International Journal of Obstetric Anesthesia
Volume 18, Issue 4 , Pages 335-341 , October 2009

Low-dose epidural top up for emergency caesarean delivery: a randomised comparison of levobupivacaine versus lidocaine/epinephrine/fentanyl

  • P. Balaji
    • ,
  • P. Dhillon
    • ,
  • I.F. Russell

      Affiliations

    • Corresponding Author InformationCorrespondence to: I.F. Russell, Department of Anaesthesia, Hull Royal Infirmary, Anlaby Road, Hull, HU3 2JZ, UK. Tel.: 01482 674542, fax: 01482 764371.

,Accepted 6 March 2009.

References 

  1. Goring-Morris J, Russell IF. A randomised comparison of 0.5% bupivacaine with a lidocaine/epinephrine/fentanyl mixture for epidural top up for emergency caesarean section after low dose epidural for labour. Int J Obstet Anesth. 2006;2:109–114
  2. Bardsley H, Gristwood R, Baker H, Watson N, Nimmo W. A comparison of the cardiovascular effects of levobupivacaine and rac-bupivacaine following intravenous administration to healthy volunteers. Br J Clin Pharmacol. 1998;46:245–249
  3. Levy DM. Emergency Caesarean section: best practice. Anaesthesia. 2006;61:786–791
  4. Bader AM, Lawrence LC, Camann WR, Nephew E, Datta S. Clinical effects of maternal and fetal plasma concentrations of 0.5% levobupivacaine versus bupivacaine for cesarean delivery. Anesthesiology. 1999;90:1596–1601
  5. Cheng CR, Su TH, Hung YC, Wang PT. A comparative study of the safety and efficacy of 0.5% levobupivacaine and 0.5% bupivacaine for epidural anesthesia in subjects undergoing elective caesarean section. Acta Anaesthesiol Sin. 2002;40:13–20
  6. Faccenda KA, Simpson AM, Henderson DJ, Smith D, McGrady EM, Morrison LMM. Comparison of levobupivacaine 0.5% and racemic bupivacaine 0.5% for extradural anesthesia for cesarean section. Reg Anesth Pain Med. 2003;28:394–400
  7. Ngamprasertwong P, Udomtecha D, Charuluxananan S, Rodanant O, Srihatajati C, Baogham S. Levobupivacaine versus racemic bupivacaine for extradural anesthesia for cesarean delivery. J Med Assoc Thai. 2005;88:1563–1568
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  11. Allam J, Malhotra S, Hemingway C, Yentis SM. Epidural lidocaine-bicarbonate-adrenaline vs levobupivacaine for emergency Caesarean section: a randomised controlled trial. Anaesthesia. 2008;63:243–249
  12. Lucas DN, Ciccone K, Yentis SM. Extending low-dose epidural analgesia for emergency Caesarean section. A comparison of three solutions. Anaesthesia. 1999;54:1173–1177
  13. Sanders RD, Mallory S, Lucas DN, Chan T, Yeo S, Yentis SM. Extending low-dose epidural analgesia for emergency Caesarean section using ropivacaine 0.75%. Anaesthesia. 2004;59:988–992
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  15. Sng BL, Pay LL, Sia AT. Comparison of 2% lignocaine with adrenaline and fentanyl, 0.75% ropivacaine and 0.5% levobupivacaine for extension of epidural analgesia for urgent caesarean section after low dose epidural infusion during labour. Anaesth Intensive Care. 2008;36:659–664
  16. Collis RE, Plaat FS, Morgan BM. Comparison of midwife top-ups, continuous infusion and patient- controlled epidural analgesia for maintaining mobility after a low-dose combined spinal-epidural. Br J Anaesth. 1999;82:233–236
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PII: S0959-289X(09)00084-3

doi: 10.1016/j.ijoa.2009.03.011

International Journal of Obstetric Anesthesia
Volume 18, Issue 4 , Pages 335-341 , October 2009

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