A randomized trial of breakthrough pain during combined spinal-epidural versus epidural labor analgesia in parous women.

@article{Goodman2009ART,
  title={A randomized trial of breakthrough pain during combined spinal-epidural versus epidural labor analgesia in parous women.},
  author={Stephanie R Goodman and Richard M. Smiley and Maria A Negron and Paula A Freedman and Ruth Landau},
  journal={Anesthesia and analgesia},
  year={2009},
  volume={108 1},
  pages={246-51}
}
BACKGROUND There is controversy regarding the benefits and risks of combined spinal-epidural compared with epidural analgesia (CSE, EPID) for labor analgesia. We hypothesized that CSE would result in fewer patient requests for top-up doses compared to EPID. METHODS One-hundred ASA physical status I or II parous women at term in early labor (<5 cm cervical dilation) requesting analgesia were randomized in double-blind fashion to the EPID group (epidural bupivacaine 2.5 mg/mL, 3 mL, followed by… CONTINUE READING