Programmed Intermittent Intrathecal Bolus for Maintenance of Labor Analgesia in an Obstetric Patient : A Case Report
Copyright © 2023 International Anesthesia Research Society..
Maintenance of labor analgesia with programmed intermittent epidural boluses (PIEBs) has demonstrated benefits over the use of continuous infusions. While programmed intermittent boluses have been used for the maintenance of epidural analgesia, it has not been reported for the maintenance of intrathecal analgesia. Approximately 25% of intrathecal catheters (ITC) ultimately fail, often due to inadequate analgesic coverage. We describe the use of programmed intermittent intrathecal boluses for a laboring parturient who received an ITC. She reported excellent pain relief without significant motor block, high anesthetic block, hypotension, or respiratory distress. This delivery modality may increase the rate of ITC after unintentional dural puncture (UDP).
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
A&A practice - 17(2023), 12 vom: 01. Dez., Seite e01739 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Moaveni, Daria [VerfasserIn] |
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Date Revised 13.12.2023 published: Electronic-eCollection Citation Status In-Process |
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| doi: |
10.1213/XAA.0000000000001739 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM365794864 |
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| 520 | |a Maintenance of labor analgesia with programmed intermittent epidural boluses (PIEBs) has demonstrated benefits over the use of continuous infusions. While programmed intermittent boluses have been used for the maintenance of epidural analgesia, it has not been reported for the maintenance of intrathecal analgesia. Approximately 25% of intrathecal catheters (ITC) ultimately fail, often due to inadequate analgesic coverage. We describe the use of programmed intermittent intrathecal boluses for a laboring parturient who received an ITC. She reported excellent pain relief without significant motor block, high anesthetic block, hypotension, or respiratory distress. This delivery modality may increase the rate of ITC after unintentional dural puncture (UDP) | ||
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