title: [Epidural administration of a morphine-adrenaline-bupivacaine mixture in obstetric anesthesia].
abstract: Pain relieving effect of epidurally given epinephrine-morphine-bupivacaine drug combination was studied in 50 primiparous women during labour. The double-blind, randomised clinical evaluation showed that the components of our drug combination act synergistically. The total dose and the mg min-1 dose of bupivacaine was significantly less following epinephrine-morphine pretreatment than the dose required when only bupivacaine was used for pain relief. The duration of analgesic effect of separate top-up doses was also significantly prolonged when the drug combination was used. It was established that this method of obstetric pain relief uses about 30% less bupivacaine than the classical method. This means decreased drug exposure of mother and fetus alike. In addition to this the use of this drug combination provides also a long-lasting postpartum analgesia.
authors.forename: J
authors.initials: J
authors.lastname: Károvits
authors.forename: L
authors.initials: L
authors.lastname: Szekeres
authors.forename: G
authors.initials: G
authors.lastname: Juhász
authors.forename: Z
authors.initials: Z
authors.lastname: Kincses
mesh_terms: D000773:Anesthesia, Obstetrical / Q000379:methods*; D002045:Bupivacaine / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D004837:Epinephrine / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009020:Morphine / Q000008:administration & dosage*; D011247:Pregnancy
chemical_list: D009020:Morphine; D002045:Bupivacaine; D004837:Epinephrine
vernacular_title: Epidurálisan adott morfin-adrenalin-bupivacain keverék a szülészeti fájdalomcsillapításban.