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intrathecal narcotic analgesiaFrom: jnaliboff@mem.po.comSun Dec 17 13:34:32 1995
I have been using sufentanyl at a dose of 10micrograms for intrathecal labor analgesia. At this dose and with this drug I have had a >50% incidence of fetal bradycardia to rates of 60-70 beginning 10 minutes after the dose and lasting for 10 minutes. All babies have had good apgars. The first few times was a little scary. The anesthesia literature suggests an incidence closer to 15% of bradycardia presumably due to fetal vagal stimulation. Does anyone else have experience with this or other intrathecal agents and do you see the same incidence of bradycardia?
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