Obstetric anesthesia

Comparative dose–response study of intrathecal hyperbaric ropivacaine for cesarean delivery in preterm singleton versus twin pregnancies

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

During preterm gestation, intrathecal hyperbaric ropivacaine dose requirements for scheduled cesarean delivery were not different between patients with twins and singletons.

Study context

Population
Patients with preterm singleton or twin pregnancies scheduled for cesarean delivery under CSE
Participants
75 vs 75
Comparison
Twins vs Singletons
  • Twinsn = 75
  • Singletonsn = 75reference
Primary endpoint
ED50 and ED90 of intrathecal hyperbaric ropivacaine (probit regression)
Methodological detailstwo-arm parallel, double-blind, dose-response
  • Two-arm parallel
  • Double-blind
  • Dose-response

Primary result

ED50 and ED90

Relative potency (ED50 ratio)

0.933

95% CI 0.72–1.15

By group

As reported in the abstract

Original publication

Comparative dose–response study of intrathecal hyperbaric ropivacaine for cesarean delivery in preterm singleton versus twin pregnancies. Reg Anesth Pain Med. Published 30 October 2023. doi:10.1136/rapm-2023-104875

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