Revised
(The
concentration, dose and infusion rates are given only for guidance; Copyright
S.Ramanathan, M.D.)
|
Type of Epidural |
|
Initiation
(Loading) |
Infusion |
Narcotic |
PCEA
(PCA) parameters |
||||||
|
|
|
Concent (%) |
Volume (ml) |
Concent (%) |
ml/Hour |
Bolus (100 ug) |
Infusion (mcg/ml) |
Basal rate (ml) |
PCEA
dose (ml) |
Lock-out (min) |
Max/Hr (ml) |
|
Conventional
Bupivacaine |
Yes |
0.25 |
10 |
0.125 |
10 |
Fentanyl |
2 |
|
|
|
|
|
Conventional
Ropivacaine |
Yes |
0.2 |
10-15
ml |
0.1 |
12-15
|
Fentanyl |
2 |
|
|
|
|
|
Dilute Conventional
Bupivacaine |
Yes |
0.125% |
10-15
ml |
0.125% |
10-12 |
Fentanyl |
2 |
|
|
|
|
|
Walking epidural - Bupi |
No |
0.04 |
15
ml |
0.04 |
15
ml |
Fentanyl |
2 |
|
|
|
|
|
Walking epidural - Ropi |
No |
0.07 |
15-20
ml |
0.07 |
15-18 |
Fentanyl |
2 |
|
|
|
|
|
Ropi
PCEA |
Yes |
0.2% |
10-15
ml |
0.1% |
|
Fentanyl |
2 |
8-9.9 |
8 |
30 |
24 |
|
Bupi
or Chiro - PCEA |
Yes |
0.25% |
10 |
0.125 |
|
Fentanyl |
2 |
8-9.9 |
8 |
30 |
24 |
|
Supplemental
doses for inadequate
pain relief |
Lidocaine 5 ml 1.5% with epi; Fentanyl 100 ug epidurally; Pump bolus 10-15 ml |
||||||||||
|
Intermittent Bupi,Ropi, Chirocaine (no infusion) |
Yes |
0.25 |
10
ml |
|
|
Fentanyl |
|
|
|
|
|
|
Intermittent
Lidocaine (Epi) |
Yes |
1.5 |
6
ml |
|
|
|
|
|
|
|
|
|
Cedars Bupivacaine PCEA |
No |
0.25 |
9 |
|
|
Fentanyl |
2 |
12 |
12 |
30 |
36
ml |
|
CSE -fentanyl+ (bupi 0.25% - 1ml) or Ropi 0.2% 1.5 ml)
or Chiro (0.25%) 1 ml |
? |
|
|
|
|
fentanyl 25 ug |
|
|
|
|
|
|
CSE -sufent.(bupi 0.25% - 1ml) or Ropi 0.2% 1.5 ml) |
|
|
|
|
|
sufentanil 5-7.5 ug |
|
|
|
|
|
|
I.V.
PCA Fentanyl (pulse ox) |
|
10 mcg/ml |
5-10 ml |
|
|
Fentanyl |
|
2 ml/hr |
2 ml |
5 |
25 ml /1 hr |
|
IV Remifentanil iinfusion (Side-effets).
(pulse ox) |
|
|
|
|
|
|
None |
20 ug in 20 sec |
3 min |
|
|
|
Spinal
anesthesia for C.S |
|
Bupi 0.75%+8.25%dext
12-14 mg +fent 20-25 ug+Morphine
200 mcg (hyperbaric) |
|
|
|
|
|
|
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