Pain management during labor and vaginal birth

JA Nanji, B Carvalho - Best Practice & Research Clinical Obstetrics & …, 2020 - Elsevier
Neuraxial analgesia provides excellent pain relief in labor. Optimizing initiation and
maintenance of neuraxial labor analgesia requires different strategies. Combined spinal …

A systematic review and meta-analysis comparing programmed intermittent bolus and continuous infusion as the background infusion for parturient-controlled …

J Xu, J Zhou, H Xiao, S Pan, J Liu, Y Shang, S Yao - Scientific reports, 2019 - nature.com
The programmed intermittent epidural bolus (PIEB) technique offers multiple benefits over
continuous epidural infusion (CEI), but controversy still exists when it is used in conjunction …

Quality of labor analgesia with dural puncture epidural versus standard epidural technique in obese parturients: a double-blind randomized controlled study

HS Tan, SE Reed, JE Mehdiratta, OI Diomede… - …, 2022 - ingentaconnect.com
Background: The dural puncture epidural technique may improve analgesia quality by
confirming midline placement and increasing intrathecal translocation of epidural …

Epidural analgesia for labor: continuous infusion versus programmed intermittent bolus.

OC Onuoha - Anesthesiology clinics, 2016 - europepmc.org
Despite the traditional practice to maintain labor analgesia with a combination of continuous
epidural infusion and patient-controlled epidural analgesia using an automated epidural …

Comparison of programmed intermittent epidural boluses with continuous epidural infusion for the maintenance of labor analgesia: a randomized, controlled, double …

OA Ojo, JE Mehdiratta, BH Gamez… - Anesthesia & …, 2020 - journals.lww.com
BACKGROUND: Programmed intermittent epidural boluses may improve the spread of local
anesthetics compared to continuous epidural infusion, improving labor analgesia and …

Effect of epidural infusion bolus delivery rate on the duration of labor analgesia

E Lange, CA Wong, PC Fitzgerald, WF Davila… - …, 2018 - ingentaconnect.com
Background: Programmed intermittent boluses of local anesthetic have been shown to be
superior to continuous infusions for maintenance of labor analgesia. High-rate epidural …

[HTML][HTML] Programmed intermittent epidural bolus as compared to continuous epidural infusion for the maintenance of labor analgesia: a prospective randomized single …

CW Fidkowski, S Shah… - Korean Journal of …, 2019 - synapse.koreamed.org
Background Programmed intermittent epidural bolus (PIEB) techniques are a new area of
interest for maintaining labor analgesia due to the potential to decrease motor block and …

Continuous epidural infusion versus programmed intermittent epidural bolus for labor analgesia: optimal configuration of parameters to reduce physician-administered …

C Delgado, C Ciliberto, L Bollag… - … medical research and …, 2018 - Taylor & Francis
Background and objectives: Programmed intermittent epidural bolus (PIEB) is a delivery
mode associated with decreased local analgesia dosing, motor block, and physician …

Programmed intermittent epidural bolus in parturients: A meta-analysis of randomized controlled trials

X Wang, X Zhang, Z Zhang, Z Xin, H Guo, H Liu, J Xiao… - Medicine, 2022 - journals.lww.com
Background: To evaluate the efficacy and safety of programmed intermittent epidural bolus
(PIEB) in parturients Methods: The PubMed, Embase, and the Cochrane Library (from …

Do epidural catheter size and flow rate affect bolus injection pressure in different programmed intermittent epidural bolus regimens? An in vitro study

P Krawczyk, P Piwowar, K Sałapa, T Lonc… - Anesthesia & …, 2019 - journals.lww.com
BACKGROUND: The optimal programmed intermittent epidural bolus regimen for labor
analgesia remains unknown. Some studies indicate that better drug spread in the epidural …