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How neuraxial labor analgesia differs by approach: dural puncture epidural as a novel option.
J Anesth. 2019 02; 33(1):125-130.JA

Abstract

BACKGROUND AND AIM

Neuraxial analgesia techniques are not limited to just standard epidural and CSE blocks. A novel approach called dural puncture epidural (DPE) which is a modification of CSE in terms of practice has gained popularity after its description and use in the obstetric population. The aim of this review is to address the practice of DPE technique as a novel option by reviewing its benefits as well as side and/or adverse effects and to understand how neuraxial labor analgesia differs by approach based on the information available in the current literature DISCUSSION: Despite controversies and concerns, more rapid onset of analgesia, early bilateral sacral analgesia, lower incidence of asymmetric block and fewer maternal and fetal side effects are provided with DPE when compared to epidural.

CONCLUSION

DPE offers a favorable risk-benefit ratio for management of neuraxial analgesia as a novel option.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Gunaydin B
Department of Anesthesiology and Reanimation, Gazi University School of Medicine, Besevler, 06500, Ankara, Turkey. gunaydin@gazi.edu.tr.
Erel S
Department of Anesthesiology and Reanimation, Gazi University School of Medicine, Besevler, 06500, Ankara, Turkey.

MeSH

Analgesia, EpiduralAnalgesia, ObstetricalEpidural SpaceFemaleHumansLabor, ObstetricPregnancyPunctures

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30293143

Clinical Trial Links

Sacral Spread of Sensory Block After Dural Puncture Epidural Technique Compared With Epidural for Labour Analgesia

Citation

Gunaydin, Berrin, and Selin Erel. "How Neuraxial Labor Analgesia Differs By Approach: Dural Puncture Epidural as a Novel Option." Journal of Anesthesia, vol. 33, no. 1, 2019, pp. 125-130.
Gunaydin B, Erel S. How neuraxial labor analgesia differs by approach: dural puncture epidural as a novel option. J Anesth. 2019;33(1):125-130.
Gunaydin, B., & Erel, S. (2019). How neuraxial labor analgesia differs by approach: dural puncture epidural as a novel option. Journal of Anesthesia, 33(1), 125-130. https://doi.org/10.1007/s00540-018-2564-y
Gunaydin B, Erel S. How Neuraxial Labor Analgesia Differs By Approach: Dural Puncture Epidural as a Novel Option. J Anesth. 2019;33(1):125-130. PubMed PMID: 30293143.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How neuraxial labor analgesia differs by approach: dural puncture epidural as a novel option. AU - Gunaydin,Berrin, AU - Erel,Selin, Y1 - 2018/10/06/ PY - 2018/08/09/received PY - 2018/10/03/accepted PY - 2018/10/8/pubmed PY - 2020/2/11/medline PY - 2018/10/8/entrez KW - Combined spinal epidural KW - Dural puncture epidural KW - Epidural KW - Labor pain KW - Neuraxial analgesia SP - 125 EP - 130 JF - Journal of anesthesia JO - J Anesth VL - 33 IS - 1 N2 - BACKGROUND AND AIM: Neuraxial analgesia techniques are not limited to just standard epidural and CSE blocks. A novel approach called dural puncture epidural (DPE) which is a modification of CSE in terms of practice has gained popularity after its description and use in the obstetric population. The aim of this review is to address the practice of DPE technique as a novel option by reviewing its benefits as well as side and/or adverse effects and to understand how neuraxial labor analgesia differs by approach based on the information available in the current literature DISCUSSION: Despite controversies and concerns, more rapid onset of analgesia, early bilateral sacral analgesia, lower incidence of asymmetric block and fewer maternal and fetal side effects are provided with DPE when compared to epidural. CONCLUSION: DPE offers a favorable risk-benefit ratio for management of neuraxial analgesia as a novel option. SN - 1438-8359 UR - https://www.unboundmedicine.com/medline/citation/30293143/How_neuraxial_labor_analgesia_differs_by_approach:_dural_puncture_epidural_as_a_novel_option_ DB - PRIME DP - Unbound Medicine ER -