Advanced search
1 file | 423.11 KB Add to list

Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally : a retrospective study on the influence on fetal heart trace

Nele Everaert, Marc Coppens (UGent) , Peter Vlerick (UGent) , Geert Braems (UGent) , Patrick Wouters (UGent) and Stefan De Hert (UGent)
(2015) JOURNAL OF PERINATAL MEDICINE. 43(4). p.481-484
Author
Organization
Abstract
Objective: We retrospectively compared a protocol using sufentanil and ropivacaine intrathecally with a protocol in which only ropivacaine was administered intrathecally and sufentanil was used epidurally to evaluate whether banning sufentanil from the intrathecal space results in a decreased incidence of adverse fetal heart rate changes. Methods: Some 520 cardiotocographic tracings were examined for changes in fetal heart rate and uterine activity following two different protocols of combined spinal epidural analgesia. Charts were consulted for neonatal and labor outcome. Results: When sufentanil was used epidurally instead of intrathecally, the incidence of adverse changes in fetal heart trace was less, demonstrated by a higher percentage of normal reassuring tracings (74.5% vs. 60.4% when sufentanil was used intrathecally; P = 0.007), less tracings showing bradycardia (7.5% vs. 14.1%; P = 0.035), and more tracings displaying 3 or more accelerations in fetal heart rate in 45 min (93.5% vs. 83.9%; P = 0.003) together with less episodes of tachycardia (3.5% vs. 11.4%; P = 0.005). There were no differences in labor and neonatal outcome. Conclusions: Based on fetal heart tracing, it seems favorable to ban sufentanil from the intrathecal compartment.
Keywords
sufentanil, combined spinal epidural analgesia, fetal heart trace, Accelerations bradycardia

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 423.11 KB

Citation

Please use this url to cite or link to this publication:

MLA
Everaert, Nele, Marc Coppens, Peter Vlerick, et al. “Combined Spinal Epidural Analgesia for Labor Using Sufentanil Epidurally Versus Intrathecally : a Retrospective Study on the Influence on Fetal Heart Trace.” JOURNAL OF PERINATAL MEDICINE 43.4 (2015): 481–484. Print.
APA
Everaert, N., Coppens, M., Vlerick, P., Braems, G., Wouters, P., & De Hert, S. (2015). Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally : a retrospective study on the influence on fetal heart trace. JOURNAL OF PERINATAL MEDICINE, 43(4), 481–484.
Chicago author-date
Everaert, Nele, Marc Coppens, Peter Vlerick, Geert Braems, Patrick Wouters, and Stefan De Hert. 2015. “Combined Spinal Epidural Analgesia for Labor Using Sufentanil Epidurally Versus Intrathecally : a Retrospective Study on the Influence on Fetal Heart Trace.” Journal of Perinatal Medicine 43 (4): 481–484.
Chicago author-date (all authors)
Everaert, Nele, Marc Coppens, Peter Vlerick, Geert Braems, Patrick Wouters, and Stefan De Hert. 2015. “Combined Spinal Epidural Analgesia for Labor Using Sufentanil Epidurally Versus Intrathecally : a Retrospective Study on the Influence on Fetal Heart Trace.” Journal of Perinatal Medicine 43 (4): 481–484.
Vancouver
1.
Everaert N, Coppens M, Vlerick P, Braems G, Wouters P, De Hert S. Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally : a retrospective study on the influence on fetal heart trace. JOURNAL OF PERINATAL MEDICINE. 2015;43(4):481–4.
IEEE
[1]
N. Everaert, M. Coppens, P. Vlerick, G. Braems, P. Wouters, and S. De Hert, “Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally : a retrospective study on the influence on fetal heart trace,” JOURNAL OF PERINATAL MEDICINE, vol. 43, no. 4, pp. 481–484, 2015.
@article{5716959,
  abstract     = {Objective: We retrospectively compared a protocol using sufentanil and ropivacaine intrathecally with a protocol in which only ropivacaine was administered intrathecally and sufentanil was used epidurally to evaluate whether banning sufentanil from the intrathecal space results in a decreased incidence of adverse fetal heart rate changes.
Methods: Some 520 cardiotocographic tracings were examined for changes in fetal heart rate and uterine activity following two different protocols of combined spinal epidural analgesia. Charts were consulted for neonatal and labor outcome.
Results: When sufentanil was used epidurally instead of intrathecally, the incidence of adverse changes in fetal heart trace was less, demonstrated by a higher percentage of normal reassuring tracings (74.5% vs. 60.4% when sufentanil was used intrathecally; P = 0.007), less tracings showing bradycardia (7.5% vs. 14.1%; P = 0.035), and more tracings displaying 3 or more accelerations in fetal heart rate in 45 min (93.5% vs. 83.9%; P = 0.003) together with less episodes of tachycardia (3.5% vs. 11.4%; P = 0.005). There were no differences in labor and neonatal outcome.
Conclusions: Based on fetal heart tracing, it seems favorable to ban sufentanil from the intrathecal compartment.},
  author       = {Everaert, Nele and Coppens, Marc and Vlerick, Peter and Braems, Geert and Wouters, Patrick and De Hert, Stefan},
  issn         = {0300-5577},
  journal      = {JOURNAL OF PERINATAL MEDICINE},
  keywords     = {sufentanil,combined spinal epidural analgesia,fetal heart trace,Accelerations bradycardia},
  language     = {eng},
  number       = {4},
  pages        = {481--484},
  title        = {Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally : a retrospective study on the influence on fetal heart trace},
  url          = {http://dx.doi.org/10.1515/jpm-2014-0077},
  volume       = {43},
  year         = {2015},
}

Altmetric
View in Altmetric
Web of Science
Times cited: