Open AccessA Randomized Trial of Breakthrough Pain During Combined Spinal-Epidural Versus Epidural Labor Analgesia in Parous Women
Author(s) -
Stephanie R. Goodman,
Richard M. Smiley,
Maria A. Negron,
Paula A. Freedman,
Ruth Landau
Publication year - 2009
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0b013e31818f896f
Subject(s) - medicine , bupivacaine , fentanyl , anesthesia , cervical dilation , confidence interval , randomized controlled trial , intrathecal , significant difference , visual analogue scale , combined spinal epidural , surgery , pregnancy , gestation , biology , genetics
There is controversy regarding the benefits and risks of combined spinal-epidural compared with epidural analgesia (CSE, EPID) for labor analgesia. We hypothesized that CSE would result in fewer patient requests for top-up doses compared to EPID.