Programmed Intermittent Epidural Bolus Versus Continuous Epidural Infusion for Labor Analgesia: The Effects on Maternal Motor Function and Labor Outcome. A Randomized Double-Blind Study in Nulliparous Women

• Published in: Anesthesia and analgesia Vol. 113; no. 4; pp. 826 - 831
• Main Authors: Capogna, Giorgio, Camorcia, Michela, Stirparo, Silvia, Farcomeni, Alessio
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD International Anesthesia Research Society 01.10.2011; Lippincott Williams & Wilkins
• Subjects: Adult; Analgesia, Obstetrical - adverse effects; Analgesia, Obstetrical - methods; Analgesia, Patient-Controlled - adverse effects; Analgesics, Opioid - administration & dosage; Analgesics, Opioid - adverse effects; Anesthesia; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Anesthetics, Local - administration & dosage; Anesthetics, Local - adverse effects; Biological and medical sciences; Bupivacaine - administration & dosage; Bupivacaine - adverse effects; Bupivacaine - analogs & derivatives; Chi-Square Distribution; Double-Blind Method; Drug Combinations; Extraction, Obstetrical; Female; Humans; Infusions, Parenteral; Injections, Epidural; Italy; Kaplan-Meier Estimate; Labor Pain - drug therapy; Medical sciences; Motor Activity - drug effects; Odds Ratio; Pain Measurement; Parity; Pregnancy; Proportional Hazards Models; Prospective Studies; Sufentanil - administration & dosage; Sufentanil - adverse effects; Treatment Outcome; Young Adult; Italy; Extradural; Human; Analgesia; Prognosis; Intermittent; Double blind study; Anesthesia; Comparative study

Programmed intermittent epidural anesthetic bolus (PIEB) technique may result in reduced total local anesthetic consumption, fewer manual boluses, and greater patient satisfaction compared with continuous epidural infusion (CEI). In this randomized, double-blind study, we compared the incidence of m...