지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.77 No.1
- 발행연도
- 2024.2
- 수록면
- 106 - 114 (9page)
- DOI
- 10.4097/kja.23173
이용수
초록· 키워드
오류제보하기
Background: Although programmed intermittent epidural bolus (PIEB) is effective for labor analgesia, an appropriate flow rate has not been established. Therefore, we investigated the analgesic effect based on different epidural injection flow rates.Methods: Nulliparous women scheduled for spontaneous labor were enrolled in this randomized trial. After injection of intrathecal 0.2% ropivacaine 3 mg with fentanyl 20 μg, participants were randomized to three study groups. Epidural analgesics, 10 ml during one hour, were administered with patient controlled epidural analgesia as follows (0.2% ropivacaine 60 ml, fentanyl 180 μg, and 0.9% saline 40 ml): continuous (n = 28, 10 ml/h for continuous infusion), PIEB (n = 29, 240 ml/h for bolus infusion of 10 ml), or manual (n = 28, 1200 ml/h for bolus injection of 10 ml). The primary outcome was hourly consumption of the epidural solution. The time interval between labor analgesia and the first breakthrough pain was investigated.Results: The median (Q1, Q3) hourly consumption of epidural anesthetics was significantly different among the groups (continuous: 14.3 [8.7, 16.9] ml, PIEB: 9.4 [6.2, 9.8] ml, manual: 8.6 [7.6, 9.9] ml; P < 0.001). The time to breakthrough pain for the PIEB group was longer than that for the other groups (continuous: 78.5 [35.8, 185.0] min, PIEB: 200.0 [88.5, 441.5] min, manual: 60.5 [37.3, 162.0] min, P = 0.027).Conclusions: PIEB, with a low-flow rate, provided more adequate labor analgesia than a continuous epidural infusion or manual injection with a high-flow rate.
목차
등록된 정보가 없습니다.
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Programmed intermittent epidural bolus as compared to continuous epidural infusion for the maintenance of labor analgesia: a prospective randomized singleblinded controlled trial
Korean Journal of Anesthesiology
2019 .01
-
경막외 진통은 비경막외 진통에 비해 초산부의 분만을 지연시키는가?: 후향성 관찰 연구
의생명과학
2018 .01
-
Programmed intermittent epidural bolus: a viable alternative to traditional methods?
Korean Journal of Anesthesiology
2024 .06
-
Comparison of Dexmedetomidine and Fentanyl as an Adjuvant to Ropivacaine for Postoperative Epidural Analgesia in Pediatric Orthopedic Surgery
Yonsei Medical Journal
2017 .01
-
Comparison of Clinical Outcomes of Different Rates of Infusion in Caudal Epidural Steroid Injection: A Randomized Controlled Trial
Asian Spine Journal
2021 .01
-
Epidural hematoma treated by aspiration after transforaminal epidural steroid injection - A case report -
Anesthesia and Pain Medicine
2021 .01
-
Preemptive Caudal Ropivacaine: An Effective Analgesic during Degenerative Lumbar Spine Surgery
Asian Spine Journal
2017 .01
-
경막외 신경성형술
Anesthesia and Pain Medicine
2016 .01
-
A comparison of 0.075% and 0.15% of ropivacaine with fentanyl for postoperative patient controlled epidural analgesia after laparoscopic gynecologic surgery
영남의대학술지
2017 .01
-
Cerebellar Infarction Following Epidural Abscess after Epidural Neuroplasty
Neurospine
2015 .01
-
A comparison of 0.075% and 0.15% of ropivacaine with fentanyl for postoperative patient controlled epidural analgesia after laparoscopic gynecologic surgery
Journal of Yeungnam Medical Science
2017 .01
-
Cervical Meningomyelitis After Lumbar Epidural Steroid Injection
Annals of Rehabilitation Medicine
2015 .01
-
Drainage of an acute spinal epidural hematoma that developed without risk factors in the thoracic spine using epidural needle -A case report-
Anesthesia and Pain Medicine
2017 .01
-
Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection
The Korean Journal of Pain
2015 .01
-
Comparison of landmark and real-time ultrasound-guided epidural catheter placement in the pediatric population: a prospective randomized comparative trial
Anesthesia and Pain Medicine
2021 .10
-
A clinical retrospective study comparing thoracic epidural catheterization between awake and anesthetized patients
Anesthesia and Pain Medicine
2019 .01
-
Posterior Epidural Herniation of a Lumbar Disk Fragment at L2-3 That Mimicked an Epidural Hematoma
Neurospine
2017 .01
-
Ultrasound Guided Technique for the Caudal Epidural Injection
The Korean Journal of Pain
2015 .01
-
Epidural abscess caused by Serratia marcescens during use of an indwelling tunneled epidural catheter: a case report
Medical Biological Science and Engineering
2023 .01
-
Analgesic effect of ropivacaine with fentanyl in comparison with ropivacaine alone for continuous femoral nerve block after knee replacement arthroplasty: a prospective, randomized, double-blinded study
Anesthesia and Pain Medicine
2020 .01
최근 본 자료
댓글(0)
0