International Journal of Obstetric Anesthesia
Volume 18, Issue 1 , Pages 10-14 , January 2009

Inadequate pain relief with labor epidurals: a multivariate analysis of associated factors

,Accepted 1 October 2007.

References 

  1. Paech MJ, Godkin R, Webster S. Complications of obstetric epidural analgesia and anesthesia: a prospective analysis of 10 995 cases. Int J Obstet Anesth. 1998;7:5–11
  2. LeCoq G, Ducot B, Benhamou D. Risk factors of inadequate pain relief during epidural analgesia for labor and delivery. Can J Anaesth. 1998;45:719–723
  3. Eappan S, Blinn A, Segal S. Incidence of epidural catheter replacement in parturients: a retrospective chart review. Int J Obstet Anesth. 1998;7:220–275
  4. D’Angelo R, Berkebile B, Gerancher JC. Prospective examination of epidural catheter insertion. Anesthesiology. 1996;84:88–93
  5. Riley ET, Papasin J. Epidural catheter function during labor predicts anesthetic efficacy for subsequent caesarean delivery. Int J Obstet Anesth. 2002;11:81–82
  6. Hamilton CL, Riley E, Cohen S. Changes in the position of epidural catheters associated with patient movement. Anesthesiology. 1997;86:778–784
  7. Beck H, Brassow B, Doehn M, et al. Epidural catheters of the multiorifice type: dangers and complications. Acta Anaesthesiol Scand. 1986;30:549–555
  8. Beilin Y, Bernstein H H, Zucker-Pinchoff B. The optimal distance that a multiorifice epidural catheter should be threaded into the epidural space. Anesth Analg. 1995;81:301–304
  9. Beilin Y, Zahn J, Bernstein H, Zucker-Pinchoff B, Zenzen W, Andres L. Treatment of incomplete analgesia after placement of an epidural catheter and administration of local anesthetic for women in labor. Anesthesiology. 1998;88:1502–1506
  10. Portnoy D, Vadhera RB. Mechanisms and management of an incomplete epidural block for cesarean section. Anesthesiol Clin North Am. 2003;21:39–57
  11. Lang S, Korzeniewski P, Buie D, du Pleiss S, Paterson K, Morris G. Repeated failure of epidural analgesia: an association with epidural fat?. Reg Anesth Pain Med. 2002;27:494–500
  12. Collier CB. Why obstetric epidurals fail: a study of epidurograms. Int J Obstet Anesth. 1996;5:19–31
  13. Polley L, Columb MO, Naughton N, Wagner DS, van de Ven CJ. Effect of epinephrine on the minimum local analgesic concentration of epidural bupivacaine in labor. Anesthesiology. 2002;96:1123–1128
  14. Columb MO, Lyons G. Determination of minimum local anaesthetic concentration of epidural bupivavcaine and lidocaine in labor. Anesth Analg. 1995;81:833–837
  15. Curatolo M, Orlando A, Zbinden M, Scaramozzino P, Venuti FS. A multifactorial analysis to explain inadequate surgical analgesia after extradural block. Br J Anaesth. 1995;75:274–281
  16. Apfel CC, Greim CA, Haubitz I, et al. A risk score to predict probability of postoperative vomiting in adults. Acta Anaesthesiol Scand. 1998;42:495–501
  17. Apfel CC, Laara E, Koivuranta M, Greim C, Roewer N. A simplified risk score for predicting postoperative nausea and vomiting – conclusions from cross validations between two centers. Anesthesiology. 1999;91:693–700

PII: S0959-289X(08)00117-9

doi: 10.1016/j.ijoa.2007.10.008

International Journal of Obstetric Anesthesia
Volume 18, Issue 1 , Pages 10-14 , January 2009