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Continuous Epidural Infusion Versus Programmed Intermittent Epidural Bolus for Labor Analgesia

A Prospective, Controlled, Before-and-After Cohort Study of Labor Outcomes

Bullingham, A.; Liang, S.; Edmonds, E.; Mathur, S.; Sharma, S.

Obstetric Anesthesia Digest: December 2018 - Volume 38 - Issue 4 - p 211
doi: 10.1097/01.aoa.0000547308.25928.a5
Mechanisms, Equipment, Hazards

(Br J Anaesth. 2018;121:432–437)

Recent studies have shown that programmed intermittent epidural bolus (PIEB) may be more effective at achieving lower rates of motor block, shortened second stage of labor, improved patient satisfaction outcomes, and lower total local anesthetic dose for labor pain than standard techniques like continuous epidural infusion (CEI) or patient-controlled epidural analgesia (PCEA). Therefore, the authors of this prospective, controlled, before-and-after cohort study evaluated the effectiveness of PIEB+PCEA versus CEI for labor analgesia in a tertiary referral hospital in Sydney, New South Wales, Australia.

Department of Anaesthesia, Blacktown Hospital, Blacktown; Department of Anaesthesia, Westmead Hospital, Westmead, NSW, Australia

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