Anesthetic management of placenta accreta spectrum at an academic center and a comparison of the combined spinal epidural with the double catheter technique: A retrospective study

2022 ◽  
Vol 77 ◽  
pp. 110573
Author(s):  
Katherine A. Herbert ◽  
Luke A. Gatta ◽  
Matthew Fuller ◽  
Chad A. Grotegut ◽  
Jennifer Gilner ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Placenta Accreta ◽  
Anesthetic Management ◽  
Combined Spinal Epidural ◽  
Catheter Technique ◽  
Academic Center ◽  
Placenta Accreta Spectrum ◽  
Spinal Epidural

Combined spinal epidural analgesia for labor using sufentanil epidurally versus intrathecally: a retrospective study on the influence on fetal heart trace

2015 ◽  
Vol 43 (4) ◽  
Author(s):  
Nele Everaert ◽  
Marc Coppens ◽  
Peter Vlerick ◽  
Geert Braems ◽  
Patrick Wouters ◽  
...  
Keyword(s):  
Heart Rate ◽  
Retrospective Study ◽  
Epidural Analgesia ◽  
Fetal Heart Rate ◽  
Neonatal Outcome ◽  
Fetal Heart ◽  
Uterine Activity ◽  
Combined Spinal Epidural ◽  
Spinal Epidural ◽  
Intrathecal Space

AbstractWe retrospectively compared a protocol using sufentanil and ropivacaine intrathecally with a protocol in which only ropivacaine was administered intrathecally and sufentanil was used epidurally to evaluate whether banning sufentanil from the intrathecal space results in a decreased incidence of adverse fetal heart rate changes.Some 520 cardiotocographic tracings were examined for changes in fetal heart rate and uterine activity following two different protocols of combined spinal epidural analgesia. Charts were consulted for neonatal and labor outcome.When sufentanil was used epidurally instead of intrathecally, the incidence of adverse changes in fetal heart trace was less, demonstrated by a higher percentage of normal reassuring tracings (74.5% vs. 60.4% when sufentanil was used intrathecally; P=0.007), less tracings showing bradycardia (7.5% vs. 14.1%; P=0.035), and more tracings displaying 3 or more accelerations in fetal heart rate in 45 min (93.5% vs. 83.9%; P=0.003) together with less episodes of tachycardia (3.5% vs. 11.4%; P=0.005). There were no differences in labor and neonatal outcome.Based on fetal heart tracing, it seems favorable to ban sufentanil from the intrathecal compartment.

Comparison of epidural analgesia with combined spinal-epidural analgesia for advanced labour: a retrospective study of 1 year

2014 ◽  
Vol 31 ◽  
pp. 184-185
Author(s):  
G. Maggi ◽  
E. Guasch ◽  
Kollmann A. Camaiora ◽  
R. Schiraldi ◽  
B. Nicolas ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Epidural Analgesia ◽  
Combined Spinal Epidural ◽  
Spinal Epidural

scholarly journals Comparison of the labor curves with and without combined spinal-epidural analgesia in nulliparous women- a retrospective study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hitomi Ando ◽  
Shintaro Makino ◽  
Jun Takeda ◽  
Yojiro Maruyama ◽  
Shuko Nojiri ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Epidural Analgesia ◽  
Combined Spinal Epidural ◽  
Nulliparous Women ◽  
Spinal Epidural
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