The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Upryamova E.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology

Shifman E.M.

Moscow Regional Research and Clinical Institute

Krasnopolskiy V.I.

Moscow Regional Research Institute of Obstetrics and Gynecology

Ovezov A.M.

Moscow Regional Research and Clinical Institute

Programmed intermittent epidural boluses for labor analgesia: influence on obstetric and anesthetic outcomes (results of a prospective single-center randomized controlled clinical trial)

Authors:

Upryamova E.Yu., Shifman E.M., Krasnopolskiy V.I., Ovezov A.M.

More about the authors

Read: 1101 times


To cite this article:

Upryamova EYu, Shifman EM, Krasnopolskiy VI, Ovezov AM. Programmed intermittent epidural boluses for labor analgesia: influence on obstetric and anesthetic outcomes (results of a prospective single-center randomized controlled clinical trial). Russian Bulletin of Obstetrician-Gynecologist. 2021;21(5):49‑58. (In Russ.)
https://doi.org/10.17116/rosakush20212105149

Recommended articles:

References:

  1. Committee on Practice Bulletins—Obstetrics. Practice Bulletin No. 177: Obstetric Analgesia and Anesthesia. Obstet Gynecol. 2017;129:4:73-89.  https://doi.org/10.1097/AOG.0000000000002018
  2. Upryamova EYu, Shifman EM, Krasnopol’skii VI, Ovezov AM. Programmed intermittent epidural boluses (PIEB) for labor pain relief. Anesteziologiya i reanimatologiya. 2020;4:69-77. (In Russ.). https://doi.org/10.17116/anaesthesiology202004169
  3. Xu J, Zhou J, Xiao H, Pan S, Liu J, Shang Y, Yao S. A Systematic review and meta-analysis comparing programmed intermittent bolus and continuous infusion as the background infusion for parturient-controlled epidural analgesia. Sci Rep. 2019;9:1:2583. https://doi.org/10.1038/s41598-019-39248-5
  4. Carvalho B, George RB, Cobb B, McKenzie C, Riley ET. Implementation of programmed intermittent epidural bolus for the maintenance of labor analgesia. Anesth Analg. 2016;123:4:965-971.  https://doi.org/10.1213/ANE.0000000000001407
  5. Gabriel L, Young J, Hoesli I, Girard T, Dell-Kuster S. General ability of randomised trials of the programmed intermittent epidural bolus technique for maintenance of labour analgesia: a prospective single centre cohort study. Br J Anaesthesia. 2019;123:2:434-441.  https://doi.org/10.1016/j.bja.2019.02.016
  6. Diez-Picazo LD, Guasch E, Brogly N, Gilsanz F. Is breakthrough pain better managed by adding programmed intermittent epidural bolus to a background infusion during labor epidural analgesia? A randomized controlled trial. Minerva Anestesiol. 2019;85:10:1097-1104. https://doi.org/10.23736/S0375-9393.19.13470-0
  7. Rodríguez González IP, Espinosa Domínguez E, Quesada García C, Rodríguez Chimeno Á, Borges R. Comparison between different epidural analgesia modalities for labor. Rev Esp Anestesiol Reanim (Engl Ed). 2019;66:8:417-424.  https://doi.org/10.1016/j.redar.2019.03.004
  8. Jochberger S, Ortner C, Klein KU. Pain therapy during labour. Wien Med Wochenschr. 2017;167:15-16:368-373.  https://doi.org/10.1007/s10354-017-0571-5
  9. Holgado CM, Girones A, Tapia N, De Molina-Fernandez MI, Anez C. Labor outcomes with epidural analgesia: an observational before-and-after cohort study comparing continuous infusion versus programmed intermittent bolus plus patient-controlled analgesia. Minerva Anestesiol. 2020;86:12:1277-1286. https://doi.org/10.23736/S0375-9393.20.14516-4
  10. Fidkowski CW, Shah S, Alsaden MR. Programmed intermittent epidural bolus as compared to continuous epidural infusion for the maintenance of labor analgesia: a prospective randomized single-blinded controlled trial. Korean J Anesthesiol. 2019;72:5:472-478.  https://doi.org/10.4097/kja.19156
  11. Comparative Obstetric Mobile Epidural Trial (COMET) Study Group UK. Effect of low-dose mobile versus traditional epidural techniques on mode of delivery: a randomised controlled trial. Lancet. 2001;358:19-23. 
  12. Sultan P, Murphy C, Halpern S, Carvalho B. The effect of low concentrations versus high concentrations of local anesthetics for labour analgesia on obstetric and anesthetic outcomes: a meta-analysis. Can J Anaesth. 2013;60:840-854. 
  13. Wang TT, Sun S, Huang S-Q. Effects of epidural Labor analgesia with low concentrations of local anesthetics on obstetric outcomes: a systematic review and meta-analysis of randomized controlled trials. Anesth Analg. 2017;124:5:1571-1580.
  14. Mardirosoff C, Dumont L, Boulvain M, Tramer MR. Fetal bradycardia due to intrathecal opioids for labour analgesia: a systematic review. BJOG. 2002;109:274-281. 
  15. Nasir Hussain, Christopher M Lagnese, Blair Hayes, Nicolas Kumar, Tristan E Weaver, Michael K Essandoh, Joseph Reno, Robert H Small, Faraj W Abdallah. Comparative analgesic efficacy and safety of intermittent local anaesthetic epidural bolus for labour: a systematic review and meta-analysis. Br J Anaesthesia. 2020;125:4:560-579.  https://doi.org/10.1016/j.bja.2020.05.060
  16. Roofthooft E, Barbé A, Schildermans J, Cromheecke S, Devroe S, Fieuws S, Rex S, Wong CA, Van de Velde M. Programmed intermittent epidural bolus vs. patient-controlled epidural analgesia for maintenance of labour analgesia: a two-centre, double-blind, randomised study. Anaesthesia. 2020;75:12:1635-1642.
  17. Upryamova EYu, Shifman EM, Krasnopolskii VI, Ovezov AM. Programmed intermittent epidural boluses (PIEB) for labor analgesia: study of the sensor block and effects on maternal motor function. Regionarnaya anesteziya i lechenie ostroi boli. 2020;14:2:63-71. (In Russ.). https://doi.org/10.17816/1993-6508-2020-14-2-63-71

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.