دورية أكاديمية
Programmed intermittent epidural bolus as an ideal method for labor analgesia: a randomized controlled trial
| العنوان: | Programmed intermittent epidural bolus as an ideal method for labor analgesia: a randomized controlled trial |
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| المؤلفون: | Doyeon Kim, Jeayoun Kim, Hyeonju Choo, Duck Hwan Choi |
| المصدر: | Korean Journal of Anesthesiology, Vol 77, Iss 1, Pp 106-114 (2024) |
| بيانات النشر: | Korean Society of Anesthesiologists, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Anesthesiology |
| مصطلحات موضوعية: | analgesia, anesthesia, injections, obstetrics, pain, pregnancy, Anesthesiology, RD78.3-87.3 |
| الوصف: | Background Although programmed intermittent epidural bolus (PIEB) is effective for labor analgesia, an appropriate flow rate has not been established. Therefore, we investigated the analgesic effect based on different epidural injection flow rates. Methods Nulliparous women scheduled for spontaneous labor were enrolled in this randomized trial. After injection of intrathecal 0.2% ropivacaine 3 mg with fentanyl 20 μg, participants were randomized to three study groups. Epidural analgesics, 10 ml during one hour, were administered with patient controlled epidural analgesia as follows (0.2% ropivacaine 60 ml, fentanyl 180 μg, and 0.9% saline 40 ml): continuous (n = 28, 10 ml/h for continuous infusion), PIEB (n = 29, 240 ml/h for bolus infusion of 10 ml), or manual (n = 28, 1200 ml/h for bolus injection of 10 ml). The primary outcome was hourly consumption of the epidural solution. The time interval between labor analgesia and the first breakthrough pain was investigated. Results The median (Q1, Q3) hourly consumption of epidural anesthetics was significantly different among the groups (continuous: 14.3 [8.7, 16.9] ml, PIEB: 9.4 [6.2, 9.8] ml, manual: 8.6 [7.6, 9.9] ml; P < 0.001). The time to breakthrough pain for the PIEB group was longer than that for the other groups (continuous: 78.5 [35.8, 185.0] min, PIEB: 200.0 [88.5, 441.5] min, manual: 60.5 [37.3, 162.0] min, P = 0.027). Conclusions PIEB, with a low-flow rate, provided more adequate labor analgesia than a continuous epidural infusion or manual injection with a high-flow rate. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2005-6419 2005-7563 |
| Relation: | http://ekja.org/upload/pdf/kja-23173.pdf; https://doaj.org/toc/2005-6419; https://doaj.org/toc/2005-7563 |
| DOI: | 10.4097/kja.23173 |
| URL الوصول: | https://doaj.org/article/8707c9e3b6244c949282b740f379aa84 |
| رقم الأكسشن: | edsdoj.8707c9e3b6244c949282b740f379aa84 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20056419 20057563 |
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| DOI: | 10.4097/kja.23173 |