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Painless Labor: Comparison between Patient Controlled Epidural Analgesia and Continuous Epidural Analgesia

Iraqi Postgraduate Medical Journal, 2021, Volume 20, Issue 4, Pages 338-343
10.52573/ipmj.1970.170478

Abstract

ABSTRACT:
BACKGROUND:                                                                                     
 Patient-controlled epidural analgesia has been considered as superior to continuous epidural infusion for labor pain control.
AIM OF STUDY:
The aim   was to establish     the efficacy of Patient Controlled Epidural Analgesia for control of labor pain   and improve the quality of analgesia.
 METHODS:
This study was done on 20 patients; they were given bolus of 10 ml of   0.125% bupivacaine +2 Mg /ml fentanyl then divided into: Group A can put the device to deliver 5ml of 0.125% bupivacaine +2Mg /ml fentanyl with lockout interval 20 min; Group B had the PCA system to deliver continuous infusion of 10 ml /hr. In each group if patient still suffer from pain, patients were received additional dose of 5ml of same solution.
RESULTS:          
Data showed that total amount of LA in group A was lower than group B    (18.44ml versus 20ml in 1st hr., 2.5ml versus 10ml in 2nd hr.). Regarding additional     boluses, CIEA group needed more extra boluses of LA at 20, and 60 mints (5.0ml versus 1.0ml, 4.0 ml versus 0.5ml).  CONCLUSION:
 The use of PCEA associated with lower doses of local anesthetic with   better quality of analgesia and maternal satisfaction.
 
 
Keywords:

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13. Sumaiah Tahseen S, Mohammed K, Sahajananda H, et al.Comparison of patient controlled epidural analgesia with continuous epidural infusion for labour analgesia. J. Evolution Med. Dent. Sci. 2016;5:3862-67, DOI: 10.14260/jemds/2016/884

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15. N.BROGLY, R.SCHIRALDI, B.VAZQUEZ et al. A randomized control trial of patient controlled epidural analgesia (PCEA) with and without background infusion using levobupivacaine and fentanyl. Minerva Anestesiol 2016; 77:1149-54.

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