Combined Spinal-Epidural Versus Epidural Analgesia for Labor and Delivery

被引：31

作者：

Niesen, Adam D. ^{[1
]}

Jacob, Adam K. ^{[1
]}

机构：

[1] Mayo Clin, Dept Anesthesiol, Rochester, MN 55905 USA

来源：

CLINICS IN PERINATOLOGY | 2013年 / 40卷 / 03期

关键词：

Epidural; Combined spinal-epidural; Labor analgesia; ACCIDENTAL DURAL PUNCTURE; INTRATHECAL FENTANYL; NEURAXIAL ANALGESIA; FETAL BRADYCARDIA; CESAREAN DELIVERY; ANESTHESIA; COMPLICATIONS; MANAGEMENT; EFFICACY; METAANALYSIS;

D O I：

10.1016/j.clp.2013.05.010

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The rapid onset of analgesia and improved mobility with combined spinal-epidural (CSE) techniques has been associated with a higher degree of maternal satisfaction compared with conventional epidural analgesia. However, controversy exists in that initiation of labor analgesia with a CSE may be associated with an increased risk for nonreassuring fetal status (ie, fetal bradycardia) and a subsequent need for emergent cesarean delivery. Overall, both epidural and CSE techniques possess unique risk/benefit profiles, and the decision to use one technique rather than the other should be determined based on individual patient and clinical circumstances.

引用

页码：373 / +

页数：13

共 48 条

[1] Epidural versus non-epidural or no analgesia in labour [J].

Anim-Somuah, Millicent ;

Smyth, Rebecca M. D. ;

Jones, Leanne .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2011, (12)

[2] ITCHING AFTER EPIDURAL AND SPINAL OPIATES [J].

BALLANTYNE, JC ;

LOACH, AB ;

CARR, DB .

PAIN, 1988, 33 (02) :149-160

[3] Risk factors for failed conversion of labor epidural analgesia to cesarean delivery anesthesia: a systematic review and meta-analysis of observational trials [J].

Bauer, M. E. ;

Kountanis, J. A. ;

Tsen, L. C. ;

Greenfield, M. L. ;

Mhyrea, J. M. .

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2012, 21 (04) :294-309

[4] North American survey of the management of dural puncture occurring during labour epidural analgesia [J].

Berger, CW ;

Crosby, ET ;

Grodecki, W .

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1998, 45 (02) :110-114

[5] Post-dural puncture headache in the parturiente - an update [J].

Boyle, Jeremy A. H. ;

Stocks, Gary M. .

ANAESTHESIA AND INTENSIVE CARE MEDICINE, 2010, 11 (08) :302-304

[6]

Choi PT, 2003, CAN J ANAESTH, V50, P460, DOI 10.1007/BF03021057

[7] COMBINED SPINAL EPIDURAL ANALGESIA WITH ABILITY TO WALK THROUGHOUT LABOR [J].

COLLIS, RE ;

BAXANDALL, ML ;

SRIKANTHARAJAH, ID ;

EDGE, G ;

KADIM, MY ;

MORGAN, BM .

LANCET, 1993, 341 (8847) :767-768

[8] Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists [J].

Cook, T. M. ;

Counsell, D. ;

Wildsmith, J. A. W. .

BRITISH JOURNAL OF ANAESTHESIA, 2009, 102 (02) :179-190

[9] Satisfaction, control and pain relief: short- and long-term assessments in a randomised controlled trial of low-dose and traditional epidurals and a non-epidural comparison group [J].

Cooper, G. M. ;

MacArthur, C. ;

Wilson, M. J. A. ;

Moore, P. A. S. ;

Shennan, A. .

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2010, 19 (01) :31-37

[10]

de Fijter S., 2010, Morbidity and Mortality Weekly Report, V59, P65

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