14. Analgesia del parto: estudio de los bolos epidurales intermitentes.
Abstract
El manejo analgésico adecuado durante el parto es un pilar fundamental de la anestesia obstétrica. En este contexto, se han desarrollado diferentes innovaciones que buscan mejorar la calidad de la analgesia en comparación con la epidural convencional, como son la epidural con punción dural y el uso de bolos epidurales intermitentes programados. En este estudio, se evalúa la eficacia y seguridad de la combinación de ambas técnicas.
Appropriate pain management during childbirth is a fundamental pillar of obstetric anesthesia. In this context, various innovations have been developed that aim to improve the quality of analgesia compared to conventional epidural techniques. These include dural puncture epidural and the use of programmed intermittent epidural boluses. This study assesses the effectiveness and safety of combining both of these techniques.
Citas
Chau A, Bibbo C, Huang CC, et al. . Dural puncture epidural technique improves labor analgesia quality with fewer side effects compared with epidural and combined spinal epidural techniques: a randomized clinical trial. Anesth Analg. 2017;124:560–569. - PubMed
Wilson SH, Wolf BJ, Bingham K, et al. . Labor analgesia onset with dural puncture epidural versus traditional epidural using a 26-Gauge Whitacre needle and 0.125% bupivacaine bolus: a randomized clinical trial. Anesth Analg. 2018;126:545–551. - PMC - PubMed
Gunaydin B, Erel S. How neuraxial labor analgesia differs by approach: dural puncture epidural as a novel option. J Anesth. 2019;33:125–130. - PubMed
Cappiello E, O’Rourke N, Segal S, et al. . A randomized trial of dural puncture epidural technique compared with the standard epidural technique for labor analgesia. Anesth Analg. 2008;107:1646– 1651. - PubMed
MPG Journal - Política de privacidad