Comparison between a disposable and an electronic PCA device for labor epidural analgesia |
| |
Authors: | Hiroyuki Sumikura Marc van de Velde Takeshi Tateda |
| |
Institution: | (1) Department of Anesthesiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki 216-8511, Japan;(2) Department of Anesthesiology, Katholieke Universiteit Leuven and University Hospitals, Gasthuisberg, Belgium |
| |
Abstract: | Purpose The aims of the present study were (1) to investigate if a disposable patient-controlled analgesia (PCA) device can be used for labor analgesia and (2) to evaluate the device by midwives and parturients.Methods Forty healthy parturients were divided into two groups and received combined spinal epidural analgesia for labor pain relief. Following intrathecal administration of 3 mg ropivacaine and 1.5 µg sufentanil, either a disposable PCA device (Coopdech Syrinjector; Daiken Medical, Osaka, Japan) or an electronic PCA device (IVAC PCAM PCA Syringe Pump; Alaris, Basingstoke, UK) was connected to the epidural catheter, and 0.15% ropivacaine with sufentanil 0.75 µg/ml was used for continuous infusion and PCA. For an electronic PCA device, continuous infusion rate, bolus dose, lockout time, and hourly limit were set at 4 ml/h, 3 ml, 15 min, and 16 ml, respectively. For a disposable PCA device, continuous infusion rate, bolus dose, and an hourly limit were set at 4 ml/h, 3 ml, and 16 ml, respectively, but lockout function was not available.Results No differences were observed between the groups concerning demographic data, obstetric data, and outcome of labor. Anesthetic requirements (disposable, 9.7 ± 4.7 ml/h; electronic, 8.2 ± 4.0 ml/h) and VAS score during the delivery (disposable, 26 ± 25; electronic, 21 ± 22) were similar between the groups. Midwives praised the disposable PCA device as well as the electronic one.Conclusion The present results imply that the disposable PCA device can be an alternative to the electronic PCA device for labor analgesia. |
| |
Keywords: | PCA Labor analgesia Disposable PCA device |
本文献已被 PubMed SpringerLink 等数据库收录! |
|