Intravenous butorphanol as an adjunct to patient-controlled epidural analgesia with ropivacaine and sufentanil in labor: a randomized controlled study

Abstract

Intravenous butorphanol as an adjunct to patient-controlled epidural analgesia with ropivacaine and sufentanil in labor: a randomized controlled study Ting Zhou1 , FengYuan Nong2 , MengXia Wang1 , ZhaoJia Liang1 , YaLan Li1,* 1The Department of Anesthesiology, The First Affiliated Hospital of Jinan University, Jinan University, 510630 Guangzhou, Guangdong, China 2The Department of Anesthesiology, Yue Bei People’s Hospital, 512025 Shaoguan, Guangdong, China *Correspondence: tina510623@foxmail.com (YaLan Li) Academic Editor: Michael H. Dahan Submitted: 29 June 2021 Revised: 4 August 2021 Accepted: 5 August 2021 Published: 4 March 2022 Abstract Background: Butorphanol was safely used for obstetric analgesia for many years. We attempted to determine if it increases the analgesic effect during patient-controlled epidural labor analgesia (PCEA) and if it affects the labor-process. Methods: Term pregnant women (N = 60) were randomly assigned to two groups, to receive either 1 mg intravenously butorphanol or 10 mL normal saline as placebo at 10 min before intrathecal anesthesia. Pain score, duration of first and second stage of labor, mode of delivery, umbilical artery blood gas, Apgar scores and adverse effects were recorded. Result: Butorphanol shortened the duration of the second stage of labor (t = –2.41, p = 0.019). Women in butorphanol group showed significantly increased incidence of pruritus (x 2 = 20.32, p = 0.000), but they also showed significantly increased incidence of the adverse events such as maternal somnolence and dizziness (x 2 = 8.366, p = 0.004; x 2 = 26.447, p = 0.000 respectively). The pain scores of the two groups showed a linear reduction within 1 h (F = 8.878, p = 0.004), and from intravenous injection of butorphanol to the 5th minute after intrathecal analgesia, the analgesic scores of butorphanol group were significantly lower than those of placebo group (p < 0.05). At the third hour after intrathecal injection, the Visual analogue scale (VAS) score was significantly lower in butorphanol group than placebo group (95% Confidence Interval (CI) –3.02 to –0.28; t = –2.51, p = 0.021). Conclusions: i.v. butorphanol 1 mg alleviates the labor pain during intrathecal puncture, and It will be easier to get the cooperation of pregnant women and shortens the second stage of labor. It effectively relieved the pruritus, but increased the incidence of dizziness and somnolence. Keywords: Butorphanol; Intrathecal anesthesia; Labor pain; Patient controlled epidural analgesia; Visual analogue scale; Ropivacaine; Sufentanyl