Abstract:
STUDY OBJECTIVE:To evaluate the efficacy and safety profile of paracetamol in comparison with tramadol for pain relief during active labor. DESIGN:Prospective, randomized, double-blind study. SETTING:Maternity Wing of the Postgraduate Institute of Medical Education and Research, Chandigarh. PATIENT:Sixty laboring, primiparous, full-term parturients with uncomplicated, singleton pregnancy in spontaneous labor and cervical dilatation of 3-5 cm. INTERVENTION:Parturients were randomized into 2 groups to receive either 1 mg/kg of tramadol intramuscularly (group T; n = 29) or 1 g of paracetamol intravenously (group P; n = 30). Same doses of the drugs were repeated after 4 hours of initial dose. MEASUREMENT:Primary outcome of the study was to assess the analgesic efficacy of the 2 drugs as measured by visual analog scale (VAS) score. Secondary outcome recorded was duration of labor, presence of any maternal, or fetal adverse events during the study. RESULTS:Both the groups showed comparable VAS scores at all times of observation. Lower mean VAS scores were reported in both the groups till 120 minutes only. The duration of first stage of labor was shorter in group P (248.00 ± 98.171 vs 340.63 ± 111.592 minutes; P = .003). The duration of second stage of labor was comparable between the 2 groups. Higher incidence of maternal side effects such as nausea/vomiting and sedation was associated with the use of tramadol. Neonatal outcome was comparable. CONCLUSION:Intravenous paracetamol provides comparable analgesia as intramuscular tramadol during active labor.
journal_name
J Clin Anesthjournal_title
Journal of clinical anesthesiaauthors
Kaur Makkar J,Jain K,Bhatia N,Jain V,Mal Mithrawal Sdoi
10.1016/j.jclinane.2014.08.008subject
Has Abstractpub_date
2015-03-01 00:00:00pages
159-63issue
2eissn
0952-8180issn
1873-4529pii
S0952-8180(14)00339-0journal_volume
27pub_type
杂志文章,随机对照试验abstract:STUDY OBJECTIVES:To investigate the hypothesis that the combination of ondansetron and droperidol would be more effective than droperidol alone in reducing nausea and vomiting. DESIGN:Randomized, doubleblind study. SETTING:Magee-Womens Hospital, Pittsburgh, Pennsylvania. PATIENTS:160 healthy, ASA physical status I a...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(97)00188-8
更新日期:1998-02-01 00:00:00
abstract::Posterior reversible encephalopathy syndrome refers to a neuroradiologic disorder in which seizure activity (multiple seizures are more common than single events) is commonly the initial presenting symptom. We describe a case of posterior reversible encephalopathy syndrome in a previously healthy parturient who presen...
journal_title:Journal of clinical anesthesia
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abstract:STUDY OBJECTIVES:To compare the efficacy of diclofenac sodium with ketorolac tromethamine in reducing postoperative morphine use after major orthopedic surgery. DESIGN:Double-blind, randomized, placebo-controlled study. SETTING:Major teaching institution. PATIENTS:102 ASA physical status II patients undergoing hip a...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-05-01 00:00:00
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journal_title:Journal of clinical anesthesia
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doi:10.1016/s0952-8180(99)00107-5
更新日期:1999-12-01 00:00:00
abstract:STUDY OBJECTIVE:To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. DESIGN:Prospective, randomized, controlled study. SETTING:Postoperative recovery area at a university-affiliated medical center. PATIENTS:50 ASA physical status I and II adult outpatients undergoing...
journal_title:Journal of clinical anesthesia
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journal_title:Journal of clinical anesthesia
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journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1995-05-01 00:00:00
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journal_title:Journal of clinical anesthesia
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journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
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abstract:STUDY OBJECTIVE:To determine if practicing anesthesiologists recommend preoperative evaluations consistent with the 2007 ACC/AHA guidelines on perioperative care. DESIGN:Survey instrument. SETTING:Academic medical center. SUBJECTS:ASA membership. MEASUREMENTS:In this Web-based survey, participants were presented wi...
journal_title:Journal of clinical anesthesia
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journal_title:Journal of clinical anesthesia
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更新日期:2017-08-01 00:00:00
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journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章
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更新日期:2017-05-01 00:00:00
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journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/0952-8180(91)90003-6
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abstract:STUDY OBJECTIVE:Clinical repercussions of perioperative treatment with ACEIs/ARBs. DESIGN:Systematic review according to PRISMA statement. SETTING:Perioperative period. PATIENTS:29 studies 11 cases/cases series, 12 observational studies and 6 randomized studies. MEASUREMENTS:Arterial blood pressure differences, ref...
journal_title:Journal of clinical anesthesia
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更新日期:2017-08-01 00:00:00
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journal_title:Journal of clinical anesthesia
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journal_title:Journal of clinical anesthesia
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journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验,收录出版
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更新日期:1999-03-01 00:00:00
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journal_title:Journal of clinical anesthesia
pub_type: 杂志文章,评审
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journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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journal_title:Journal of clinical anesthesia
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更新日期:2020-06-01 00:00:00
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journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
abstract::Data on all obstetric patients delivering at the Brigham and Women's Hospital during the years 1982 through 1987 were collected. The anesthetic techniques used, the type and amount of anesthetic agents administered, and the postpartum relapse rate of multiple sclerosis patients were compared. Women who received epidur...
journal_title:Journal of clinical anesthesia
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更新日期:1988-01-01 00:00:00
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journal_title:Journal of clinical anesthesia
pub_type: 杂志文章,随机对照试验
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更新日期:2016-11-01 00:00:00