Evaluation of experimental pain tests to predict labour pain and epidural analgesic consumption

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Evaluation of experimental pain tests to predict labour pain and epidural analgesic consumption.

BACKGROUND The aim of this study was to determine whether experimental pain tests (EPTs) using heat, pressure, and i.v. cannulation before induction of labour reliably predict epidural analgesic use and pain intensity during labour. METHODS Fifty healthy women with singleton, term pregnancies admitted for scheduled induction of labour comprised the study population for this prospective case-c...

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OBSTETRICS Intrathecal morphine reduces breakthrough pain during labour epidural analgesia

Methods. This was a randomized, double-blind, placebo-controlled trial. Subjects were randomized to receive either 100 mg of morphine (MS) or placebo (PLCB) with the spinal injection of bupivacaine and fentanyl. Assessments included need for supplementation during labour analgesia, use of pain medications for 24 h after delivery, and side-effects. The primary endpoint was the rate of breakthrou...

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Intrathecal morphine reduces breakthrough pain during labour epidural analgesia.

BACKGROUND When using the combined spinal-epidural (CSE) technique for labour analgesia, parturients often experience breakthrough pain after the spinal medication has receded. We tested the hypothesis that a small dose of intrathecal morphine would reduce breakthrough pain. METHODS This was a randomized, double-blind, placebo-controlled trial. Subjects were randomized to receive either 100 m...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2013

ISSN: 0007-0912

DOI: 10.1093/bja/aes423