Comparison of intermittent epidural bolus, continuous epidural infusion and patient controlled-epidural analgesia during labor
| Autor: | S. Blary, R. Bronchard, F. Bonnet, A. Boutros |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Bupivacaine
medicine.medical_specialty business.industry Local anesthetic medicine.drug_class Visual analogue scale Obstetrics and Gynecology law.invention Surgery Sufentanil Motor block Anesthesiology and Pain Medicine Bolus (medicine) Randomized controlled trial law Anesthesia medicine business Patient controlled epidural analgesia medicine.drug |
| Zdroj: | International Journal of Obstetric Anesthesia. 8:236-241 |
| ISSN: | 0959-289X |
| Popis: | The aim of the study was to compare efficacy and side-effects produced by three techniques of epidural analgesia during labor: intermittent bolus (1B), continuous epidural infusion (CEI) and patient-controlled epidural analgesia (PCEA). One hundred and fifty parturients allocated randomly to three groups received the same epidural solution of bupivacaine 0.125% with sufentanil 0.5 microg/mL. In the first group (IB: n=50) boluses were administered by the anesthesiologist and titrated to achieve adequate analgesia. In the second group (CEI: n=50) an 8 mL/h continuous infusion was delivered. In the third group (PCEA: n=50) parturients self-administered 5 mL boluses, with a lock-out interval of 10 min and a 4 h maximum dose of 50 mL. Insufficient analgesia in the CEI and PCEA groups was treated by extra boluses of the same solution. Quality of analgesia measured by visual analog scale (VAS), and maternal satisfaction were comparable in the three groups. Hourly consumption of bupivacaine was lower in the 113 group compared to the PCEA and CEI groups (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect