Abstract
Labour pain is effectively relieved by neuraxial analgesic techniques. Initiation of labour analgesia is either done by conventional epidural analgesia or by combined spinal epidural analgesia (CSE)
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References
Rawal N, Holmstrom B, Crowhurst JA, Van Zundert A. The combined spinal epidural technique. Anesth Clin North Am. 2000;18:267–95.
Camann WR, Mintzer BH, Denney RA, Datta S. Intrathecal sufentanil for labor analgesia. Anesthesiology. 1993;78:870–4.
Collis RE, Baxandall ML, Srikantharajah ID, Edge G, Kadim MY, Morgan BM. Combined spinal epidural analgesia: technique, management and outcome of 300 mothers. Int J Obstet Anesth. 1994;3:75–81.
Preston R. The role of combined spinal epidural analgesia for labour: is there still a question? Can J Anaesth 2007;54:914.
Simmons SW, Taghizadeh N, Dennis AT, Hughes D, Cyna AM. Combined spinal-epidural versus epidural analgesia in labour. Cochrane Database Syst Rev. 2012;10:CD003401.
Van de Velde M, Teunkens A, Hanssens M, Vandermeersch E, Verhaeghe J. Intrathecal sufentanil and fetal heart rate abnormalities: a double blind, double placebo controlled trial comparing two forms of combined spinal epidural analgesia with epidural analgesia in labor. Anesth Analg. 2004;98:1153–9.
Van de Velde M, Mignolet K, Vandermeersch E, Van Assche A. Prospective, randomized comparison of epidural and combined spinal epidural analgesia during labor. Acta Anaesthesiol Belg. 1999;50:129–36.
Collis RE, Davies DWL, Aveling W. Randomised comparison of combined spinal epidural and standard epidural analgesia in labour. Lancet. 1995;345:1413–6.
Wilson MJ, Cooper G, MacArthur C, Shennan A. Randomized controlled trial comparing traditional with two mobile epidural techniques: anesthetic and analgesic efficiency. Anesthesiology. 2002;97:1567–75.
Van de Velde M. Combined spinal epidural analgesia for labor and delivery: a balanced view based on experience and literature. Acta Anaesth Belg. 2009;60(2):109–22.
Gambling D, Berkowitz J, Farrell TR, Pue A, Shay D. A randomized controlled comparison of epidural analgesia and combined spinal-epidural analgesia in a private practice setting: pain scores during first and second stages of labor and at delivery. Anesth Analg. 2013;116:636–43.
Capiello E, O’Rourke N, Segal S, Tsen LC. A randomized trial of dural puncture epidural technique compared with the standard epidural technique for labor analgesia. Anesth Analg. 2008;107:1646–51.
Heesen M, Van de Velde M, Klohr S, Lehberger J, Rossaint R, Straube S. Meta-analysis of the success of block following combined spinal-epidural vs epidural analgesia during labour. Anaesthesia. 2014;69:64–71.
Thomas JA, Pan PH, Harris LC, Owen MD, D’Angelo R. Dural puncture with a 27-gauge Whitacre needle as part of a combined spinal-epidural technique does not improve labor epidural catheter function. Anesthesiology. 2005;103:1046–51.
Reynolds F. Damage to the conus medullaris following spinal anaesthesia. Anaesthesia. 2001;56:238–47.
Van Gessel EF, Forster A, Gamulin Z. Continuous spinal anesthesia: where do spinal catheters go? Anesth Analg. 1993;76:1004–7.
Van de Velde M, Teunkens A, Hanssens M, van Assche FA, Vandermeersch E. Post dural puncture headache following combined spinal epidural or epidural anaesthesia in obstetric patients. Anaesth Intensive Care. 2001;29:505–99.
Mardirosoff C, Dumont L, Boulvain M, Tramer MR. Fetal bradycardia due to intrathecal opioids for labour analgesia: a systematic review. BJOG. 2002;109:274–81.
Reynolds F, Seed PT. Anaesthesia for Caesarean section and neonatal acid-base status: a meta-analysis. Anaesthesia. 2005;60:636–53.
Booth JM, Joshua C, Pan BS, Ross VH, Gregory B, Russell MS, Lynne C, Harris BSN, Pan PH. Combined spinal epidural technique for labor analgesia does not delay recognition of epidural catheter failures: a single-center retrospective cohort survival analysis. Anesthesiology. 2016;125:516–24.
Vercauteren M, Bettens K, Van Springel G, Schols G. Intrathecal labor analgesia: can we use the same mixture as is used epidurally? Int J Obstet Anesth. 1997;6:242–6.
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Van de Velde, M. (2022). Combined Spinal-Epidural Analgesia for Labour. In: Fernando, R., Sultan, P., Phillips, S. (eds) Quick Hits in Obstetric Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-72487-0_2
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DOI: https://doi.org/10.1007/978-3-030-72487-0_2
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