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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Acta Anaesthesiologi...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Acta Anaesthesiologica Scandinavica
Article . 1995 . Peer-reviewed
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Desflurane analgesia for vaginal delivery

Authors: T K, Abboud; F, Swart; J, Zhu; M M, Donovan; E, Peres Da Silva; K, Yakal;

Desflurane analgesia for vaginal delivery

Abstract

The use of subanaesthetic concentration of inhalational anaesthetic for vaginal delivery offers many advantages to the mother and newborn‐ Desflurane, with the characteristics of rapid onset and minimal metabolism, may provide better analgesia and safety for labour pain control.Eighty healthy parturients were randomly assigned to receive either desflurane 1.0–4.5% and oxygen (n = 40) or nitrous oxide 30–60% in oxygen (n=40). Analgesia was assessed using a score from 0 (no relief) Lo 4+ (excellent analgesia), amnesia for the delivery, blood loss were recorded. Neonates were evaluated by Apgar scores and neurologic and adaptive capacity scores (NACS). Data were analyzed for statistical significance using Student's l‐test or Chi‐square when appropriate.Analgesia scores were similar for both groups with more amnesia in desflurane group (23% vs 0%P<0.05). Blood loss did not differ significantly, 364 ml for the desflurane group and 335 ml for the nitrous oxide group. There were no significant differences for neonatal Apgar score at 1 min or at 5 min or the NACS at 2 hr or 24 hr between the two groups.We conclude that desflurane in subanaesthetic doses is safe and effective inhalation agent for normal delivery but might be associated with amnesia.

Keywords

Acid-Base Equilibrium, Adult, Neurologic Examination, Isoflurane, Attitude of Health Personnel, Infant, Newborn, Nitrous Oxide, Pain, Hemorrhage, Delivery, Obstetric, Fetal Blood, Adaptation, Physiological, Labor Stage, Second, Memory, Anesthetics, Inhalation, Apgar Score, Analgesia, Obstetrical, Humans, Female, Desflurane

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
40
Average
Top 10%
Top 10%
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