CONTINUOUS EXTRADURAL ANALGESIA: COMPARISON OF MIDWIFE TOP-UPS, CONTINUOUS INFUSIONS AND PATIENT CONTROLLED ADMINISTRATION |
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| Authors: | PURDIE, J. REID, J. THORBURN, J. ASBURY, A. J. |
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| Affiliation: | Department of Anaesthesia, Queen Mother's Hospital Yorkhill, Glasgow G2 8SJ
University Department of Anaesthesia, Western Infirmary Dumbarton Road, Glasgow G11 6NT |
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| Abstract: | We have compared three techniques used to provide extraduralanalgesia during the first stage of labour: 0.25% plain bupivacaine10ml demand top-ups delivered by the midwife; continuous infusionof 0.125% plain bupivacaine 10 ml h1 and patient-controlledextradural analgesia (PCEA) delivering 3-ml boluses of 0.25%bupivacaine. Each technique produced comparable analgesia achievingequivalent maternal satisfaction, with no difference in modeof delivery and no complications. This regimen for PCEA proveda viable alternative for continuous extradural analgesia andwas popular with the mothers, midwives and anaesthetists. *Present address: Department of Anaesthesia, Victoria Infirmary,Langside, Glasgow |
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