Neuraxial techniques of labour analgesia
In recent years, many neuraxial techniques have been introduced to initiate and maintain labour analgesia, with low-dose mixtures of local anaesthetics and opioids, which have improved the quality of analgesia and made it safer for both mother and neonate. An independent search of the databases of P...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=9;spage=658;epage=666;aulast=Gupta |
| _version_ | 1818213241548963840 |
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| author | Sunanda Gupta Seema Partani |
| author_facet | Sunanda Gupta Seema Partani |
| author_sort | Sunanda Gupta |
| collection | DOAJ |
| description | In recent years, many neuraxial techniques have been introduced to initiate and maintain labour analgesia, with low-dose mixtures of local anaesthetics and opioids, which have improved the quality of analgesia and made it safer for both mother and neonate. An independent search of the databases of PubMed, Medline, and Cochrane controlled trial data was conducted by two researchers, and randomized controlled trials that compared different methods of neuraxial analgesia and the different techniques of maintaining labor analgesia were retrieved and analyzed. The advantages, disadvantages, and indications of each technique along with the doses of intrathecal and epidural drugs are discussed. The myths and controversies involving neuraxial labor analgesia and the current consensus on their effect on the maternal and foetal outcomes are also outlined. |
| first_indexed | 2024-12-12T06:01:10Z |
| format | Article |
| id | doaj.art-ab96c553ce794222a27a29c07f132e7a |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-12-12T06:01:10Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-ab96c553ce794222a27a29c07f132e7a2022-12-22T00:35:25ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172018-01-0162965866610.4103/ija.IJA_445_18Neuraxial techniques of labour analgesiaSunanda GuptaSeema PartaniIn recent years, many neuraxial techniques have been introduced to initiate and maintain labour analgesia, with low-dose mixtures of local anaesthetics and opioids, which have improved the quality of analgesia and made it safer for both mother and neonate. An independent search of the databases of PubMed, Medline, and Cochrane controlled trial data was conducted by two researchers, and randomized controlled trials that compared different methods of neuraxial analgesia and the different techniques of maintaining labor analgesia were retrieved and analyzed. The advantages, disadvantages, and indications of each technique along with the doses of intrathecal and epidural drugs are discussed. The myths and controversies involving neuraxial labor analgesia and the current consensus on their effect on the maternal and foetal outcomes are also outlined.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=9;spage=658;epage=666;aulast=GuptaComputer-integrated patient-controlled epidural analgesiacontinuous spinal analgesianeuraxial labour analgesiaprogrammed intermittent bolus |
| spellingShingle | Sunanda Gupta Seema Partani Neuraxial techniques of labour analgesia Indian Journal of Anaesthesia Computer-integrated patient-controlled epidural analgesia continuous spinal analgesia neuraxial labour analgesia programmed intermittent bolus |
| title | Neuraxial techniques of labour analgesia |
| title_full | Neuraxial techniques of labour analgesia |
| title_fullStr | Neuraxial techniques of labour analgesia |
| title_full_unstemmed | Neuraxial techniques of labour analgesia |
| title_short | Neuraxial techniques of labour analgesia |
| title_sort | neuraxial techniques of labour analgesia |
| topic | Computer-integrated patient-controlled epidural analgesia continuous spinal analgesia neuraxial labour analgesia programmed intermittent bolus |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=9;spage=658;epage=666;aulast=Gupta |
| work_keys_str_mv | AT sunandagupta neuraxialtechniquesoflabouranalgesia AT seemapartani neuraxialtechniquesoflabouranalgesia |