Epidural Labor Analgesia: Continuous Infusion Versus Patient-Controlled Epidural Analgesia With Background Infusion Versus Without a Background Infusion

Journal of Pain

Volumn 8, Issue 12, 2007, Pages 970-975

  Vallejo, Manuel C ^a   Ramesh, Vimala ^a   Phelps, Amy L ^b   Sah, Neera ^a  

^a UNIVERSITY OF PITTSBURGH   (United States)

^b DUQUESNE UNIVERSITY   (United States)

Author keywords

continuous epidural; Labor analgesia; maternal outcome; patient controlled epidural analgesia

Indexed keywords

FENTANYL; ROPIVACAINE;

ADULT; APGAR SCORE; ARTICLE; CESAREAN SECTION; CLINICAL TRIAL; CONTINUOUS INFUSION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG INFUSION; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; FEMALE; HUMAN; LABOR MANAGEMENT; LABOR ONSET; LABOR PAIN; LABOR STAGE 1; LABOR STAGE 2; OBSTETRIC ANALGESIA; PAIN ASSESSMENT; PAIN THRESHOLD; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; PREGNANT WOMAN; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; VACUUM EXTRACTION; VAGINAL DELIVERY; VISUAL ANALOG SCALE;

ADULT; AMIDES; ANALGESIA, EPIDURAL; ANALGESIA, PATIENT-CONTROLLED; ANESTHETICS; CHI-SQUARE DISTRIBUTION; DRUG ADMINISTRATION SCHEDULE; DRUG THERAPY, COMBINATION; FEMALE; FENTANYL; HUMANS; LABOR PAIN; PAIN MEASUREMENT; PREGNANCY; PROSPECTIVE STUDIES; RANDOM ALLOCATION; RETROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME;

EID: 36348973913     PISSN: 15265900     EISSN: 15288447     Source Type: Journal    
DOI: 10.1016/j.jpain.2007.07.002     Document Type: Article

References (18)

1. Boselli E., Debon R., Cimino Y., Rimmele T., Allaouchiche B., and Chassard D. Background infusion is not beneficial during labor patient-controlled analgesia with 0.1% ropivacaine plus 0.5 μg/ml sufentanil. Anesthesiology 100 (2004) 968-972
2. Boutros A., Blary S., Bronchard R., and Bonnet F. Comparison of intermittent epidural bolus, continuous epidural infusion and patient controlled-epidural analgesia during labor. Int J Obstet Anesth 8 (1999) 236-241
3. Bremerich D.H., Waibel H.J., Mierdl S., Meininger D., Byhahn C., Zwissler B.C., and Ackermann H.H. Comparison of continuous background infusion plus demand dose and demand-only parturient-controlled epidural analgesia (PCEA) using ropivacaine combined with sufentanil for labor and delivery. Int J Obstet Anesth 14 (2005) 114-120
4. Carvalho B., Cohen S.E., Giarrusso K., Durbin M., Riley E.T., and Lipman S. 'Ultra-light; patient-controlled epidural analgesia during labor: Effects of varying regimens on analgesia and physician workload. Int J Obstet Anesth 14 (2005) 223-229
5. Carvalho B., Wang P., and Cohen S.E. A survey of labor patient-controlled epidural anesthesia practice in California hospitals. Int J Obstet Anesth 15 (2006) 217-222
6. Ferrante F.M., Rosinia F.A., Gordon C., and Datta S. The role of continuous background infusions in patient-controlled epidural analgesia for labor and delivery. Anesth Analg 79 (1994) 80-84
7. Fettes P.D., Moore C.S., Whiteside J.B., McLeod G.A., and Wildsmith J.A. Intermittent vs continuous administration of epidural ropivacaine with fentanyl for analgesia during labour. Br J Anaesth 97 (2006) 359-364
8. Gambling D.R., Yu P., Cole C., McMorland G.H., and Palmer L. A comparative study of patient controlled epidural analgesia (PCEA) and continuous infusion epidural analgesia (CIEA) during labour. Can J Anaesth 35 (1988) 249-254
9. Glantz S. Primer of Biostatistics. 4th ed. (1997), McGraw-Hill, New York, NY
10. Halpern S. Recent advances in patient-controlled epidural analgesia for labour. Curr Opin Anaesthesiol 18 (2005) 247-251
11. Hogan Q. Distribution of solution in the epidural space: examination by cryomicrotome section. Reg Anesth Pain Med 27 (2002) 150-156
12. Nikkola E., Laara A., Hinkka S., Ekblad U., Kero P., and Salonen M. Patient-controlled epidural analgesia in labor does not always improve maternal satisfaction. Acta Obstet Gynecol Scand 85 (2006) 188-194
13. Saito M., Okutomi T., Kanai Y., Mochizuki J., Tani A., Amano K., and Hoka S. Patient-controlled epidural analgesia during labor using ropivacaine and fentanyl provides better maternal satisfaction with less local anesthetic requirement. J Anesth 19 (2005) 208-212
14. Slade P., MacPherson S.A., Hume A., and Maresh M. Expectations, experiences and satisfaction with labour. Br J Clin Psychol 32 (1993) 469-483
15. Taylor H.J. Clinical experience with continuous epidural infusion of bupivacaine at 6 ml per hour in obstetrics. Can Anesth Soc J 30 (1983) 277-285
16. Van der Vyver M., Halpern S., and Joseph G. Patient-controlled epidural analgesia versus continuous infusion for labour analgesia: A meta-analysis. Br J Anaesth 89 (2002) 459-465
17. Wong C.A., Ratliff J.T., Sullivan J.T., Scavone B.M., Toledo P., and McCarthy R.J. A randomized comparison of programmed intermittent epidural bolus with continuous epidural infusion for labor analgesia. Anesth Analg 102 (2006) 904-909
18. Practice guidelines for obstetric anesthesia. an updated report by the American society of anesthesiologists task force on obstetric anesthesia. Anesthesiology 106 (2007) 843-863