Revisión Sistemática y Metanálisis Comparando Bolos Intermitentes Epidurales frente a Infusión Continua Epidural para el parto
George RB, Allen TK, Habib AS. Intermittent epidural bolus compared with continuous epidural infusions for labor analgesia: a systematic review and meta-analysis. Anesth Analg. 2013 Jan;116(1):133-44. doi: 10.1213/ANE.0b013e3182713b26. Epub 2012 Dec 7.
DOI:
https://doi.org/10.30445/rear.v5i12.343Keywords:
analgesia epidural, cesárea, dolor, obstetricia, opiáceosAbstract
El actual estándar para la analgesia epidural del parto consiste en una infusión continua epidural (ICE) de una combinación de anestésicos locales y opiáceos. En esta revisión sistemática de ensayos clínicos aleatorizados se comparan los efectos de bolos epidurales intermitentes (BEI) con el estándar de ICE con o sin control de la analgesia por el paciente, valorándose la satisfacción de la paciente, la necesidad de intervención manual por parte del anestesista, la progresión del parto y el modo de finalización del parto en mujeres sanas que recibían analgesia epidural para el parto.
References
1.- Capogna G, Camorcia M, Stirparo S, Farcomeni A. Programmed intermittent epidural bolus versus continuous epidural infusionfor labor analgesia: the effects on maternal motor functionand labor outcome. A randomized double-blind study in nulliparouswomen. Anesth Analg 2011;113:826–31.
2.- Chua SM, Sia AT. Automated intermittent epidural bolusesimprove analgesia induced by intrathecal fentanyl duringlabour. Can J Anaesth 2004;51:581–5.
3.- Fettes PD, Moore CS, Whiteside JB, McLeod GA, Wildsmith JA. Intermittent vs continuous administration of epidural ropivacainewith fentanyl for analgesia during labour. Br J Anaesth2006;97:359–64.
4.- Leo S, Ocampo CE, Lim Y, Sia AT. A randomized comparison ofautomated intermittent mandatory boluses with a basal infusionin combination with patient-controlled epidural analgesia.for labor and delivery. Int J Obstet Anesth 2010;19:357–64.
5.- Lim Y, Chakravarty S, Ocampo CE, Sia AT. Comparison ofautomated intermittent low volume bolus with continuousinfusion for labour epidural analgesia. Anaesth Intensive Care2010;38:894–9.
6.- Lim Y, Sia AT, Ocampo C. Automated regular boluses for epiduralanalgesia: a comparison with continuous infusion. Int JObstet Anesth 2005;14:305–9.
7.- Salim R, Nachum Z, Moscovici R, Lavee M, Shalev E. Continuous compared with intermittent epidural infusionon progress of labor and patient satisfaction. Obstet Gynecol2005;106:301–6.
8.- Sia AT, Lim Y, Ocampo C. A comparison of a basal infusionwith automated mandatory boluses in parturient-controlledepidural analgesia during labor. Anesth Analg 2007;104:673–8.
9.- WongCA, Ratliff JT, Sullivan JT, Scavone BM, Toledo P,McCarthy RJ. A randomized comparison of programmed intermittentepidural bolus with continuous epidural infusion forlabor analgesia. Anesth Analg 2006;102:904–9.
2.- Chua SM, Sia AT. Automated intermittent epidural bolusesimprove analgesia induced by intrathecal fentanyl duringlabour. Can J Anaesth 2004;51:581–5.
3.- Fettes PD, Moore CS, Whiteside JB, McLeod GA, Wildsmith JA. Intermittent vs continuous administration of epidural ropivacainewith fentanyl for analgesia during labour. Br J Anaesth2006;97:359–64.
4.- Leo S, Ocampo CE, Lim Y, Sia AT. A randomized comparison ofautomated intermittent mandatory boluses with a basal infusionin combination with patient-controlled epidural analgesia.for labor and delivery. Int J Obstet Anesth 2010;19:357–64.
5.- Lim Y, Chakravarty S, Ocampo CE, Sia AT. Comparison ofautomated intermittent low volume bolus with continuousinfusion for labour epidural analgesia. Anaesth Intensive Care2010;38:894–9.
6.- Lim Y, Sia AT, Ocampo C. Automated regular boluses for epiduralanalgesia: a comparison with continuous infusion. Int JObstet Anesth 2005;14:305–9.
7.- Salim R, Nachum Z, Moscovici R, Lavee M, Shalev E. Continuous compared with intermittent epidural infusionon progress of labor and patient satisfaction. Obstet Gynecol2005;106:301–6.
8.- Sia AT, Lim Y, Ocampo C. A comparison of a basal infusionwith automated mandatory boluses in parturient-controlledepidural analgesia during labor. Anesth Analg 2007;104:673–8.
9.- WongCA, Ratliff JT, Sullivan JT, Scavone BM, Toledo P,McCarthy RJ. A randomized comparison of programmed intermittentepidural bolus with continuous epidural infusion forlabor analgesia. Anesth Analg 2006;102:904–9.
Published
2013-12-31
How to Cite
Martínez Fariñas, P., & Martínez Hurtado, E. (2013). Revisión Sistemática y Metanálisis Comparando Bolos Intermitentes Epidurales frente a Infusión Continua Epidural para el parto: George RB, Allen TK, Habib AS. Intermittent epidural bolus compared with continuous epidural infusions for labor analgesia: a systematic review and meta-analysis. Anesth Analg. 2013 Jan;116(1):133-44. doi: 10.1213/ANE.0b013e3182713b26. Epub 2012 Dec 7. Revista Electrónica AnestesiaR, 5(12), 1. https://doi.org/10.30445/rear.v5i12.343
Issue
Section
Critical reviews of articles
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