Advanced Search

Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2004 September;70(9) > Minerva Anestesiologica 2004 September;70(9):643-50

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUEMINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Frequency: Monthly

ISSN 0375-9393

Online ISSN 1827-1596

 

Minerva Anestesiologica 2004 September;70(9):643-50

ANESTHESIOLOGY 

    ORIGINAL ARTICLES

Epidural analgesia for labour and delivery. Current evidence

Marucci M. 1, Fiore T. 2

1 Operative Unit of Anesthesia and Resuscitation II, Polyclinic Hospital, Bari, Italy
2 Anesthesia and Resuscitation Division Department of Emergency and Organ Transplantation University of Bari, Bari, Italy

Currently, evidence-based medicine indicates that epidural analgesia (EA) labor is not associated with cesarean and instrumental delivery for dystocia. This evidence was obtained from clinical investigations of variability in clinical labor management. An optimized balance between anesthesiological and obstetric practice is vitally important for securing spontaneous delivery. The total dose of local anesthetic for EA may be associated with operative delivery when there is a lack of obstetric care standardization and co-interventions reducing unintended EA effects. Furthermore, combining local anesthetic low dose and opioid low dose may produce a new balance with obstetric management. Physiolo-gical and pharmacological knowledge together with recent clinical findings suggest that combined opioid-local anesthetic low dose EA causes minimal negative effects on labor progress and is effective and safe in terms of maternal and neonatal outcome. Internal communication between obstetricians and anesthesiologists is essential for optimizing EA labor management. Processes of health care quality management, such as medical audit and peer review, should be routinely practiced to reach this goal.

language: English, Italian


FULL TEXT  REPRINTS

top of page