International Journal of Obstetric Anesthesia
Volume 19, Issue 3 , Pages 287-292 , July 2010

Pulmonary effects of bupivacaine, ropivacaine, and levobupivacaine in parturients undergoing spinal anaesthesia for elective caesarean delivery: A randomised controlled study

,Accepted 28 March 2009.

References 

  1. Dresner MR, Freeman JM. Anaesthesia for caesarean section. Best Pract Res Clin Obstet Gynaecol. 2001;15:127–143
  2. Harrop-Griffiths AW, Ravalia A, Browne DA, Robinson PN. Regional anaesthesia and cough effectiveness. A study in patients undergoing caesarean section. Anaesthesia. 1991;46:11–13
  3. Kelly MC, Fitzpatrick KT, Hill DA. Respiratory effects of spinal anaesthesia for caesarean section. Anaesthesia. 1996;51:1120–1122
  4. De Troyer A, Kirkwood PA, Wilson TA. Respiratory action of the intercostal muscles. Physiol Rev. 2005;85:717–756
  5. von Ungern-Sternberg BS, Regli A, Bucher E, Reber A, Schneider MC. Impact of spinal anaesthesia and obesity on maternal respiratory function during elective caesarean section. Anaesthesia. 2004;59:743–749
  6. Arai YC, Ogata J, Fukunaga K, Shimazu A, Fujioka A, Uchida T. The effect of intrathecal fentanyl added to hyperbaric bupivacaine on maternal respiratory function during cesarean section. Acta Anaesthesiol Scand. 2006;50:364–367
  7. Stamer UM, Wiese R, Stuber F, Wulf H, Meuser T. Change in anaesthetic practice for caesarean section in Germany. Acta Anaesthesiol Scand. 2005;49:170–176
  8. Conn DA, Moffat AC, McCallum GD, Thorburn J. Changes in pulmonary function tests during spinal anaesthesia for caesarean section. Int J Obstet Anesth. 1993;2:12–14
  9. Stienstra R. The place of ropivacaine in anesthesia. Acta Anaesthesiol Belg. 2003;54:141–148
  10. Simpson D, Curran MP, Oldfield V, Keating GM. Ropivacaine: a review of its use in regional anaesthesia and acute pain management. Drugs. 2005;65:2675–2717
  11. Foster RH, Markham A. Levobupivacaine: a review of its pharmacology and use as a local anaesthetic. Drugs. 2000;59:551–579
  12. Kanai Y, Tateyama S, Nakamura T, Kasaba T, Takasaki M. Effects of levobupivacaine, bupivacaine, and ropivacaine on tail-flick response and motor function in rats following epidural or intrathecal administration. Reg Anesth Pain Med. 1999;24:444–452
  13. Camorcia M, Capogna G, Berritta C, Columb MO. The relative potencies for motor block after intrathecal ropivacaine, levobupivacaine, and bupivacaine. Anesth Analg. 2007;104:904–907
  14. Poobalan AS, Aucott LS, Gurung T, Smith WC, Bhattacharya S. Obesity as an independent risk factor for elective and emergency caesarean delivery in nulliparous women – systematic review and meta-analysis of cohort studies. Obes Rev. 2009;10:28–35
  15. Gamil M. Serial peak expiratory flow rates in mothers during caesarean section under extradural anaesthesia. Br J Anaesth. 1989;62:415–418
  16. Oda A, Ohashi H, Komori S, Iida H, Dohi S. Characteristics of ropivacaine block of Na+ channels in rat dorsal root ganglion neurons. Anesth Analg. 2000;91:1213–1220
  17. Whiteside JB, Burke D, Wildsmith JA. Comparison of ropivacaine 0.5% (in glucose 5%) with bupivacaine 0.5% (in glucose 8%) for spinal anaesthesia for elective surgery. Br J Anaesth. 2003;90:304–308
  18. Egbert LD, Tamersoy K, Deas TC. Pulmonary function during spinal anesthesia: the mechanism of cough depression. Anesthesiology. 1961;22:882–885
  19. Askrog VF, Smith TC, Eckenhoff JE. Changes in pulmonary ventilation during spinal anesthesia. Surg Gynecol Obstet. 1964;119:563–567
  20. Baydur A, Adkins RH, Milic-Emili J. Lung mechanics in individuals with spinal cord injury: effects of injury level and posture. J Appl Physiol. 2001;90:405–411
  21. McDonald SB, Liu SS, Kopacz DJ, Stephenson CA. Hyperbaric spinal ropivacaine: a comparison to bupivacaine in volunteers. Anesthesiology. 1999;90:971–977
  22. Alley EA, Kopacz DJ, McDonald SB, Liu SS. Hyperbaric spinal levobupivacaine: a comparison to racemic bupivacaine in volunteers. Anesth Analg. 2002;94:188–193
  23. Parpaglioni R, Frigo MG, Lemma A, Sebastiani M, Barbati G, Celleno D. Minimum local anaesthetic dose (MLAD) of intrathecal levobupivacaine and ropivacaine for Caesarean section. Anaesthesia. 2006;61:110–115
  24. Walsh KH, Murphy C, Iohom G, Cooney C, McAdoo J. Comparison of the effects of two intrathecal anaesthetic techniques for transurethral prostatectomy on haemodynamic and pulmonary function. Eur J Anaesthesiol. 2003;20:560–564
  25. Regli A, von Ungern-Sternberg BS, Reber A, Schneider MC. Impact of spinal anaesthesia on peri-operative lung volumes in obese and morbidly obese female patients. Anaesthesia. 2006;61:215–221
  26. von Ungern-Sternberg BS, Regli A, Schneider MC, Kunz F, Reber A. Effect of obesity and site of surgery on perioperative lung volumes. Br J Anaesth. 2004;92:202–207
  27. Coppejans HC, Vercauteren MP. Low-dose combined spinal-epidural anesthesia for cesarean delivery: a comparison of three plain local anesthetics. Acta Anaesthesiol Belg. 2006;57:39–43

PII: S0959-289X(10)00004-X

doi: 10.1016/j.ijoa.2009.03.015

International Journal of Obstetric Anesthesia
Volume 19, Issue 3 , Pages 287-292 , July 2010

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