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Comparison of three modes of patient-controlled epidural analgesia during labour

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dc.contributor.author Siddik-Sayyid S.M.
dc.contributor.author Aouad M.T.
dc.contributor.author Jalbout M.I.
dc.contributor.author Zalaket M.I.
dc.contributor.author Mouallem M.-R.A.
dc.contributor.author Massouh F.M.
dc.contributor.author Rizk L.B.
dc.contributor.author Maarouf H.H.
dc.contributor.author Baraka A.S.
dc.contributor.editor
dc.date Jan-2005
dc.date.accessioned 2017-10-05T15:29:18Z
dc.date.available 2017-10-05T15:29:18Z
dc.date.issued 2005
dc.identifier 10.1017/S0265021505000074
dc.identifier.isbn
dc.identifier.issn 02650215
dc.identifier.uri http://hdl.handle.net/10938/15191
dc.description.abstract Background and objectives: This study compares three modes of patient-controlled epidural analgesia in parturients during labour. Methods: Eighty-four women were randomized to one of three groups. The epidural solution used in all the three groups was 0.1percent bupivacaine with fentanyl 2 μg mL -1. Patients were able to self administer a demand dose of 3 mL with a lockout interval of 6 min in Group A, 6 mL with a lockout interval of 12 min in Group B and 9 mL with lockout interval of 18 min in Group C. All patients received a background infusion at a rate of 6 mL h-1. Visual analogue pain scores, pinprick analgesia and motor block were assessed hourly by a blinded observer. The physician-administered supplementation and the cumulative dose of bupivacaine were also compared between the three groups. Results: Pain scores, sensory level and motor block were not different among the study groups. Patients' satisfaction was rated good to excellent with no difference among groups. The cumulative dose of bupivacaine was not significantly different. However, there was a trend towards a decreased need for rescue analgesia in Group C. Within each group, the physician-administered supplementations were significantly higher during the second stage of labour than during the first stage (P andlt; 0.05). Conclusion: The three modes of patient-controlled epidural analgesia supplemented by a background infusion of 6 mL h-1 were equally effective for labour analgesia with a trend for decreased rescue analgesia in the group with a larger bolus dose and a longer lockout interval. © 2005 European Society of Anaesthesiology.
dc.format.extent
dc.format.extent Pages: (30-34)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: European Journal of Anaesthesiology; Publication Year: 2005; Volume: 22; no. 1; Pages: (30-34);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Comparison of three modes of patient-controlled epidural analgesia during labour
dc.type Article
dc.contributor.affiliation Siddik-Sayyid, S.M., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Aouad, M.T., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Jalbout, M.I., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Zalaket, M.I., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Mouallem, M.-R.A., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Massouh, F.M., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Rizk, L.B., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Maarouf, H.H., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon
dc.contributor.affiliation Baraka, A.S., American University of Beirut, Department of Anesthesiology, Beirut, Lebanon, Department of Anesthesiology, American University of Beirut, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.authorAddress Baraka, A.S.; Department of Anesthesiology, American University of Beirut, P.O. Box 11-0236, Beirut, Lebanon; email: abaraka@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Anesthesiology;
dc.contributor.authorDepartment Anesthesiology
dc.contributor.authorDivision
dc.contributor.authorEmail abaraka@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Siddik-Sayyid, SM
dc.contributor.authorInitials Aouad, MT
dc.contributor.authorInitials Jalbout, MI
dc.contributor.authorInitials Zalaket, MI
dc.contributor.authorInitials Mouallem, MRA
dc.contributor.authorInitials Massouh, FM
dc.contributor.authorInitials Rizk, LB
dc.contributor.authorInitials Maarouf, HH
dc.contributor.authorInitials Baraka, AS
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Baraka, AS (reprint author), Amer Univ Beirut, Dept Anesthesiol, POB 11-0236, Beirut, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Bernard JM, 2000, ANESTH ANALG, V90, P328, DOI 10.1097-00000539-200002000-00017; BIRNBACH DJ, 2000, AM SOC ANESTHESIOL, V114, P1; BROMAGE PR, 1983, ANESTHESIOLOGY, V58, P257, DOI 10.1097-00000542-198303000-00010; Capogna G, 1998, BRIT J ANAESTH, V80, P11; FERRANTE FM, 1991, ANESTH ANALG, V73, P547; FERRANTE FM, 1994, ANESTH ANALG, V79, P80; GAMBLING DR, 1990, ANESTH ANALG, V70, P256; GAMBLING DR, 1988, CAN J ANAESTH, V35, P249; GAMBLING DR, 1993, CAN J ANAESTH, V40, P211; PEACH MJ, 1996, INT J OBSTET ANESTH, V5, P115; PURDIE J, 1992, BRIT J ANAESTH, V68, P580, DOI 10.1093-bja-68.6.580; Stienstra R, 2000, Curr Opin Anaesthesiol, V13, P253, DOI 10.1097-00001503-200006000-00002
dc.description.citedCount 4
dc.description.citedTotWOSCount 3
dc.description.citedWOSCount 3
dc.format.extentCount 5
dc.identifier.articleNo
dc.identifier.coden EJANE
dc.identifier.pubmedID 15816570
dc.identifier.scopusID 20644470752
dc.identifier.url
dc.publisher.address 40 WEST 20TH ST, NEW YORK, NY 10011-4211 USA
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dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
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dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Eur. J. Anaesth.
dc.relation.ispartOfIssue 1
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle European Journal of Anaesthesiology
dc.relation.ispartofPubTitleAbbr Eur. J. Anaesthesiol.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 22
dc.source.ID WOS:000229535000007
dc.type.publication Journal
dc.subject.otherAuthKeyword Anaesthesia, obstetrical
dc.subject.otherAuthKeyword Anaesthetics, local, bupivacaine
dc.subject.otherAuthKeyword Analgesia, obstetrical, patient-controlled, epidural
dc.subject.otherAuthKeyword Analgesics, opioid, fentanyl
dc.subject.otherChemCAS bupivacaine, 18010-40-7, 2180-92-9, 55750-21-5
dc.subject.otherChemCAS fentanyl, 437-38-7
dc.subject.otherChemCAS ephedrine, 299-42-3, 50-98-6
dc.subject.otherChemCAS Anesthetics, Local
dc.subject.otherChemCAS Bupivacaine, 2180-92-9
dc.subject.otherChemCAS Ephedrine, 299-42-3
dc.subject.otherChemCAS Vasoconstrictor Agents
dc.subject.otherIndex bupivacaine
dc.subject.otherIndex fentanyl
dc.subject.otherIndex bupivacaine
dc.subject.otherIndex ephedrine
dc.subject.otherIndex local anesthetic agent
dc.subject.otherIndex vasoconstrictor agent
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex clinical trial
dc.subject.otherIndex controlled clinical trial
dc.subject.otherIndex controlled study
dc.subject.otherIndex drug efficacy
dc.subject.otherIndex drug self administration
dc.subject.otherIndex epidural anesthesia
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex human experiment
dc.subject.otherIndex intermethod comparison
dc.subject.otherIndex neuromuscular blocking
dc.subject.otherIndex obstetric analgesia
dc.subject.otherIndex pain assessment
dc.subject.otherIndex patient satisfaction
dc.subject.otherIndex randomized controlled trial
dc.subject.otherIndex visual analog scale
dc.subject.otherIndex Apgar score
dc.subject.otherIndex blood pressure
dc.subject.otherIndex cesarean section
dc.subject.otherIndex comparative study
dc.subject.otherIndex double blind procedure
dc.subject.otherIndex drug effect
dc.subject.otherIndex heart rate
dc.subject.otherIndex methodology
dc.subject.otherIndex newborn
dc.subject.otherIndex patient controlled analgesia
dc.subject.otherIndex pregnancy
dc.subject.otherIndex Adult
dc.subject.otherIndex Analgesia, Epidural
dc.subject.otherIndex Analgesia, Obstetrical
dc.subject.otherIndex Analgesia, Patient-Controlled
dc.subject.otherIndex Anesthetics, Local
dc.subject.otherIndex Apgar Score
dc.subject.otherIndex Blood Pressure
dc.subject.otherIndex Bupivacaine
dc.subject.otherIndex Cesarean Section
dc.subject.otherIndex Double-Blind Method
dc.subject.otherIndex Ephedrine
dc.subject.otherIndex Female
dc.subject.otherIndex Heart Rate
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant, Newborn
dc.subject.otherIndex Pain Measurement
dc.subject.otherIndex Patient Satisfaction
dc.subject.otherIndex Pregnancy
dc.subject.otherIndex Vasoconstrictor Agents
dc.subject.otherKeywordPlus LOCKOUT INTERVAL
dc.subject.otherKeywordPlus INFUSIONS
dc.subject.otherKeywordPlus BOLUS
dc.subject.otherWOS Anesthesiology


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