Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Ruchika Choudhary
India
Research Article
Comparison of Intermittent Epidural Bolus vs. Continuous Epidural Infusion in Labor Analgesia
Author(s): Ruchika Choudhary, Kalpana Verma, Sakshi Kadian, Durga Jethava and Dharam Das JethavaRuchika Choudhary, Kalpana Verma, Sakshi Kadian, Durga Jethava and Dharam Das Jethava
Introduction: Intermittent epidural boluses during labor produce more uniform block and require reduced dose of local anesthetic as compared to continuous infusion but there are limited studies to assess the effect of intermittent epidural boluses on maternal motor activity, labor and neonatal outcomes.Methods: A prospective randomized double blind comparative study was done on 100 patients (50 per group). Labor analgesia was provided by programmed intermittent epidural boluses (PIEB) with bolus of injection. Levobupivacaine 0.0625%, 20 ml+1mcg/ ml fentanyl followed by bolus 10 ml of 0.0625% levobupivacaine +1microgram/ml fentanyl every hour beginning 60 minutes after initial loading dose and continuous epidural infusion (CEI) in which bolus of 20 of 20 ml levobupivacaine 0.0625%+fentanyl 1 mcg/ml was given followed by 10 ml/hour infusion of lev.. View More»