The maternal and neonatal effects of adding tramadol to 2% lidocaine in epidural anesthesia for cesarean section

Anesthesiology and Pain Medicine
Farnad ImaniSuzan Parhizgar

Abstract

Opioid analgesics are commonly added to epidural local anesthetics to improve analgesia during surgery. The goal of this study was to evaluate the maternal and neonatal effects of adding different doses of tramadol to 2% lidocaine in the epidural anesthesia for cesarean section. Ninety pregnant patients who were candidates for cesarean section under epidural anesthesia were randomly categorized into three groups. Group L received 2% lidocaine. In the LT50 and LT100 groups, 50 and 100 mg of tramadol were added to epidural 2% lidocaine. For additional analgesia during surgery, 2% lidocaine through epidural catheter or IV sufentanil were administered. Analgesia after surgery was provided by IV injection of meperidine. Onset and duration of sensory and motor blockades, total drug consumption, neonatal Apgar score, and complications were recorded. In the LT100 group, onset of complete sensory and motor blockade at T6 was less than in the two other groups, but the highest level of sensory blockade and two segment regression and duration of motor blockades between the LT50 and LT100 groups were not significantly different, although they were higher and more prolonged than in the L group. Average lidocaine and sufentanil consumption du...Continue Reading

Citations

Apr 27, 2018·Anesthesiology and Pain Medicine·Mohammad Ali SahmeddiniArash Farbood
Oct 3, 2018·Anesthesiology and Pain Medicine·Simin AtashkhoeiMohammad Taher Fazeli Danesh
Nov 9, 2016·Anesthesiology and Pain Medicine·Liza Maniquis SmigelDavid Patrick Rabago
Apr 26, 2016·Anesthesiology and Pain Medicine·Mansoureh GorginzadehSaeid Safari
Sep 17, 2016·Anesthesiology and Pain Medicine·Ali Akbar JafarianFatemeh Moini
Aug 22, 2017·Anesthesiology and Pain Medicine·Mostafa SheykhotayefehVahid Torabi
Apr 26, 2016·Anesthesiology and Pain Medicine·Ozkan OnalJale Bengi Celik
Nov 16, 2016·Anesthesiology and Pain Medicine·Kyoko SasauchiTatsuo Nakamura

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Methods Mentioned

BETA
cesarean section
sedation
cesarean sections

Software Mentioned

SPSS

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