Intravenous patient-controlled analgesia with remifentanil in early labour
نویسندگان
چکیده
منابع مشابه
Patient-controlled analgesia for labour using remifentanil: a feasibility study.
We have investigated the efficacy and safety of remifentanil in a patient-controlled analgesia device for labour in 21 women. Remifentanil was available in increasing doses (bolus doses 0.25-1.0 microg x kg(-1)) with and without a background infusion (0.025-0.05 microg x kg(-1) x min(-1)). A lockout time of 2 min was used. Thirteen out of 21 (62%) women chose to continue using remifentanil up t...
متن کاملPatient controlled analgesia with remifentanil versus epidural analgesia in labour: randomised multicentre equivalence trial
OBJECTIVE To determine women's satisfaction with pain relief using patient controlled analgesia with remifentanil compared with epidural analgesia during labour. DESIGN Multicentre randomised controlled equivalence trial. SETTING 15 hospitals in the Netherlands. PARTICIPANTS Women with an intermediate to high obstetric risk with an intention to deliver vaginally. To exclude a clinically r...
متن کاملRemifentanil patient controlled analgesia versus epidural analgesia in labour. A multicentre randomized controlled trial
BACKGROUND Pain relief during labour is a topic of major interest in the Netherlands. Epidural analgesia is considered to be the most effective method of pain relief and recommended as first choice. However its uptake by pregnant women is limited compared to other western countries, partly as a result of non-availability due to logistic problems. Remifentanil, a synthetic opioid, is very suitab...
متن کاملLabor analgesia in preeclampsia: remifentanil patient controlled intravenous analgesia versus epidural analgesia.
BACKGROUND Epidural analgesia is considered to be the preferred method of labor analgesia in preeclamptic patients. Systemic opioids are another good effective, easy to administer alternative but may cause maternal and fetal respiratory depression. Remifentanil's rapid onset and offset of effects, should make it an ideal drug for the intermittent painful contraction during labor. Method. 30 pre...
متن کاملRemifentanil by patient-controlled analgesia compared with intramuscular meperidine for pain relief in labour.
BACKGROUND The pharmacokinetics of remifentanil suggests that it may be suitable for analgesia during labour. METHODS In an open pilot study, 36 women requesting meperidine for analgesia were recruited early in labour and randomized to receive either meperidine i.m. or remifentanil given as patient-controlled analgesia (PCA). Pain severity, sedation and anxiety were assessed with visual analo...
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ژورنال
عنوان ژورنال: Acta Anaesthesiologica Scandinavica
سال: 2011
ISSN: 0001-5172
DOI: 10.1111/j.1399-6576.2010.02364.x