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Papers of the Week

2020 Nov 06

Reg Anesth Pain Med

Quality of labor epidural analgesia at a high-volume tertiary care obstetric unit: a before-and-after study.


Easther RG, Downey K, Watts N, Ye XY, Carvalho J C
Reg Anesth Pain Med. 2020 Nov 06.
PMID: 33159006.


We wanted to better understand the quality of our labor epidural practice at a large urban academic medical center. Several practice changes were implemented between 2011 and 2017, namely a more uniform epidural loading dose of local anesthetic that includes fentanyl, an increase in both the hourly baseline offer and maximum allowed hourly amount of bupivacaine, and the change from a continuous epidural infusion to a programmed intermittent epidural bolus (PIEB) regimen. We aimed to assess the impact of those changes on the quality of labor analgesia.