Efficacy of electrical stimulation on epidural anesthesia for cesarean section: a randomized controlled trial

Kim, Young Sung; Kim, Hyo Sung; Jeong, Hyerim; Lee, Chung Hun; Lee, Mi Kyoung; Choi, Sang Sik

doi:10.1186/s12871-020-01063-1

Cited by 3 publications

(2 citation statements)

References 28 publications

(34 reference statements)

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“…204 While there were no available studies in the FD population, electrical stimulation has been safely used during pregnancy for a variety of purposes. [205][206][207][208][209] Concerns about teratogenicity or abortion were not shown, 210,211 although electrical stimulation has also been shown to be capable of purposefully inducing labor. 212 In breastfeeding women, post-partum uterine contraction pain was successfully managed using a variation of SNM with no reported adverse events in one RCT.…”

Section: Non-pharmacological Therapies-future Technologiesmentioning

confidence: 99%

“…Gastric electrical stimulation is approved for gastroparesis 204 . While there were no available studies in the FD population, electrical stimulation has been safely used during pregnancy for a variety of purposes 205–209 . Concerns about teratogenicity or abortion were not shown, 210,211 although electrical stimulation has also been shown to be capable of purposefully inducing labor 212 .…”

Section: Management Of Pre‐existing Functional Dyspepsia In Pregnancymentioning

confidence: 99%

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Review article: Functional dyspepsia and pregnancy—Effects and management in a special population

Liu

Starkey

Virani

et al. 2023

Aliment Pharmacol Ther

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Background: Around 10% of Americans meet the Rome IV criteria for functional dyspepsia (FD), with a significantly higher rate in women. FD also has a higher prevalence in women below the age of 50, suggesting that women who are affected are likely to be of reproductive age. Unfortunately, there is a lack of research or evidence-based guidelines on managing FD in pregnancy. Aims and Methods:To address this issue, we aimed to perform a systematic review of the interactions between FD and pregnancy and managing pre-existing FD in the peripartum and post-partum phases using current lifestyle, pharmacological, nonpharmacological and alternative medicine interventions. Results: Due to the lack of Rome IV FD-specific data in pregnancy, we instead performed a narrative review on how existing FD interventions could be extrapolated to the pregnant population. Where possible we use the highest level of available evidence or official guidelines to answer these questions, which often involves synthesising treatment and safety evidence of these interventions in other diseases during pregnancy. Finally, we highlight current substantial knowledge gaps requiring further research for the safe management of a pregnant patient with pre-existing FD. Conclusions: Overall, despite the paucity of knowledge of treating FD during pregnancy, providers can mitigate this uncertainty by planning ahead with the patient. Patients should ideally minimise treatment until after breastfeeding. However, interdisciplinary resources are available to ensure that minimal-risk interventions are maximised, while interventions with more risks, if necessary, are justifiable by both the patient and the care team. Future investigations should continue to elicit the mechanistic relationship between FD and pregnancy while cautiously expanding prospective research on promising and safe therapies in pregnant patients with preexisting FD.

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Section: Non-pharmacological Therapies-future Technologiesmentioning

confidence: 99%

Section: Management Of Pre‐existing Functional Dyspepsia In Pregnancymentioning

confidence: 99%

Review article: Functional dyspepsia and pregnancy—Effects and management in a special population

Liu

Starkey

Virani

et al. 2023

Aliment Pharmacol Ther

View full text Add to dashboard Cite

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Confirming identification of the epidural space: a systematic review of electric stimulation, pressure waveform analysis, and ultrasound and a meta-analysis of diagnostic accuracy in acute pain

Pinho

Coelho²

2023

J Clin Monit Comput

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Ultrasound-guided caudal anaesthesia combined with epidural anaesthesia for caesarean section: a randomized controlled clinical trial

Wang,

Lü,

Wang

et al. 2024

BMC Pregnancy Childbirth

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Background Although epidural anaesthesia and spinal anaesthesia are currently the general choices for patients undergoing caesarean section, these two neuraxial anaesthesia methods still have drawbacks. Caudal anaesthesia has been considered to be more appropriate for gynaecological surgery. The purpose of this study was to compare epidural anaesthesia combined with caudal anaesthesia, spinal anaesthesia and single-space epidural anaesthesia for caesarean section with respect to postoperative comfort and intraoperative anaesthesia quality. Methods In this clinical trial, 150 patients undergoing elective caesarean section were recruited and randomized into three groups according to a ratio of 1:1:1to receive epidural anaesthesia only, spinal anaesthesia only or epidural anaesthesia combined with caudal anaesthesia. The primary outcome was postoperative comfort in the three groups. Secondary outcomes included intraoperative anaesthesia quality and the incidences of nausea, vomiting, postdural puncture headache, maternal bradycardia, or hypotension. Results More patients were satisfied with the intraoperative anaesthesia quality in the EAC group than in the EA group (P = 0.001). The obstetrician was more significantly satisfied with the intraoperative anaesthesia quality in the SA and EAC groups than in the EA group (P = 0.004 and 0.020, respectively). The parturients felt more comfortable after surgery in the EA and EAC groups (P = 0.007). The incidence of maternal hypotension during caesarean section was higher in the SA group than in the EA and EAC groups (P = 0.001 and 0.019, respectively). Conclusions Epidural anaesthesia combined with caudal anaesthesia may be a better choice for elective caesarean section. Compared with epidural anaesthesia and spinal anaesthesia, it has a higher quality of postoperative comfort and intraoperative anaesthesia.

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Efficacy of electrical stimulation on epidural anesthesia for cesarean section: a randomized controlled trial

Cited by 3 publications

References 28 publications

Review article: Functional dyspepsia and pregnancy—Effects and management in a special population

Review article: Functional dyspepsia and pregnancy—Effects and management in a special population

Confirming identification of the epidural space: a systematic review of electric stimulation, pressure waveform analysis, and ultrasound and a meta-analysis of diagnostic accuracy in acute pain

Ultrasound-guided caudal anaesthesia combined with epidural anaesthesia for caesarean section: a randomized controlled clinical trial

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