How neuraxial labor analgesia differs by approach: dural puncture epidural as a novel option

Gunaydin B., Erel S.

JOURNAL OF ANESTHESIA, cilt.33, sa.1, ss.125-130, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 33 Sayı: 1
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1007/s00540-018-2564-y
  • Dergi Adı: JOURNAL OF ANESTHESIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.125-130
  • Anahtar Kelimeler: Labor pain, Neuraxial analgesia, Dural puncture epidural, Epidural, Combined spinal epidural, WHITACRE NEEDLE, SPREAD
  • Gazi Üniversitesi Adresli: Evet

Özet

Background and aimNeuraxial analgesia techniques are not limited to just standard epidural and CSE blocks.Anovel approach called dural puncture epidural (DPE) which is a modification of CSE in terms of practice has gained popularity after itsdescription and use in theobstetric population. The aim of this review is to address the practice of DPE technique as a novel option by reviewing its benefits as well as side and/or adverse effects and to understand how neuraxial labor analgesia differs by approach based on the information available in the current literatureDiscussionDespite controversies and concerns, morerapid onset of analgesia, early bilateral sacral analgesia,lower incidence of asymmetric block and fewer maternal and fetal side effects are provided with DPE when compared to epidural.ConclusionDPE offers a favorable risk-benefit ratio for management of neuraxial analgesia as a novel option.