Epidural Butorphanol for Post-Cesarean Delivery Pain Management

Naulty, J. S.; Weintraub,; McMahon, Barry J.; Ostheimer, Gerard W.; Hunt, Catherine; Chantigian, Robert C.

doi:10.1097/00000542-198409001-00415

Cited by 23 publications

(26 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent report on the use of epidurally administered butorphanol in postcesarean section indicated the reliable production of analgesia with a lack of undesirable side effects. 58 In our study bupivacaine group (I) had a fall in systolic blood pressure noted, whereas bupivacaine-butorphanol group (II) and in group (III) the systolic blood pressure fall is not significant. The systolic blood pressure fall in bupivacaine group is found to be statistically significant compared to other groups.…”

Section: Duration Of Analgesiacontrasting

confidence: 47%

Comparison of Plain Bupivacaine, Bupivacaine-Butorphanol Combination and Bupivacaine-Fentanyl Combination for Post Operative Epidural Analgesia - A Tertiary Care Teaching Centre Experience

Imanual¹

2017

jmscr

View full text Add to dashboard Cite

Section: Duration Of Analgesiacontrasting

confidence: 47%

Comparison of Plain Bupivacaine, Bupivacaine-Butorphanol Combination and Bupivacaine-Fentanyl Combination for Post Operative Epidural Analgesia - A Tertiary Care Teaching Centre Experience

Imanual¹

2017

jmscr

View full text Add to dashboard Cite

“…With doses more than 1mg, increase in duration of analgesia and side effects (nausea, vomiting, pruritis and somnolence) was observed. [10][11][12] In our study, onset of analgesia as well as quality of analgesia was better in Group B as compared to Group T. Singh B in 2011 did a study to compare efficacy of epidural butorphanol (1 mg) and tramadol (50 mg) and found that onset of action was faster with butorphanol than tramadol and also quality of analgesia was better with butorphanol while duration of analgesia was longer with epidural tramadol. 13 We observed that duration of analgesia (hrs) was significantly less in butorphanol group as compared to Tramadol group, which was similar to the findings by Singh S, Gupta R and Rathi P. [13][14][15] Singh S in 2011 concluded that duration of analgesia was more with tramadol than butorphanol.…”

Section: Discussionmentioning

confidence: 70%

“…The différence was statistically insignifiant (p>0.05).Gupta R in 2011 compared the efficacy of epidural butorphanol and tramadol and found that nausea and vomiting was found in tramadol group only. 12 Palacios et al 17 found that no patients in their study group receiving epidural butorphanol developed clinically important change in haemodynamic parameters while study by Rathie Pinky et al 45 showed that, even tramadol does not have significant alterations in these parameters.…”

Section: Discussionmentioning

confidence: 96%

Postoperative analgesia with epidural butorphanol or tramadol in lower abdominal surgeries– A double blind comparative study

2020

IJCA

View full text Add to dashboard Cite

Introduction: Post-operative analgesia in patients undergoing lower abdominal surgery is very essential for immediate postoperative pain relief which can be provided by oral or parenteral medication, epidural analgesia, local blocks etc. The combined spinal-epidural technique (CSE) has become increasingly popular in recent years. The study was designed to evaluate the efficacy of epidural butorphanol and tramadol for postoperative pain relief. After the surgical procedure and regression of spinal analgesia, the epidural catheter can be used to provide postoperative pain relief. Materials and Methods: After permission from hospital ethics committee, study was conducted on 60 patients undergoing lower abdominal surgeries. Combined spinal epidural anaesthesia was planned in all these 60 patients using two segment technique.18 G epidural catheter was placed in L2-L3 space and spinal anaesthesia was given at L3-L4 space using 26 G Quincke's needle and 0.5% bupivacaine 3ml.Sensory, motor block and hemodynamic parameters were monitored intraoperatively. Postoperatively along with hemodynamic parameters visual analogue score (VAS) was observed and at VAS > 4, study drug (either butorphanol 1mg or tramadol 50mg) was given through epidural catheter. Onset of analgesia, quality of analgesia, duration of analgesia, cardio-respiratory parameters and any side effects were monitored and documented. Statistical Analysis: Data analysis was done using the SPSS (Statistical Package for the Social Science) Version 17 for window. Discussion: Mean onset of analgesia in Butorphanol group (10.03 ± 1.85 min) was significantly faster than Tramadol group (12.17 ± 2.19 min) [Z = 4.07, p<0.0001]. Mean duration of analgesia was significantly more in Tramadol group (6.27 ± 0.53 hrs) than with Butorphanol group (3.40 ± 0.42 hrs) [Z=23.06, p<0.0001]. Quality of Analgesia and sedation score was better with Butorphanol group than Tramadol group. Conclusion: Epidural butorphanol provides a rapid, excellent but shorter duration of analgesia when compared to epidural tramadol.

show abstract

“…11,15,16,17 Addition of Butorphanol had no effect on the uterine contractions and there was no increase in the number of instrumentation and caesarian section. 14 And there was also no significant difference in the motor blockade compared to Group-1.…”

Section: Discussionmentioning

confidence: 94%

A COMPARATIVE STUDY OF BUPIVACAINE AND FENTANYL V/s BUPIVACAINE AND BUTORPHANOL IN LABOUR ANALGESIA BY EPIDURAL TECHNIQUE

K¹,

Sachidanand²,

B³

et al. 2015

jemds

View full text Add to dashboard Cite

BACKGROUND:Pain is a subjective experience with sensory and emotional components that are inextricably linked to each other. Pain during labour is very intense for many mothers. Severe labour pains may adversely affect both mother and fetus. Variety of regional analgesia techniques are available, Of all these techniques epidural analgesia using local anaesthetics and opiates has gained popularity as a safe and effective technique of pain relief largely replacing other modalities. AIM: The present study was undertaken to compare bupivacaine and fentanyl with a combination of bupivacaine and butorphanol by intermittent bolus epidural technique in relieving pain during labour. DESIGN: Randomized control study. METHODS: A total number of 100 parturients studied were divided into two groups randomly. . Maternal blood pressure, pulse rate, fetal heart rate were monitored every 1-2 min for first 10 min and then every 5-10 min for subsequent 30 min and later every half an hour. Time of onset of analgesia, level of sensory blockade and motor blockade, if any was noted. VISUAL ANALOGUE PAIN SCALE [VAPS] assessed pain at different time intervals. The sedation was assessed by WILSON GRADING, BROMAGE SCALE assessed the motor blockade. RESULTS: The onsets of analgesia were quicker in group-1 parturients who received 0.1% bupivacaine with 0.0002% fentanyl. The duration of analgesia with the 1st dose was significantly more in the group-2 also the requirement of top up doses was also less in group-2 and also the quality in group-2 was superior. There was no significant increase in the requirement of instrumentation, surgical intervention in both the groups. Neonatal outcome was good and almost equal in both the groups without any respiratory depression even with addition of low dose butorphanol by epidural route. CONCLUSION: From this study it may be concluded that using a combination of 0.1% Bupivacaine with 1mg Butorphanol during epidural analgesia for labour provides excellent pain relief, prolonged duration of action with simultaneously decreasing the top-ups required, thereby reducing the total local anesthetic requirement compared to 0.1% bupivacaine with 0.0002% fentanyl [20mcg]

show abstract

Epidural Butorphanol for Post-Cesarean Delivery Pain Management

Cited by 23 publications

References 0 publications

Comparison of Plain Bupivacaine, Bupivacaine-Butorphanol Combination and Bupivacaine-Fentanyl Combination for Post Operative Epidural Analgesia - A Tertiary Care Teaching Centre Experience

Comparison of Plain Bupivacaine, Bupivacaine-Butorphanol Combination and Bupivacaine-Fentanyl Combination for Post Operative Epidural Analgesia - A Tertiary Care Teaching Centre Experience

Postoperative analgesia with epidural butorphanol or tramadol in lower abdominal surgeries– A double blind comparative study

A COMPARATIVE STUDY OF BUPIVACAINE AND FENTANYL V/s BUPIVACAINE AND BUTORPHANOL IN LABOUR ANALGESIA BY EPIDURAL TECHNIQUE

Contact Info

Product

Resources

About