International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2010
Comment Letter Case ReportsSpinal anaesthesia for caesarean section for a woman with von Hippel Lindau disease.
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Int J Obstet Anesth · Oct 2010
Randomized Controlled Trial Comparative StudyAddition of low-dose morphine to intrathecal bupivacaine/sufentanil labour analgesia: A randomised controlled study.
Single-shot spinal analgesia with bupivacaine and a short-acting opioid for labour pain is popular due to its simplicity, rapid onset, and profound analgesia without significant motor block. Its limitation is the short duration of action. Supplementation with intrathecal morphine has been shown to prolong analgesia. We compared the addition of placebo or morphine 50 or 100 μg to intrathecal bupivacaine and sufentanil to evaluate the impact on duration of labour analgesia. ⋯ The addition of 50 or 100 μg morphine to 1.25mg bupivacaine and 5 μg sufentanil during established labour did not significantly increase the duration of analgesia.