Effect of Dural-Puncture Epidural vs Standard Epidural for Epidural Extension on Onset Time of Surgical Anesthesia in Elective Cesarean Delivery: A Randomized Clinical Trial.

ABSTRACT:

Importance

Dural-puncture epidural (DPE) and standard epidural are common modes of neuraxial labor analgesia. Little is known about conversion of DPE-initiated labor analgesia to surgical anesthesia for cesarean delivery.

Objective

To determine whether DPE provides a faster onset and better-quality block compared with the standard epidural technique for cesarean delivery.

Design, setting, and participants

This double-blind, randomized clinical trial was conducted between April 2019 and October 2022 at a tertiary care university hospital (University of Arkansas for Medical Sciences). Participants included women aged 18 years and older undergoing scheduled cesarean delivery with a singleton pregnancy.

Interventions

Participants were randomized to receive DPE or s

SUBMITTER: Sharawi N 

PROVIDER: S-EPMC10394571 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature