia for women in established uncomplicated labour. Women received either remifentanil 40 μg with a 2‐min lockout (n = 20) or pethidine 15 mg with a 10‐min lockout (n = 19). Visual analogu...
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Published in | Anaesthesia Vol. 60; no. 1; pp. 22 - 27 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Science Ltd
01.01.2005
Blackwell Blackwell Publishing Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | Summary
We compared the analgesic efficacy and safety of remifentanil and pethidine via patient controlled analgesia for women in established uncomplicated labour. Women received either remifentanil 40 μg with a 2‐min lockout (n = 20) or pethidine 15 mg with a 10‐min lockout (n = 19). Visual analogue scores for pain during the study and for overall pain were similar for both groups (mean (SD) 6.4 (1.5) cm for remifentanil and 6.9 (1.7) cm for pethidine). The area under the curve for visual analogue scores of satisfaction with analgesia was higher for remifentanil than for pethidine (p = 0.001). Maternal arterial oxygen saturation was similar in both groups. Neurologic and Adaptive Capacity Scores at 30 min were higher for remifentanil than for pethidine (median (interquartile range [range]) 36 (34.5–37 [32–39]) vs 34 (33–35 [30–35]), respectively; p = 0.003). |
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Bibliography: | Presented at the Association of Anaesthetists of Great Britain & Ireland's Annual Scientific Meeting, Belfast; 2001. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-News-3 |
ISSN: | 0003-2409 1365-2044 |
DOI: | 10.1111/j.1365-2044.2004.03975.x |