Low concentration lidocaine (0.5%) bolus epidurally can initiate fast-onset, effective and safe analgesia for early stage labor

Henry Liu, Shanglong Yao, Frank Rosinia

Research output: Contribution to journalConference article

1 Scopus citations

Abstract

There is no consensus on the optimal local anesthetic agent to initiate labor analgesia for patients in active labor. Currently used local anesthetic agents for initiating labor analgesia include 0.25% bupivacaine, 0.5% bupivacaine, 0.2% ropivacaine without or with various types and doses of opioids. All these agents are administered in incremental doses and are relatively "slow onset" in initiation of labor analgesia. We used 0.5% lidocaine 10ml as the loading dose given as an epidural bolus to initiate epidural analgesia for patients in early stages of labor. We included 32 cases (16 in Lidocaine group and 16 in Bupivacaine group). We found that 0.5% lidocaine is fast-onset, very effective and safe in initiating epidural analgesia for early stage labor.

Original languageEnglish
Pages (from-to)257-261
Number of pages5
JournalMiddle East Journal of Anesthesiology
Volume22
Issue number3
StatePublished - 1 Dec 2013
Event1st International Anaesthesiology Conference - Beirut, Lebanon
Duration: 30 Oct 19652 Nov 1965

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