Intermittent Epidural Bolus Compared with Continuous Epidural Infusions for Labor Analgesia: A Systematic Review and Meta-Analysis

• Published in: Anesthesia and analgesia Vol. 116; no. 1; pp. 133 - 144
• Main Authors: George, Ronald B., Allen, Terrence K., Habib, Ashraf S.
• Format: Journal Article
• Language: English
• Published: United States International Anesthesia Research Society 01.01.2013
• Subjects: Adult; Analgesia, Epidural - methods; Analgesia, Obstetrical - methods; Analgesia, Patient-Controlled; Anesthesia, Obstetrical; Anesthetics, Local - administration & dosage; Female; Humans; Injections, Epidural; Patient Satisfaction; Pregnancy; Randomized Controlled Trials as Topic; Treatment Outcome

The current standard labor epidural analgesic regimens consist of a local anesthetic in combination with an opioid delivered via continuous epidural infusion (CEI). With CEI local anesthetic, doses may be large with resulting profound motor blockade potentially affecting the incidence of instrumenta...