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 |
dc.relation.ispartofConference |
|
dc.relation.ispartofConferenceCode |
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dc.relation.ispartofConferenceDate |
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dc.relation.ispartofConferenceHosting |
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dc.relation.ispartofConferenceLoc |
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dc.relation.ispartofConferenceSponsor |
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dc.relation.ispartofConferenceTitle |
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dc.relation.ispartofFundingAgency |
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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 |