International Journal of Obstetric Anesthesia
Volume 16, Issue 3 , Pages 226-230 , July 2007

Efficacy of patient-controlled epidural analgesia after initiation with epidural or combined spinal-epidural analgesia

  • O.A. Sezer
    • ,
  • B. Gunaydin

      Affiliations

    • Corresponding Author InformationCorrespondence to: Berrin Gunaydin, MD, PhD, Department of Anesthesiology and Reanimation, Faculty of Medicine - Gazi University, Besevler 06500, Ankara, Turkey. Tel./fax: +90 312 225 11 52.

,Accepted 1 February 2007.

References 

  1. Collis RE, Davies DWL, Aveling W. Randomised comparison of combined spinal-epidural and standard epidural analgesia in labour. Lancet. 1995;345:1413–1416
  2. Nageotte MP, Larson D, Rumney PJ, Sidhu M, Hollenbach K. Epidural analgesia compared with combined spinal epidural analgesia during labor in nulliparous women. N Engl J Med. 1997;337:1715–1719
  3. Lee BB, Kee NK, Hung VYS, Wong ELY. Combined spinal-epidural analgesia in labor: comparison of two doses of intrathecal bupivacaine with fentanyl. Br J Anaesth. 1999;83:868–871
  4. Tsen LC, Thue B, Datta S, Segal S. Is combined spinal-epidural associated with more rapid cervical dilatation in nulliparous patients when compared with conventional epidural analgesia?. Anesthesiology. 1999;91:920–925
  5. Levin A, Datta S, Camann WR. Intrathecal ropivacaine for labor analgesia: A comparison with bupivacaine. Anesth Analg. 1998;87:624–627
  6. Bremerich DH, Waibel HJ, Mierdl S, et al. Comparison of continuous background infusion plus demand dose and demand-only parturient-controlled analgesia (PCEA) using ropivacaine combined with sufentanil for labor and delivery. Int J Obstet Anesth. 2005;14:114–120
  7. Paech MJ. Patient controlled epidural analgesia during labour: choice of solution. Int J Obstet Anesth. 1993;2:65–71
  8. Boutros A, Blary S, Bronchard R, Bonnet F. Comparison of intermittent epidural bolus, continuous epidural infusion and patient controlled-epidural analgesia during labor. Int J Obstet Anesth. 1999;8:236–241
  9. Evron S, Glezerman M, Sadan O, Boaz M, Ezri T. Patient-controlled epidural analgesia for labor pain: effect on labor, delivery and neonatal outcome of 0.125% bupivacaine vs 0.2% ropivacaine. Int J Obstet Anesth. 2004;13:5–10
  10. Carvalho B, Cohen SE, Giarrusso K, Durbin M, Riley ET, Lipman S. “Ultra-light” patient-controlled epidural analgesia during labor: effects of varying regimens on analgesia and physician workload. Int J Obstet Anesth. 2005;14:223–229
  11. Carvalho B, Wang P, Cohen SE. A survey of labor patient-controlled epidural anesthesia practice in California hospitals. Int J Obstet Anesth. 2006;15:217–222
  12. Beilin Y, Leibowitz AB, Bernstein HH, Abromovitz SE. Controversies of labor epidural analgesia. Anesth Analg. 1999;89:69–78
  13. Russell R. The dura is too vulnerable to be breached routinely in labour. Int J Obstet Anesth. 1999;8:56–61
  14. Thomas JA, Pan PH, Harris LC, Owen MD, D’Angelo R. Dural puncture with a 27-gauge Whitacre needle as part of a combined spinal-epidural technique does not improve labor epidural catheter function. Anesthesiology. 2005;103:1016–1051

 This study was presented at the 36th annual meeting of the Society of Obstetric Anesthesia, May 2004, Fort Myers, FL.

PII: S0959-289X(07)00046-5

doi: 10.1016/j.ijoa.2007.02.007

International Journal of Obstetric Anesthesia
Volume 16, Issue 3 , Pages 226-230 , July 2007

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