Epidural | Spinal | |
Local anesthetic | ||
Bupivacaine | 0.0625 to 0.1% |
|
Ropivacaine | 0.08 to 0.1% |
|
Opioid | ||
Fentanyl | 1 to 3 mcg/mL |
|
Sufentanil | 0.2 to 0.5 mcg/mL |
|
This table shows a range of drugs used for neuraxial labor analgesia. There is substantial variation in clinical practice.
For CSE:Epidural analgesia is initiated with a bolus of 10 to 20 mL of a combination of an LA (either bupivacaine or ropivacaine, with or without a 3-mL lidocaine with epinephrine test dose) and an opioid (either fentanyl or sufentanil). Epidural analgesia is maintained with the same or a more dilute solution, administered by infusion and patient-controlled epidural analgesia.
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