Investigating determinants for patient satisfaction in women receiving epidural analgesia for labour pain: a retrospective cohort study

Tan, Daryl Jian An; Sultana, Rehena; Han, N. L. R.; Sia, Alex Tiong Heng; Sng, Ban Leong

doi:10.1186/s12871-018-0514-8

Cited by 29 publications

(26 citation statements)

References 39 publications

(31 reference statements)

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“…Among the factors affecting maternal satisfaction in previous studies [12,13], several were investigated in the present study, including procedural time, nausea, dizziness, postoperative pain, motor blockade, time required to start waking independently, time required to start urination after foley catheter removal, time required to observe the first flatus, and unilateral leg numbness. In a retrospective study of labor epidural analgesia, the clinical determinants associated with parturient dissatisfaction were headache, backache, urinary retention, and neural deficit [14]. There were statistically insignificant differences between the two groups for these factors.…”

Section: Discussionmentioning

confidence: 98%

A randomized double-blind comparison of the double-space technique versus the single-space technique in combined spinal-epidural anesthesia for cesarean section

et al. 2020

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Background: Combined spinal-epidural anesthesia (CSEA) can be performed with either a single-space technique or a double-space technique for cesarean section. We performed a double-blind randomized controlled study to compare the effect of the double-space technique with that of the single-space technique on sensory block level and side effects. Methods: Parturients undergoing elective cesarean section under regional anesthesia were randomized to receive CSEA with either the double-space technique (double group, n = 20) or the single-space technique (single group, n = 20). In the double group, an epidural catheter was inserted at the L1-2 interspace, and dural puncture was performed at the L3-4 interspace. In the single group, the procedure was performed at the L3-4 interspace using the needle-through-needle technique.Results: There were no differences in time to readiness or intraoperative level of sensory block between the two groups. The postoperative sensory level was maintained at a higher level in the double group than in the single group (1 h postoperatively, P = 0.029; 6 h postoperatively, P = 0.016). There was no difference between the two groups in terms of side effects. The parturient satisfaction scores 48 h postoperatively were significantly different between groups (9.5 in the double group vs. 8 in the single group, P = 0.004). Conclusions:We conclude that there were no differences in intraoperative variables between the double-space technique and the single-space technique for CSEA. However, double-space CSEA for cesarean section may be beneficial for controlling postoperative pain and improving parturient satisfaction.

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Section: Discussionmentioning

confidence: 98%

A randomized double-blind comparison of the double-space technique versus the single-space technique in combined spinal-epidural anesthesia for cesarean section

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Among the factors affecting maternal satisfaction in previous studies [12,13], several factors were investigated in the present study, including procedural time, nausea, dizziness, postoperative pain, motor blockade, time required to start waking independently, time required to start urination after foley catheter removal, time required to observe the first flatus, and unilateral leg numbness. In a retrospective study of labor epidural analgesia, the clinical determinants associated with parturient dissatisfaction were headache, backache, urinary retention, and neural deficit [14]. There were statistically insignificant differences between the two groups were in these factors.…”

Section: Discussionmentioning

confidence: 98%

A Randomized Double-Blind Comparison of Double-Space Technique versus Single-Space Technique in Combined Spinal-Epidural Anesthesia for Cesarean Section

Chun

Cho

Woo

et al. 2019

Preprint

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Background: Combined spinal-epidural anesthesia (CSEA) can be performed as either a single-space technique or a double-space technique for Cesarean section. We performed a double-blind randomized controlled study to compare the effect of the double-space technique with that of the single-space technique on the sensory block level and side effects. Methods: Parturients undergoing elective Cesarean section under regional anesthesia were randomized to receive CSEA with either the double-space technique (double group, n = 20) or single-space technique (single group, n = 20). In the double group, an epidural catheter was inserted at the L1–2 interspace, and dural puncture was performed at the L3–4 interspace. In the single group, the procedure was performed at the L3–4 interspace using the needle-through-needle technique.Results: There were no differences in time to readiness or the intraoperative level of sensory block between the two groups. The postoperative sensory level was maintained higher in the double group (postoperative 1 h, P = 0.029; postoperative 6 h, P = 0.016). There was no difference between the two groups in side effects. The parturients’ satisfaction scores at 48 h postoperative were significantly different (9.5 in the double group vs. 8 in the single group, P = 0.004).Conclusions: We conclude that there were no differences in intraoperative variables between double -space technique and single space-technique for CSEA. However, double-space CSEA may be beneficial for postoperative pain control and parturients’ satisfaction scores of for Cesarean section.Trial registration: The study was registered at https://cris.nih.go.kr under the trial ID, KCT0002514, retrospectively registered. Date of registration: October 27, 2017.

show abstract

Section: Discussionmentioning

confidence: 99%

A Randomized Double-Blind Comparison of the Double-Space Technique versus the Single-Space Technique in Combined Spinal-Epidural Anesthesia for Cesarean Section

Chun

Cho

Woo

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Combined spinal-epidural anesthesia (CSEA) can be performed with either a single-space technique or a double-space technique for cesarean section. We performed a double-blind randomized controlled study to compare the effect of the double-space technique with that of the single-space technique on sensory block level and side effects. Methods: Parturients undergoing elective cesarean section under regional anesthesia were randomized to receive CSEA with either the double-space technique (double group, n = 20) or the single-space technique (single group, n = 20). In the double group, an epidural catheter was inserted at the L1–2 interspace, and dural puncture was performed at the L3–4 interspace. In the single group, the procedure was performed at the L3–4 interspace using the needle-through-needle technique. Results: There were no differences in time to readiness or intraoperative level of sensory block between the two groups. The postoperative sensory level was maintained at a higher level in the double group than in the single group (1 h postoperatively, P = 0.029; 6 h postoperatively, P = 0.016). There was no difference between the two groups in terms of side effects. The parturient satisfaction scores 48 h postoperatively were significantly different between groups (9.5 in the double group vs. 8 in the single group, P = 0.004). Conclusions: We conclude that there were no differences in intraoperative variables between the double-space technique and the single-space technique for CSEA. However, double-space CSEA for cesarean section may be beneficial for controlling postoperative pain and improving parturient satisfaction. Trial registration: The study was retrospectively registered at https://cris.nih.go.kr under the trial ID KCT0002514. Date of registration: October 27, 2017.

show abstract

Investigating determinants for patient satisfaction in women receiving epidural analgesia for labour pain: a retrospective cohort study

Cited by 29 publications

References 39 publications

A randomized double-blind comparison of the double-space technique versus the single-space technique in combined spinal-epidural anesthesia for cesarean section

A randomized double-blind comparison of the double-space technique versus the single-space technique in combined spinal-epidural anesthesia for cesarean section

A Randomized Double-Blind Comparison of Double-Space Technique versus Single-Space Technique in Combined Spinal-Epidural Anesthesia for Cesarean Section

A Randomized Double-Blind Comparison of the Double-Space Technique versus the Single-Space Technique in Combined Spinal-Epidural Anesthesia for Cesarean Section

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