Every Dose Given in Epidural Analgesia for Vaginal Delivery Can be a Test Dose

Zundert, Adrien Van; Vaes, L.; Soetens, M.; Vel, M. De; Aa, Paul van der; Donck, A. Van Der; Meeuwis, H.; Wolf, A. De

doi:10.1097/00132582-198804000-00024

Cited by 5 publications

(6 citation statements)

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“…However, one retrospective review has described the use of CSE in labor in a community hospital. 11,12 The improvement in first-stage analgesia from a CSE technique may be the result of more accurate placement of the epidural catheter into the posterior epidural space after the confirmation provided by cerebrospinal fluid flow during the spinal component. Compared with reported rates of epidural catheter failure during labor, they found their CSE technique to have fewer analgesic failures.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Comparison of Epidural Analgesia and Combined Spinal-Epidural Analgesia in a Private Practice Setting

Gambling

Berkowitz

Farrell³

et al. 2013

Anesthesia &Amp; Analgesia

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Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Comparison of Epidural Analgesia and Combined Spinal-Epidural Analgesia in a Private Practice Setting

Gambling

Berkowitz

Farrell³

et al. 2013

Anesthesia &Amp; Analgesia

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“…Given i.v. over 30-60 s, plain bupivacaine 12.5 mg has been found to produce little effect [15]. Doubling of this dose to 25 mg in 10 ml (0.25 %) has produced a total spinal block [16].…”

Section: Discussionmentioning

confidence: 99%

Single Space Combined Spinal-Extradural Technique for Analgesia in Labour

Stacey

Watt

Kadim

et al. 1993

British Journal of Anaesthesia

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We have used the single space combined spinal-extradural technique for mothers requesting analgesia in labour. Intrathecal plain bupivacaine 5 mg produced a median time to analgesia of 3 min. There was inadequate abdominal analgesia after 10 min in 16% of recipients, although all had good perineal analgesia. The median height of block was T8 (range T4-L2) and mean duration of analgesia 72 (SD 21) min. Hypotension occurred in two of 30 mothers, but responded to fluids and ephedrine. There were no post-spinal headaches. This technique is suitable for those parturients requesting analgesia in active labour who may not have time to achieve extradural analgesia before delivery. The extradural catheter is used to improve analgesia if the subarachnoid block is inadequate, or if labour continues beyond the duration of the subarachnoid block.

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“…Duration of labor: a recent meta-analysis showed that neuraxial analgesia compared to systemic analgesia prolong first stage of labor (cervical dilation) by nearly 30 minutes [95% confidence interval (95%CI): 18-46 min], and second stage of labor by 15 minutes [95%CI: [9][10][11][12][13][14][15][16][17][18][19][20][21][22] [2,3]. Although these values may be clinically unimportant, we cannot ignore them.…”

Section: Effects Of Epidural Analgesia On Obstetrical Outcomesmentioning

confidence: 99%