Epidural analgesia in labor
In past 20 years in, the Epidural analgesia is the most in common use method which useds for Labor Analgesia.
The Epidural analgesia is think to be the most effective the method of Labor Analgesia, not only good nalgesia effect ideal, in case of spontaneous labor failure, also can continue to used for the anesthesia that the Pou temple produce, to placenta action not whole fetuses also beneficial place.The gravida keeps an awake cooperation.
The Analgesia of the Epidural Labor has it the latent weakness:The ? analgesia vesication effect is slow and sometimes need 30 minutes;The ? is because of the relation of Epidural vessel position and sometimes the analgesia effect be not quite right;The hard numb outside bureau anesthetic liquid that the ? adopt may cause an unnecessary kinematic block to affect a labor thus.
The drug choose
(1)the bureau anesthetic bureau anesthetic can produce good Labor Analgesia effect, is the influence of the decrease upon the hemodynamics, the analgesia flat surface should not lead to widely and generally keep below the umbilicus to disappear the icy cold sensation or sense of pain diminished, and the lower limb don’t appear a feeling of numbness for proper.Often choose to use to organize the action smaller bureau anesthetic to the motor nerve, such as cloth ratio card because of demulcent therapy, reconciliation ropivacaine.
(2) slice drug this drug at analgesia of in the meantime haven’t to repress a sensation, exercise, the advantage of sympathetic nerves.Breathe neonate, newborn a depression, inhibition for the decrease, should choose to used to use time shorter of slice drug, such as the fentanyl and Su’s fentanyl, and in the labor Du Xu Tuo Jing Mei perhaps my Liao ? Man?/br>
Make reference to formula
(1)cloth ratio the card is because of the 10 mgs+the load, loading of fentanyl 100 ? gses quantity, and with cloth ratio card because of 0.1%+fentanyl 27~10 mls/hrs of ? g/ml keep on Epidural maintenance or 5 mls/hr interrupted an administration of medicine.
(2)0.15 ?s 0.2% ropivacaines 10 mls, intermittent annex 5 mls.
(3)0.2% ropivacaines 10 mls, and with 0.1% ropivacaines+2 ? g/ml fentanyl 10 mls/hrs maintain.
Use a medicine for time
General the temple mouth open to a 3-5 cms to go the Epidural stab of the L3-4/L2-3 to place palatine canal to use a medicine, lead early possible depression, inhibition the pain of the necessity reflection but affect labor, too late then usually can’t attain satisfied analgesia effect.The temple mouth opens to all and namely stop a medicine and the in order to prevent drug remains to result in the neonate, newborn repress.
Indication and taboo disease of Labor Analgesia inside the vertebral canal
Disease and Epidural of the obsterics taboo anaesthetize a taboo disease, besides which, ? Labor Analgesia inside the vertebral canal has no special taboo disease.
