Epidural analgesia and maternal fever: A clinical and research update

Current Opinion in Anaesthesiology

Volumn 25, Issue 3, 2012, Pages 292-299

  Goetzl, Laura ^a  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

epidural analgesia; hyperthermia; intrapartum fever; neonatal encephalopathy

Indexed keywords

ANESTHETIC AGENT; CEFOXITIN; DEXAMETHASONE; INTERLEUKIN 6; INTERLEUKIN 8; LEVOBUPIVACAINE; METHYLPREDNISOLONE; OXYTOCIN; RANTES; ROPIVACAINE;

BODY TEMPERATURE; DRUG DOSE INCREASE; DRUG MEGADOSE; DRUG SAFETY; EPIDURAL ANESTHESIA; FETUS ACID BASE BALANCE; FEVER; GESTATIONAL AGE; HUMAN; HYPERTHERMIA; INFECTION; INFLAMMATION; LABOR MANAGEMENT; MATERNAL FEVER; PRENATAL EXPOSURE; PRIORITY JOURNAL; REVIEW; SHIVERING;

ADULT; ANALGESIA, EPIDURAL; ANALGESIA, OBSTETRICAL; FEMALE; FETUS; FEVER; HUMANS; INFANT, NEWBORN; INFLAMMATION; LABOR, OBSTETRIC; PREGNANCY; PREGNANCY COMPLICATIONS; PREGNANCY OUTCOME; RISK REDUCTION BEHAVIOR;

EID: 84861092833     PISSN: 09527907     EISSN: 14736500     Source Type: Journal    
DOI: 10.1097/ACO.0b013e3283530d7c     Document Type: Review

References (45)

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45. Wang LZ, Hu XX, Liu X, et al. Influence of epidural dexamethasone on maternal temperature and serum cytokine concentration after labor epidural analgesia. Int J GynecolObstet 2011;113:40-43. This small-randomized controlled trial suggests that epidural dexamethasone can prevent or dampen the increase in maternal temperature following epidural analgesia as well as decrease the maternal inflammatory response. Larger studies are needed to elucidate the most effective dose as well as to establish neonatal safety.