Effect of Dural Puncture Epidural Technique Combined With Programmed Intermittent Epidural Bolus on Labor Analgesia Onset and Maintenance: A Randomized Controlled Trial

BACKGROUND:The dural puncture epidural (DPE) technique is associated with faster onset than the conventional epidural (EP) technique for labor analgesia. The programmed intermittent epidural bolus (PIEB) mode for maintaining labor analgesia allows for lower anesthetic drug consumption than the conti...

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Veröffentlicht in:	Anesthesia and analgesia 2021-04, Vol.132 (4), p.971-978
Hauptverfasser:	Song, Yujie, Du, Weijia, Zhou, Shuangqiong, Zhou, Yao, Yu, Yibing, Xu, Zhendong, Liu, Zhiqiang
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Analgesia, Epidural - adverse effects Analgesia, Obstetrical - adverse effects Anesthetics, Local - administration & dosage Anesthetics, Local - adverse effects China Drug Administration Schedule Female Humans Labor Pain - drug therapy Labor Pain - physiopathology Pain Threshold - drug effects Pregnancy Prospective Studies Ropivacaine - administration & dosage Ropivacaine - adverse effects Time Factors Treatment Outcome
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Zusammenfassung:	BACKGROUND:The dural puncture epidural (DPE) technique is associated with faster onset than the conventional epidural (EP) technique for labor analgesia. The programmed intermittent epidural bolus (PIEB) mode for maintaining labor analgesia allows for lower anesthetic drug consumption than the continuous epidural infusion (CEI) mode. Whether DPE technique with PIEB mode offers additional benefits for analgesia onset, local anesthetic drug consumption, and side effects versus EP or DPE techniques with CEI mode remains unclear. METHODS:Nulliparous women with a visual analog scale (VAS) pain score >50 mm and cervical dilation
ISSN:	0003-2999 1526-7598
DOI:	10.1213/ANE.0000000000004768