Have a personal or library account? Click to login
Lower, variable intrathecal opioid doses, and the incidence of prolonged fetal heart rate decelerations after combined spinal epidural analgesia for labor: A quality improvement analysis Cover

Lower, variable intrathecal opioid doses, and the incidence of prolonged fetal heart rate decelerations after combined spinal epidural analgesia for labor: A quality improvement analysis

Open Access
|Dec 2020

References

  1. Leighton BL, DeSimone CA, Norris MC, Ben-David B. Intra-thecal narcotics for labor revisited: the combination of fentanyl and morphine intrathecally provides rapid onset of profound, prolonged analgesia. Anesth Analg 1989; 69: 122-125. doi: 10.1213/00000539-198907000-00023
  2. Hess PE, Pratt SD, Lucas TP, Miller CG, Corbett T, Oriol N, et al. Predictors of breakthrough pain during labor epidural analgesia. Anesth Analg 2001; 93: 414–418. doi: 10.1213/00000539200108000-00036
  3. Collis RE, Davies DWL, Aveling W. Randomised comparison of combined spinal-epidural and standard epidural analgesia in labour. Lancet 1995; 345: 1413–1416. doi: 10.1016/s0140-6736(95)92602-x
  4. Hepner DL, Gaiser RR, Cheek TG, Gutsche BB. Comparison of combined spinal-epidural and low dose epidural for labour analgesia. Can J Anaesth 2000; 47: 232–236. doi: 10.1007/bf03018918
  5. Dresner M, Bamber J, Calow C, Freeman J, Charlton P. Comparison of low-dose epidural with combined spinal-epidural analgesia for labour. Br J Anaesth 1999; 83: 756–760. doi: 10.1093/bja/83.5.756
  6. Price C, Lafreniere L, Brosnan C, Findley I. Regional analgesia in early active labour: combined spinal epidural vs. epidural. Anaesthesia 1998; 53: 951–955. doi: 10.1046/j.1365-2044.1998.00523.x
  7. Nickells JS, Vaughan DJA, Lillywhite NK, Loughnan B, Hasan M, Robinson PN. Speed of onset of regional analgesia in labour: a comparison of the epidural and spinal routes. Anaesthesia 2000; 55: 17–20. doi: 10.1046/j.1365-2044.2000.01071.x
  8. Wong CA, Scavone BM, Peaceman AM, McCarthy RJ, Sullivan JT, Diaz NT, et al. The risk of cesarean delivery with neuraxial analgesia given early versus late in labor. N Eng J Med 2005; 352: 655-665. doi: 10.1056/nejmoa042573
  9. Norris MC, Grieco WM, Borkowski M, Leighton BL, Arkoosh VA, Huffnagle HJ, et al. Complications of labor analgesia: epidural versus combined spinal epidural techniques. Anesth Analg 1994; 79: 529–537. doi: 10.1213/00000539-199409000-00022
  10. Beilin Y, Leibowitz AB, Bernstein HH, Abramovitz SE. Controversies of Labor Epidural Analgesia. Anesth Analg 1999; 89: 969–978. doi: 10.1213/00000539-199910000-00028
  11. Nageotte MP, Larson D, Rumney PJ, Sidhu M, Hollenbach K. Epidural analgesia compared with combined spinal–epidural analgesia during labor in nulliparous women. N Engl J Med 1997; 337: 1715–1719. doi: 10.1056/nejm199712113372402
  12. Mardirosoff C, Dumont L, Boulvain M, Tramèr MR. Fetal bradycardia due to intrathecal opioids for labour analgesia: a systematic review. Br J Obstet Gynaecol 2002; 109: 274–281. doi: 10.1016/s1470-0328(02)01380-0
  13. Caldwell LE, Rosen MA, Shnider SM. Subarachnoid morphine and fentanyl for labor analgesia. Eficacy and adverse effects. Region Anesth 1994; 19: 2–8
  14. DeBalli P, Breen TW. Intrathecal opioids for combined spinal-epidural analgesia during labour. CNS Drugs 2003; 17: 889– 904. doi: 10.2165/00023210-200317120-00003
  15. Simmons SW, Taghizadeh N, Dennis AT, Hughes D, Cyna AM. Combined spinal-epidural versus epidural analgesia in labour. Cochrane Db Syst Rev 2012; 10: CD003401. doi: 10.1002/14651858.cd003401.pub3
  16. Friedlander J, Fox H, Cain C, Dominguez C, Smiley R. Fetal bradycardia and uterine hyperactivity following subarachnoid administration of fentanyl during labor. Reg Anesth 1997; 22: 378–381
  17. Van de Velde M, Vercauteren M, Vandermeersch E. Fetal heart rate abnormalities after regional analgesia for labor pain: The efect of intrathecal opioids. Region Anesth Pain M 2001; 26: 257–262. doi: 10.1053/rapm.2001.22258
  18. Wong CA, Scavone BM, Slavenas JP, Vidovich MI, Peaceman AM, Ganchiff JN, et al. Eficacy and side efect profile of varying doses of intrathecal fentanyl added to bupivacaine for labor analgesia. Int J Obstet Anesth 2004; 13: 19–24. doi: 10.1016/s0959-289x(03)00106-7
  19. Van de Velde M. Neuraxial analgesia and fetal bradycardia. Curr Opin Anesthesio 2005; 18: 253–256. doi: 10.1097/01.aco.0000169230.53067.49
  20. Skupski DW, Abramovitz S, Samuels J, Pressimone V, Kjaer K. Adverse effects of combined spinal-epidural versus traditional epidural analgesia during labor. Int J Gynecol Obstet 2009; 106: 242–245. doi: 10.1016/j.ijgo.2009.04.019
  21. Asokumar B, Newman LM, McCarthy RJ, Ivankovich AD, Tuman KJ. Intrathecal bupivacaine reduces pruritus and prolongs duration of fentanyl analgesia during labor. Anesth Analg 1998; 87: 1309–1315. doi: 10.1213/00000539-199812000-00018
  22. Palmer CM, Cork RC, Hays R, Maren GV, Alves D. The dose-response relation of intrathecal fentanyl for labor analgesia. Anesthesiology 1998; 88: 355–361. doi: 10.1097/00000542199802000-00014
  23. Palmer CM, Maciulla JE, Cork RC, Nogami WM, Gossler K, Alves D. The incidence of fetal heart rate changes after intrathecal fentanyl labor analgesia. Anesth Analg 1999; 88: 577–581. doi: 10.1213/00000539-199903000-00021
  24. Wikner M, Bamber J. Quality improvement in obstetric anaesthesia. Int J Obstet Anesth 2018; 35: 1–3. doi: 10.1016/j.ijoa.2018.03.009
  25. Segal S, Csavoy AN, Datta S. The tocolytic efect of catecholamines in the gravid rat uterus. Anesth Analg 1998 ;87: 864– 869. doi: 10.1213/00000539-199810000-00022
  26. Clarke VT, Smiley RM, Finster M. Uterine Hyperactivity after intra-thecal injection of fentanyl for analgesia during labor. Anesthesiology 1994; 81: 1083. doi: 10.1097/00000542-199410000-00041
  27. Abrão KC, Francisco RPV, Miyadahira S, Cicarelli DD, Zugaib M. Elevation of uterine basal tone and fetal heart rate abnormalities after labor analgesia. Obstet Gynecol 2009; 113: 41–47. doi: 10.1097/aog.0b013e31818f5eb6
  28. Grangier L, Martinez de Tejada B, Savoldelli GL, Irion O, Haller G. Adverse side effects and route of administration of opioids in combined spinal-epidural analgesia for labour: a meta-analysis of randomised trials. Int J Obstet Anesth 2020; 41: 83–103. doi: 10.1016/j.ijoa.2019.09.004
  29. Nicolet J, Miller A, Kaufman I, Guertin MC, Deschamps A. Maternal factors implicated in fetal bradycardia after combined spinal epidural for labour pain. Eur J Anaesth 2008; 25: 721–725. doi: 10.1017/s0265021508004183
  30. Cascio M, Pygon B, Bernett C, Ramanathan S. Labour analgesia with intrathecal fentanyl decreases maternal stress. Can J Anaesth 1997; 44: 605–609. doi: 10.1007/bf03015443
  31. Mandell GL, Jamnback L, Ramanathan S. Hemodynamic effects of subarachnoid fentanyl in laboring parturients. Region Anesth 1996; 21: 103–11
  32. 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: 1153–1159. doi: 10.1213/01.ane.0000101980.34587.66
  33. Nelson KE, Rauch T, Terebuh V, D’Angelo R. A comparison of intra-thecal fentanyl and sufentanil for labor analgesia. Anesthesiology 2002; 96: 1070–1073. doi: 10.1097/00000542-200205000-00007
  34. Hallgrimsdottir H, Shumka L, Althaus C, Benoit C. Fear, risk, and the responsible choice: risk narratives and lowering the rate of caesarean sections in high-income countries. Aims Public Health 2017; 4: 615–632. doi: 10.3934/publi-chealth.2017.6.615
  35. Lo W, Chong J, Chen L. Combined spinal epidural for labour analgesia--duration, efficacy and side effects of adding sufentanil or fentanyl to bupivacaine intrathecally vs plain bupivacaine. Singapore Med J 1999; 40: 639–43
DOI: https://doi.org/10.2478/rjaic-2020-0015 | Journal eISSN: 2502-0307 | Journal ISSN: 2392-7518
Language: English
Page range: 27 - 33
Submitted on: Feb 24, 2020
Accepted on: Sep 21, 2020
Published on: Dec 31, 2020
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2020 Sheena Hembrador, Carlos Delgado, Emily Dinges, Laurent Bollag, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 License.