Programmed Intermittent Epidural Boluses (PIEB) for Maintenance of Labor Analgesia: A Superior Technique and Easy to Implement

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منابع مشابه

The Value of Programmed Intermittent Epidural Bolus in Labor Analgesia

Methods: Sixty healthy ASA class I or II, term (≥37weeks’ gestation), nulliparous women were recruited in our study. Epidural analgesia was initiated with a solution of 0.15% ropivacaine 10 mL and maintained with 0.12% ropivacaine combined with fentanyl 2ug/mL by continuous epidural infusion at a rate of 5mL/h and combined with a patient-controlled epidural analgesia bolus of 5 mL and intermitt...

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Comparison of continuous epidural infusion and programmed intermittent epidural bolus in labor analgesia

BACKGROUND This study aims to investigate differences between continuous epidural infusion (CEI) and programmed intermittent epidural bolus (IEB) analgesia for the Chinese parturients undergoing spontaneous delivery and to approach their safety to parturients and neonates. METHODS Two hundred healthy American Society of Anesthesiologists class I or II, term (≥37 weeks' gestation), nulliparous...

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Dural puncture epidural analgesia is not superior to continuous labor epidural analgesia.

BACKGROUND Some anesthesiologists consider combined spinal epidural (CSE) analgesia as superior alternative to continuous labor epidural (CLE) analgesia. However, during CSE, even small doses of intrathecally administered local anesthetics with opioids induce almost instant analgesia that precludes the testing of epidural catheters as well as early appreciation of failed epidural catheters. To ...

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An in Vitro Evaluation of Pressure Generated by Programmed Intermittent Epidural Bolus (PIEB) or Continuous Epidural Infusion (CEI)

PIEB has been reported as being superior to CEI for labor analgesia. The aim of this study was to measure the pressures generated by two commercially available pumps (CADD PIB, Smiths and Gemstar, Hospira) when delivering PIEB or CEI at 2 commonly used rates of infusion (10 or 5 mL). The two pumps were set to deliver fluid at four rates (CEI: 5 or 10 mL/h; PIEB: 5 or 10 mL every h) and connecte...

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Epidural analgesia for labor pain.

Evidence-Based Answer Compared with other types of analgesia or no analgesia, epidurals offered better pain relief, but were associated with a longer second stage of labor and increased risk of instrumental vaginal delivery, maternal fever, and oxytocin (Pitocin) administration. There were no statistically significant differences in overall rates of cesarean delivery, Apgar scores, admission to...

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ژورنال

عنوان ژورنال: Turkish Journal of Anesthesia and Reanimation

سال: 2017

ISSN: 2149-0937,2149-276X

DOI: 10.5152/tjar.2017.09033