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Modern neuraxial labor analgesia: options for initiation, maintenance and drug selection.
Rev Esp Anestesiol Reanim. 2009 Nov; 56(9):546-61.RE

Abstract

In the present review we outline the state-of-the-art of neuraxial analgesia. As neuraxial analgesia remains the gold standar of analgesia during labor, we review the most recent literature on this topic. The neuraxial analgesia techniques, types of administration, drugs, adjuvants, and adverse effects are investigated from the references. Most authors would agree that central neuraxial analgesia is the best form to manage labor pain. When neuraxial analgesia is administered to the parturient in labor, different management choices must be made by the anesthetist: how will we initiate analgesia, how will analgesia be maintained, which local anesthetic will we use for neuraxial analgesia and which adjuvant drugs will we combine? The present manuscript tries to review the literature to answer these questions.

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Authors+Show Affiliations

Van de Velde M
Department of Anesthesiology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium. marc.vandevelde@uz.kuleuven.ac.be

MeSH

Adjuvants, AnesthesiaAdultAnalgesia, EpiduralAnalgesia, ObstetricalAnalgesia, Patient-ControlledAnalgesicsAnesthesia Recovery PeriodAnesthesia, EpiduralAnesthesia, ObstetricalAnesthesia, SpinalAnesthetics, LocalBradycardiaCesarean SectionClinical Trials as TopicDelivery, ObstetricFemaleFetal HeartGait Disorders, NeurologicHumansHypotensionInfusions, ParenteralInjections, SpinalMeta-Analysis as TopicPregnancy

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20112546

Citation

Van de Velde, M. "Modern Neuraxial Labor Analgesia: Options for Initiation, Maintenance and Drug Selection." Revista Espanola De Anestesiologia Y Reanimacion, vol. 56, no. 9, 2009, pp. 546-61.
Van de Velde M. Modern neuraxial labor analgesia: options for initiation, maintenance and drug selection. Rev Esp Anestesiol Reanim. 2009;56(9):546-61.
Van de Velde, M. (2009). Modern neuraxial labor analgesia: options for initiation, maintenance and drug selection. Revista Espanola De Anestesiologia Y Reanimacion, 56(9), 546-61.
Van de Velde M. Modern Neuraxial Labor Analgesia: Options for Initiation, Maintenance and Drug Selection. Rev Esp Anestesiol Reanim. 2009;56(9):546-61. PubMed PMID: 20112546.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modern neuraxial labor analgesia: options for initiation, maintenance and drug selection. A1 - Van de Velde,M, PY - 2010/2/2/entrez PY - 2010/2/2/pubmed PY - 2010/4/21/medline SP - 546 EP - 61 JF - Revista espanola de anestesiologia y reanimacion JO - Rev Esp Anestesiol Reanim VL - 56 IS - 9 N2 - In the present review we outline the state-of-the-art of neuraxial analgesia. As neuraxial analgesia remains the gold standar of analgesia during labor, we review the most recent literature on this topic. The neuraxial analgesia techniques, types of administration, drugs, adjuvants, and adverse effects are investigated from the references. Most authors would agree that central neuraxial analgesia is the best form to manage labor pain. When neuraxial analgesia is administered to the parturient in labor, different management choices must be made by the anesthetist: how will we initiate analgesia, how will analgesia be maintained, which local anesthetic will we use for neuraxial analgesia and which adjuvant drugs will we combine? The present manuscript tries to review the literature to answer these questions. SN - 0034-9356 UR - https://www.unboundmedicine.com/medline/citation/20112546/Modern_neuraxial_labor_analgesia:_options_for_initiation_maintenance_and_drug_selection_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0034-9356(09)70457-8 DB - PRIME DP - Unbound Medicine ER -