A Survey of Intravenous Remifentanil Use for Labor Analgesia at Academic Medical Centers in the United States

被引：22

作者：

Aaronson, Jaime ^{[1
]}

Abramovitz, Sharon ^{[1
]}

Smiley, Richard ^{[2
]}

Tangel, Virginia ^{[1
]}

Landau, Ruth ^{[2
]}

机构：

[1] Well Cornell Med, Dept Anesthesiol, 525 East 68th St,A-1014, New York, NY 10065 USA

[2] Columbia Univ, Med Ctr, Dept Anesthesiol, New York, NY USA

来源：

ANESTHESIA AND ANALGESIA | 2017年 / 124卷 / 04期

关键词：

PATIENT-CONTROLLED ANALGESIA; RANDOMIZED CONTROLLED-TRIAL; MEPERIDINE; PAIN;

D O I：

10.1213/ANE.0000000000001622

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Remifentanil is most commonly offered when neuraxial labor analgesia is contraindicated. There is no consensus regarding the optimal administration, dosing strategy, or requirements for maternal monitoring, which may pose a patient safety issue. This exploratory survey evaluated the current practices regarding remifentanil use for labor analgesia at academic centers in the United States. Of 126 obstetric anesthesia directors surveyed, 84 (67%) responded. In 2014 to 2015, an estimated 36% (95% confidence interval: 25.7-46.3) of centers used remifentanil, most of which did so less than 5 times. Some serious maternal and neonatal respiratory complications occurred, emphasizing that clinical protocols and adequate monitoring are key to ensure maternal and neonatal safety.

引用

页码：1208 / 1210

页数：3

共 8 条

[1] A randomised comparison of intravenous remifentanil patient-controlled analgesia with epidural ropivacaine/sufentanil during labour [J].

Douma, M. R. ;

Middeldorp, J. M. ;

Verwey, R. A. ;

Dahan, A. ;

Stienstrad, R. .

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2011, 20 (02) :118-123

[2] Obstetric analgesia: a comparison of patient-controlled meperidine, remifentanil, and fentanyl in labour [J].

Douma, M. R. ;

Verwey, R. A. ;

Kam-Endtz, C. E. ;

van der Linden, P. D. ;

Stienstra, R. .

BRITISH JOURNAL OF ANAESTHESIA, 2010, 104 (02) :209-215

[3] Remifentanil: A novel systemic analgesic for labor pain [J].

Evron, S ;

Glezerman, M ;

Sadan, O ;

Boaz, M ;

Ezri, T .

ANESTHESIA AND ANALGESIA, 2005, 100 (01) :233-238

[4] Remifentanil for labour analgesia: a meta-analysis of randomised controlled trials [J].

Schnabel, Alexander ;

Hahn, Niklas ;

Broscheit, Jens ;

Muellenbach, Ralf M. ;

Rieger, Lorenz ;

Roewer, Norbert ;

Kranke, Peter .

EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2012, 29 (04) :177-185

[5] Remifentanil for labour analgesia: a double-blinded, randomised controlled trial of maternal and neonatal effects of patient-controlled analgesia versus continuous infusion [J].

Shen, M. K. ;

Wu, Z. F. ;

Zhu, A. B. ;

He, L. L. ;

Shen, X. F. ;

Yang, J. J. ;

Feng, S. W. .

ANAESTHESIA, 2013, 68 (03) :236-244

[6] A Randomized Controlled Trial of the Efficacy and Respiratory Effects of Patient-Controlled Intravenous Remifentanil Analgesia and Patient-Controlled Epidural Analgesia in Laboring Women [J].

Stocki, Daniel ;

Matot, Idit ;

Einav, Sharon ;

Eventov-Friedman, Smadar ;

Ginosar, Yehuda ;

Weiniger, Carolyn F. .

ANESTHESIA AND ANALGESIA, 2014, 118 (03) :589-597

[7] Remifentanil by patient-controlled analgesia compared with intramuscular meperidine for pain relief in labour [J].

Thurlow, JA ;

Laxton, CH ;

Dick, A ;

Waterhouse, P ;

Sherman, L ;

Goodman, NW .

BRITISH JOURNAL OF ANAESTHESIA, 2002, 88 (03) :374-378

[8] Remifentanil for labor analgesia: an evidence-based narrative review [J].

Van de Velde, M. ;

Carvalho, B. .

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2016, 25 :66-74

← 1 →