Effect of programmed intermittent epidural bolus protocol on physician-administered rescue boluses of labor analgesia.
| Autor: | Grote D; Texas A&M Health Science Center College of Medicine, Temple, Texas, USA., Zeitz J; Texas A&M Health Science Center College of Medicine, Temple, Texas, USA., Sorrels C; Texas A&M Health Science Center College of Medicine, Temple, Texas, USA., Russell RC; Department of Anesthesiology, Baylor Scott & White Medical Center -Temple, Temple, Texas, USA., Raiyani C; Biostatistics Core, Baylor Scott & White Research Institute, Temple, Texas, USA., Hofkamp MP; Department of Anesthesiology, Baylor Scott & White Medical Center -Temple, Temple, Texas, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)] 2023 Sep 15; Vol. 36 (6), pp. 687-691. Date of Electronic Publication: 2023 Sep 15 (Print Publication: 2023). |
| DOI: | 10.1080/08998280.2023.2254201 |
| Abstrakt: | Background: Prior studies have shown that programmed intermittent epidural bolus (PIEB) techniques, with or without patient-controlled epidural analgesia (PCEA) boluses, provide better pain relief, reduced motor block, and better patient satisfaction compared to continuous epidural infusion (CEI) techniques. We hypothesized that patients who had labor epidural analgesia (LEA) maintained with PIEB and PCEA would be less likely to receive a physician-administered rescue analgesia bolus compared to patients who had CEI and PCEA. Methods: We searched our electronic medical record for patients who had CEI and PCEA from August 1, 2021 to December 31, 2021 and for patients who had PIEB and PCEA from August 2, 2022 to December 31, 2022. Results: A total of 792 and 665 patients had maintenance of LEA with CEI/PCEA and PIEB/PCEA, respectively. A multivariate logistic regression was performed and, after adjusting for variables of interest, patients who had PIEB and PCEA were less likely to receive one or more physician-administered rescue analgesia boluses (odds ratio 0.504; 95% confidence interval 0.392, 0.649; P < 0.001) compared to patients who had CEI and PCEA. Conclusion: PIEB/PCEA was associated with fewer physician-administered boluses of rescue analgesia compared to CEI/PCEA when used for LEA. Competing Interests: The authors report no conflicts of interest. This study was departmentally funded. (Copyright © 2023 Baylor University Medical Center.) |
| Databáze: | MEDLINE |
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