Dural Puncture Epidural Technique Improves Labor Analgesia Quality With Fewer Side Effects Compared With Epidural and Combined Spinal Epidural Techniques: A Randomized Clinical Trial.

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Abstract

The dural puncture epidural (DPE) technique is a modification of the combined spinal epidural (CSE) technique, where a dural perforation is created from a spinal needle but intrathecal medication administration is withheld. The DPE technique has been shown to improve caudal spread of analgesia compared with epidural (EPL) technique without the side effects observed with the CSE technique. We hypothesized that the onset of labor analgesia would follow this order: CSE > DPE > EPL techniques.

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Journal

Journal ID (iso-abbrev): Anesth. Analg.

Title: Anesthesia and analgesia

Publisher: Ovid Technologies (Wolters Kluwer Health)

ISSN (Electronic): 1526-7598

ISSN (Print): 0003-2999

Publication date (Electronic): Feb 2017

Volume: 124

Issue: 2

Affiliations

[1 ] From the *Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, Canada; †Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; ‡Harvard Medical School, Boston, Massachusetts; §Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; and [REPLACEMENT CHARACTER]Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas.

Article

DOI: 10.1213/ANE.0000000000001798

PubMed ID: 28067707

SO-VID: d6a33118-4655-4e81-ad2c-743bd4d71f13

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