- ASSISTANT PROFESSOR Anesthesiology
American Board of Anesthesiology
MD, University of Pennsylvania- School of Medicine
Residency, Internal Medicine
Maine Medical Center
Mount Sinai Hospital
Beilin Y, Galea M, Zahn J, Bodian C. Epidural ropivacaine for the initiation of labor epidural analgesia: a dose finding study. Anesth Analg 1999 Jun; 88(6): 1340-5.The purpose of our study was to determine the lowest concentration of ropivacaine that offers pain relief for the initiation of labor epidural analgesia. Women in active labor were enrolled in this prospective, randomized, double-blinded study to receive either ropivacaine 0.20% (Group I), ropivacaine 0.15% (Group II), or ropivacaine 0.10% (Group III). After placement of the epidural catheter, 13 mL of the study medication was administered. Fifteen minutes later, the adequacy of analgesia was assessed. If the woman reported that her degree of analgesia was not adequate, an additional 5 mL of the study medication was given, the degree of pain relief was reassessed 15 min later, and the study was concluded. A sequential study design was used to assess the success rates. We found that 26 of 28 (93%) women in Group I had adequate analgesia, compared with only 18 of 28 (64%) in Group II (P = 0.014) and 4 of 12 (33%) in Group III (P = 0.003). We conclude that ropivacaine 0.20% offers adequate analgesia significantly more often than either ropivacaine 0.15% or ropivacaine 0.10%. If one selects ropivacaine as the sole local anesthetic for the initiation of labor epidural analgesia, the minimal concentration should be 0.20%. IMPLICATIONS: The lowest effective concentration of ropivacaine for the initiation of labor epidural analgesia has not been determined. We found that ropivacaine 0.20% offers adequate analgesia significantly more often than either ropivacaine 0.15% or ropivacaine 0.10%. If one selects ropivacaine as the sole local anesthetic for the initiation of labor epidural analgesia, the minimal concentration should be 0.20%.
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Dr. Zahn did not report having any of the following types of financial relationships with industry during 2015 and/or 2016: consulting, scientific advisory board, industry-sponsored lectures, service on Board of Directors, participation on industry-sponsored committees, equity ownership valued at greater than 5% of a publicly traded company or any value in a privately held company. Please note that this information may differ from information posted on corporate sites due to timing or classification differences.
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Klingenstein Clinical Center Floor Dept of Anesthesiology Room 8th Floor Room 8-32
1450 Madison Avenue
New York, NY 10029
Faculty Practice Associates
GPO Box 12023
Newark, NY 07101
- 1199 National Benefit Fund
- Aetna U.S. Healthcare
- CIGNA - Indemnity
- CIGNA Healthcare HMO
- CarePlus, LLC
- CenterCare, Inc.
- Health Insurance Plan (HIP)
- HealthFirst/Medicaid HMO
- Medicare Assignment
- Neighborhood Health Providers, LLC
- Oxford Health Plans
- Private Healthcare Systems (PHCS)
- United Healthcare
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