Why the study?
Does adding epinephrine to epidural ropivacaine reduce epidural blood vessel penetrations in parturient patients undergoing elective cesarean section?
Population
402 parturient patients receiving epidural block for elective cesarean section
Comparison
Epinephrine 5 μg/mL added to ropivacaine 0.75%… vs Ropivacaine 0.75% with fentanyl 5 μg/mL alone
Design
RCT, randomly allocated, double-blinded
Authors
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Supports epinephrine adjuvant in cesarean epidurals to reduce vessel penetrations; confirms benefit in this RCT.
Does adding epinephrine to epidural ropivacaine reduce epidural blood vessel penetrations in parturient patients undergoing elective cesarean section?
Adding epinephrine to epidural ropivacaine significantly reduces the incidence of epidural blood vessel penetration and catheter insertion problems during elective cesarean sections.
Denny et al. (2015) studied this question.
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