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Dural Puncture Epidural for Labor Analgesia: Is It Really an Improvement over Conventional Labor Epidural Analgesia?

2022; Lippincott Williams & Wilkins; Volume: 136; Issue: 5 Linguagem: Inglês

10.1097/aln.0000000000004187

1528-1175

Scott Segal, Peter H. Pan,

Spine and Intervertebral Disc Pathology

Editorial| May 2022 Dural Puncture Epidural for Labor Analgesia: Is It Really an Improvement over Conventional Labor Epidural Analgesia? This article has an Audio Podcast Scott Segal, M.D., M.H.C.M.; Scott Segal, M.D., M.H.C.M. Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina. Search for other works by this author on: This Site PubMed Google Scholar Peter H. Pan, M.D., M.S.E.E. Peter H. Pan, M.D., M.S.E.E. Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina. Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information Accepted for publication February 17, 2022. Published online first on March 23, 2022. This editorial accompanies the article on p. 678. Address correspondence to Dr. Segal: Anesthesiology May 2022, Vol. 136, 667–669. https://doi.org/10.1097/ALN.0000000000004187 Connected Content Article: Quality of Labor Analgesia with Dural Puncture Epidural versus Standard Epidural Technique in Obese Parturients: A Double-blind Randomized Controlled Study Infographic: To Puncture or Not to Puncture: Dural Puncture Epidural vs. Standard Epidural Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Cite Icon Cite Get Permissions Search Site Citation Scott Segal, Peter H. Pan; Dural Puncture Epidural for Labor Analgesia: Is It Really an Improvement over Conventional Labor Epidural Analgesia?. Anesthesiology 2022; 136:667–669 doi: https://doi.org/10.1097/ALN.0000000000004187 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsAnesthesiology Search Advanced Search Topics: analgesia, epidural, analgesia, obstetrical, dural puncture, labor Neuraxial analgesia is considered the definitive standard for labor pain relief, utilized by more than 73% of laboring women in the United States, with growing popularity over time.1 This is perhaps unsurprising given its analgesic effectiveness, titratability, relative lack of serious side effects, and acceptance by most obstetric clinicians. During the last several decades, various refinements to neuraxial labor analgesia have included the use of continuous infusions of local anesthetic, addition of lipophilic opioids to epidural injectates, use of higher-volume and lower-concentration local anesthetic solutions, patient-controlled epidural analgesia, programmed intermittent epidural bolus, combined spinal–epidural analgesia, and dural puncture epidural analgesia. In combined spinal–epidural and dural puncture epidural, a spinal needle is passed through the epidural needle, and in combined spinal–epidural, small doses of opioid, usually combined with very small doses of local anesthetic, are injected intrathecally at the time of epidural initiation. In dural puncture epidural, no drug is... You do not currently have access to this content.