COMPARISON OF PATIENT CONTROLLED EPIDURAL ANALGESIA WITH CONTINUOUS EPIDURAL INFUSION FOR LABOUR ANALGESIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 56
Abstract
We conducted a study to compare the efficacy and safety of Patient Controlled Epidural Analgesia (PCEA) with that of Continuous Infusion of Epidural Analgesia (CIEA) for maintenance of labour analgesia and evaluated the quality of analgesia and obstetric and safety outcomes. METHODS The study was a hospital-based prospective, randomised control trial on 80 parturients who had a normal antenatal period. Each parturient received 500-1000 mL lactated ringer solution Intravenously (IV) prior to initiating epidural blockade. Epidural catheter placement was performed in a standard manner and all patients received an initial dose of 8-10 mL bupivacaine 0.25%. Parturients self-administered 0.125% bupivacaine with fentanyl 2.5 µg/mL using PCA pumps programmed as follows: 4 mL bolus with a 20 mins Lockout Interval (LI). Group B received CIEA of 8 mL 0.125% bupivacaine with fentanyl 2.5/mL. Hourly assessments included: VAS scores for pain and satisfaction, sensory and motor block, analgesic supplements, bupivacaine and fentanyl consumption. RESULTS Data from 80 patients showed no differences among groups in pain relief. Maternal satisfaction was greater in PCEA group. Anaesthetic interventions by way of supplemental doses of Bupivacaine and Fentanyl in the PCEA group were minimal (4 and 2 vs 25 and 12 P <0.001) compared to CEI group. PCEA group received less local anaesthetic (5.2 vs 9.4 p <0.001) and few patients in PCEA group had motor weakness compared to CEI group (6 vs 17 p <0.05). Both methods were safe for mother and newborn. CONCLUSION Patients who received PCEA required less anaesthetic interventions, required lower doses of local anaesthetic, fentanyl and have less motor weakness than those who received CEI.
Authors and Affiliations
Sumaiah , Kassim , Sahajananda , Praveen Halagunaki
Keywords
Related Articles
- EP ID EP123365
- DOI 10.14260/jemds/2016/884
- Views 102
- Downloads 0
CD-56 IMMUNOREACTIVITY IN FOLLICULAR CELL DERIVED LESIONS OF THYROID
BACKGROUND The microscopic distinction between benign and malignant lesions by conventional histology is at times difficult. Diagnosis of papillary carcinoma is based on specific nuclear features however, focal presence...
A STUDY TO COMPARE THE OUTCOME OF SELECTED SURGICAL PROCEDURES FOR PROXIMAL URETERAL STONE TREATMENT AT CARE INSTITUTE OF MEDICAL SCIENCES, HYDERABAD FROM MAY 2011 TO APRIL 2013
BACKGROUND Urinary stone disease causes morbidity, thus lead to loss of wages and economy. The estimated prevalence is 2% - 3% with lifetime risk of 12% for white males and 5% - 6% for white females, and lifetime recurre...
QUALITY ASSESSMENT OF REPRODUCTIVE AND CHILD HEALTH SERVICES IN KAMRUP DISTRICT OF ASSAM
BACKGROUND The provision of good quality care is the main thrust of the RCH programme. Greater emphasis is given to better quality of services as compared to the previous National Family Planning Programme. Objectives- 1...
RECURRENCE OF THYROID DISORDERS IN PATIENTS WHO UNDERWENT SUBTOTAL THYROIDECTOMY FOR MNG
BACKGROUND Subtotal thyroidectomy is the preferred procedure currently done in our institution for multinodular goitre. However, many surgeons prefer near-total thyroidectomy for this condition as the recurrence of Multi...
LEFT VENTRICULAR MASS INDEX: A PREDICTOR OF MORBIDITY AND MORTALITY IN ESSENTIAL HYPERTENSION
[b] BACKGROUND[/b]: Hypertension is one of the leading causes of the global burden of disease and is the most important health problem met by general physicians. The development of left ventricular hypertrophy i...