Electric stimulation-guided epidural analgesia for vaginal delivery: A randomized prospective study.

ABSTRACT:

Background

The failure rate of epidural anesthesia using the loss of resistance technique is 13-23%.

Objectives

To investigate the efficacy of epidural electric stimulation-guided epidural analgesia in vaginal delivery.

Study design

An open label randomized prospective study.

Methods

Laboring women were randomized to two groups: epidural catheter insertion using only a loss of resistance technique or a loss of resistance technique with confirmation by electric stimulation. Catheters in both groups were initially tested with 3 ml of 1% lidocaine and those with any evidence of motor blockade were considered intrathecal. Sensory blockade and an 11 point numerical rating score for pain were assessed 30 minutes after administration of an epidural bolus of 10 ml of 0

SUBMITTER: Lee CH 

PROVIDER: S-EPMC6329494 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature