L'analgésie péridurale obstétricale contrôlée par la patiente : en pratique

Lopard, E.

doi:10.1016/j.annfar.2006.02.012

Cited by 5 publications

(1 citation statement)

References 49 publications

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“…[1][2][3][4] Additionally, PCEA leads to decreased anesthetic administration, smaller rescue doses, and a lower incidence of motor blockade. 2,[5][6][7][8] PCEA has been used during labor with or without continuous background infusion, 1,4,[7][8][9][10] with boluses of different volumes, and with variable lockout intervals.…”

Section: Introductionmentioning

confidence: 99%

Effects of Local Anesthetic on the Time Between Analgesic Boluses and the Duration of Labor in Patient-Controlled Epidural Analgesia: Prospective Study of Two Ultra-Low Dose Regimens of Ropivacaine and Sufentanil

Costa-Martins¹,

Dias

Pereira

et al. 2015

Acta Med Port

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(1):70-76 RESUMOIntrodução: A patient-controlled epidural analgesia com baixas concentrações de anestésicos é eficaz na redução da dor de parto. O objectivo deste estudo foi comparar dois regimes de doses ultrabaixas de ropivacaína e sufentanil (0,1% ropivacaína associada a 0,5 µg.ml -1 sufentanil vs. 0,06% ropivacaína associada a 0,5 µg.ml -1 sufentanil) nos intervalos entre bólus e na duração do trabalho de parto. Material e Métodos: Neste estudo prospectivo não-randomizado, realizado entre Janeiro e Julho de 2010, dois grupos de parturientes receberam patient-controlled epidural analgesia: o Grupo I (n = 58; 1 mg.ml -1 ropivacaína + 0,5 µg.ml -1 sufentanil) e o Grupo II (n = 57; 0,6 mg.ml -1 ropivacaína + 0,5 µg.ml -1 sufentanil). Quando necessário administraram-se doses de resgate de ropivacaína na concentração definida para cada grupo e sem sufentanil. Registaram-se a dor, os consumos de analgésicos, as características do bloqueio neuroaxial, do trabalho de parto, do recém-nascido, e a satisfação materna. Resultados: A dose de ropivacaína foi maior no Grupo I (9,5 [7,7-12,7] No Grupo I observouse um aumento do intervalo de tempo entre bólus (beta = 32,61 min, 95% CI [25,39; 39,82], p < 0,001), enquanto no Grupo II se observou uma diminuição dos intervalos (beta = -1,40 min, 95% CI [-2,44; -0,36], p = 0,009). A duração do segundo estadio do trabalho de parto foi significativamente maior no Grupo I do que no Grupo II (78 min vs. 65 min, p < 0,001). Conclusões: As parturientes que receberam ropivacaína a 0,06% exibiram uma menor evidência de efeitos cumulativos e um segundo estadio do trabalho de parto mais rápido do que as que receberam ropivacaína a 0,1%. Palavras-chave: Analgesia Controlada pelo Doente; Analgesia Obstétrica; Dor do Parto; Ropivacaína; Sufentanil. ABSTRACTBackground: Patient-controlled epidural analgesia with low concentrations of anesthetics is effective in reducing labor pain. The aim of this study was to assess and compare two ultra-low dose regimens of ropivacaine and sufentanil (0.1% ropivacaine plus 0.5 µg.ml-1 sufentanil vs. 0.06% ropivacaine plus 0.5 µg.ml -1 sufentanil) on the intervals between boluses and the duration of labor. Material and Methods: In this non-randomized prospective study, conducted between January and July 2010, two groups of parturients received patient-controlled epidural analgesia: Group I (n = 58; 1 mg.ml -1 ropivacaine + 0.5 µg.ml -1 sufentanil) and Group II (n = 57; 0.6 mg.ml -1 ropivacaine + 0.5 µg.ml -1 sufentanil). Rescue doses of ropivacaine at the concentration of the assigned group without sufentanil were administered as necessary. Pain, local anesthetic requirements, neuraxial blockade characteristics, labor and neonatal outcomes, and maternal satisfaction were recorded. Results: The ropivacaine dose was greater in ] mg.h -1 vs. 6.1 [5.1-9.8 mg.h -1 ], p < 0.001). A time increase between each bolus was observed in Group I (beta = 32.61 min, 95% CI [25.39; 39.82], p < 0.001), whereas a time decrease was observed in Group II (beta = -1.40 min, 95% CI ...

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Section: Introductionmentioning

confidence: 99%

Effects of Local Anesthetic on the Time Between Analgesic Boluses and the Duration of Labor in Patient-Controlled Epidural Analgesia: Prospective Study of Two Ultra-Low Dose Regimens of Ropivacaine and Sufentanil

Costa-Martins¹,

Dias

Pereira

et al. 2015

Acta Med Port

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Pain management for women in labour: an overview of systematic reviews

Jones

Othman

Dowswell

et al. 2012

Cochrane Database of Systematic Reviews

369

199

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Background The pain that women experience during labour is a ected by multiple physiological and psychosocial factors and its intensity can vary greatly. Most women in labour require pain relief. Pain management strategies include non-pharmacological interventions (that aim to help women cope with pain in labour) and pharmacological interventions (that aim to relieve the pain of labour). Objectives To summarise the evidence from Cochrane systematic reviews on the e icacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour. We considered findings from non-Cochrane systematic reviews if there was no relevant Cochrane review.

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El retorno al parto natural. ¿Qué implicaciones tiene en nuestra práctica anestésica?

Mora¹

2010

Revista Española de Anestesiología y Reanimación

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L'analgésie péridurale obstétricale contrôlée par la patiente : en pratique

Cited by 5 publications

References 49 publications

Effects of Local Anesthetic on the Time Between Analgesic Boluses and the Duration of Labor in Patient-Controlled Epidural Analgesia: Prospective Study of Two Ultra-Low Dose Regimens of Ropivacaine and Sufentanil

Effects of Local Anesthetic on the Time Between Analgesic Boluses and the Duration of Labor in Patient-Controlled Epidural Analgesia: Prospective Study of Two Ultra-Low Dose Regimens of Ropivacaine and Sufentanil

Pain management for women in labour: an overview of systematic reviews

El retorno al parto natural. ¿Qué implicaciones tiene en nuestra práctica anestésica?

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