Adverse effects of combined spinal-epidural versus traditional epidural analgesia during labor

International Journal of Gynecology and Obstetrics

Volumn 106, Issue 3, 2009, Pages 242-245

  Skupski, Daniel W ^a   Abramovitz, Sharon ^a   Samuels, Jon ^a   Pressimone, Vanessa ^a   Kjaer, Klaus ^a  

^a WEILL CORNELL MEDICAL CENTER   (United States)

Author keywords

Adverse effects; Analgesia; Combined spinal epidural; Decelerations; Epidural; Fetal heart rate; Labor; Randomized trial

Indexed keywords

BUPIVACAINE; EPHEDRINE; FENTANYL; INFUSION FLUID;

ADULT; ADVERSE OUTCOME; ANALGESIA; ANESTHESIA; ARTICLE; BACKACHE; BLOOD PRESSURE MEASUREMENT; CESAREAN SECTION; COMBINED SPINAL EPIDURAL ANESTHESIA; CONTROLLED STUDY; DECELERATION; DRUG EFFICACY; EPIDURAL ANESTHESIA; FEMALE; FETUS HEART RATE; HEADACHE; HUMAN; HYPOTENSION; LABOR INDUCTION; MUSCLE HYPERTONIA; NAUSEA; OBSTETRIC ANALGESIA; OUTCOME ASSESSMENT; PATIENT MONITORING; PRIORITY JOURNAL; PRURITUS; RANDOMIZATION; SAFETY; URINE RETENTION; VISUAL ANALOG SCALE;

ADOLESCENT; ADULT; ANALGESIA, EPIDURAL; ANALGESIA, OBSTETRICAL; ANESTHESIA, SPINAL; BRADYCARDIA; COMBINED MODALITY THERAPY; FEMALE; HEART RATE, FETAL; HUMANS; HYPOTENSION; MIDDLE AGED; NERVE BLOCK; PREGNANCY; RISK; YOUNG ADULT;

EID: 68349135449     PISSN: 00207292     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijgo.2009.04.019     Document Type: Article

References (18)

1. Hepner D.L., Gaiser R.R., Cheek T.G., and Gutsche B.B. Comparison of combined spinal-epidural and low dose epidural for labour analgesia. Can J Anesth 47 3 (2000) 232-236
2. Eberle R.L., Norris M.C., Eberle A.M., Naulty S., and Arkoosh V.A. The effect of maternal position on fetal heart rate during epidural or intrathecal labor analgesia. Am J Obstet Gynecol 179 1 (1998) 150-155
3. Leighton B.L., DeSimone C.A., Norris M.C., and Ben-David B. Intrathecal narcotics for labor revisited: the combination of fentanyl and morphine intrathecally provides rapid onset of profound, prolonged analgesia. Anesth Analg 69 1 (1989) 122-125
4. Norris M.C., Grieco W.M., Borkowski M., Leighton B.L., Arkoosh V.A., Huffnagle H.J., et al. Complications of labor analgesia: epidural versus combined spinal epidural techniques. Anesth Analg 79 3 (1994) 529-537
5. Marx G.F., Husain F.J., and Shiau H.F. Brachial and femoral blood pressures during the prenatal period. Am J Obstet Gynecol 136 1 (1980) 11-13
6. Leibermann E.L., and O'Donoghue C. Unintended effects of epidural analgesia during labor: a systematic review. Am J Obstet Gynecol 186 5 Suppl (2002) S31-68
7. Leighton B.L., and Halpern S.H. The effects of epidural analgesia on labor, maternal, and neonatal outcomes: a systematic review. Am J Obstet Gynecol 186 5 Suppl (2002) S69-77
8. Mayberry L.J., Clemmens D., and De A. Epidural analgesia side effects, co-interventions, and care of women during childbirth: a systematic review. Am J Obstet Gynecol 186 5 Suppl (2002) S81-93
9. Riley E.T., Vogel T.M., El-Sayyed Y.Y., Meyer P.M., and Cohen S.E. Patient selection bias contributes to an increased incidence of fetal bradycardia after combined spinal epidural analgesia for labor. Anesthesiology 91 (1999) A1054
10. Mardirosoff C., Dumont L., Boulvain M., and Tramer M.R. Fetal bradycardia due to intrathecal opioids for labour analgesia: a systematic review. BJOG 109 3 (2002) 274-281
11. Capogna G. Effect of epidural analgesia on the fetal heart rate. Eur J Obstet Gynecol Reprod Biol 98 2 (2001) 160-164
12. Kinsella S.M., and Black A.M. Reporting of 'hypotension' after epidural analgesia during labour. Effect of choice of arm and timing of baseline readings. Anaesthesia 53 2 (1998) 131-135
13. Kjaer K., Comerford M., Kondilis L., DiMaria L., Abramovitz S., Kiseley M., et al. Oral sodium citrate increases nausea amongst elective cesarean delivery patients. Can J Anaesth 53 (2006) 776-780
14. In: Wong L. (Ed). Whaley & Wong's Nursing Care of Infants and Children. 6th ed. (1999), Mosby, St Louis, MO
15. Electronic fetal heart rate monitoring: research guidelines for interpretation. National Institute of Child Health and Human Development Research Planning Workshop. Am J Obstet Gynecol 177 6 (1997) 1385-1390
16. Macones G.A., Hankins G.D., Spong C.Y., Hauth J., and Moore T. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines. Obstet Gynecol 112 3 (2008) 661-666
17. Pocock S.J. Group sequential methods in the design and analysis of clinical trials. Biometrika 64 (1977) 191-199
18. O'Brien P.C., and Fleming T.R. A multiple testing procedure for clinical trials. Biometrics 35 3 (1979) 549-556