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    Epidural analgesia practices for labour: results of a 2005 national survey in Ireland.

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    Authors
    Fanning, Rebecca A
    Briggs, Liam P
    Carey, Michael F
    Affiliation
    Department of Perioperative Medicine, Coombe Women and Infants University, Hospital, Dublin, Ireland. rebecca.fanning@gmail.com
    Issue Date
    2012-02-01T10:58:31Z
    MeSH
    Analgesia, Epidural/*methods/*statistics & numerical data
    Cesarean Section
    Female
    *Health Care Surveys
    Humans
    Ireland/epidemiology
    Labor, Obstetric/*drug effects
    Pregnancy
    Time Factors
    
    Metadata
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    Citation
    Eur J Anaesthesiol. 2009 Mar;26(3):235-44.
    Journal
    European journal of anaesthesiology
    URI
    http://hdl.handle.net/10147/208041
    DOI
    10.1097/EJA.0b013e32831a459e
    PubMed ID
    19237985
    Abstract
    BACKGROUND AND OBJECTIVE: The last 25 years have seen changes in the management of epidural analgesia for labour, including the advent of low-dose epidural analgesia, the development of new local anaesthetic agents, various regimes for maintaining epidural analgesia and the practice of combined spinal-epidural analgesia. We conducted a survey of Irish obstetric anaesthetists to obtain information regarding the conduct and management of obstetric epidural analgesia in Ireland in 2005. The specific objective of this survey was to discover whether new developments in obstetric anaesthesia have been incorporated into clinical practice. METHODS: A postal survey was sent to all anaesthetists with a clinical commitment for obstetric anaesthesia in the sites approved for training by the College of Anaesthetists, Ireland. RESULTS: Fifty-three per cent of anaesthetists surveyed responded. The majority of anaesthetists (98%) use low-dose epidural analgesia for the maintenance of analgesia. Only 11% use it for test-dosing and 32% for the induction of analgesia. The combined spinal-epidural analgesia method is used by 49%, but two-thirds of those who use it perform fewer than five per month. Patient-controlled epidural analgesia was in use at only one site. CONCLUSION: It appears that Irish obstetric anaesthetists have adopted the low-dose epidural analgesia trend for the maintenance of labour analgesia. This practice is not as widespread, however, for test dosing, the induction of analgesia dose or in the administration of intermittent epidural boluses to maintain analgesia when higher concentrations are used. Since its introduction in 2000, levobupivacaine has become the most popular local anaesthetic agent.
    Language
    eng
    ISSN
    1365-2346 (Electronic)
    0265-0215 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1097/EJA.0b013e32831a459e
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

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