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https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1944235
DESPITE its growing popularity, the use of combined spinal–epidural (CSE) analgesia for labor remains controversial. 1,2 Few studies have compared the impact of these two techniques on the progress and outcome of labor.One randomized study reported faster initial cervical dilation among women receiving intrathecal sufentanil and bupivacaine versus those receiving epidural bupivacaine.Author: Mark C. Norris, Steven T. Fogel, Carol Conway-Long
https://www.cochrane.org/CD003401/PREG_combined-spinal-epidural-versus-epidural-analgesia-in-labour
Oct 17, 2012 · Traditional epidural techniques have been associated with prolonged labour, use of oxytocin augmentation and increased incidence of instrumental vaginal delivery. The combined spinal-epidural (CSE) technique has been introduced in an attempt to reduce these adverse effects.CSE is believed to improve maternal mobility during labour and provide more rapid onset of analgesia than …
https://journals.lww.com/anesthesia-analgesia/Fulltext/2016/10000/The_Effect_of_Combined_Spinal_Epidural_Versus.23.aspx
Neuraxial analgesia is the most effective way to provide labor pain relief. Epidural analgesia and combined spinal–epidural (CSE) analgesia are both recommended by the UK National Institute for Health and Clinical Excellence. 1 Usually, local anesthetics are used in combination with lipid-soluble opioids for both the epidural and the intrathecal route.
https://www.researchgate.net/publication/11744488_Combined_Spinal-Epidural_versus_Epidural_Labor_Analgesia
Combined spinal-epidural (CSE) labor analgesia is a new neuraxial labor analgesic technique. An intrathecal injection of an opioid alone, or in combination with a local anesthetic, initiates ...
https://www.researchgate.net/publication/9035864_Combined_spinal-epidural_versus_epidural_analgesia_in_labor
Combined spinal-epidural versus epidural analgesia in labor Article · Literature Review in Cochrane database of systematic reviews (Online) 4(4):CD003401 · February 2003 with 66 Reads
https://www.sciencedirect.com/science/article/pii/S0020729211002578
Effect of combined spinal–epidural analgesia versus epidural analgesia on labor and delivery duration. Author links open overlay panel Javier Pascual-Ramirez a Javier Haya b Faustino R. Pérez-López c Silvia Gil-Trujillo a Rosa A. Garrido-Esteban b Ginés Bernal a. Show more.Author: Javier Pascual-Ramirez, Javier Haya, Faustino R. Pérez-López, Silvia Gil-Trujillo, Rosa A. Garrido-E...
https://www.uptodate.com/contents/epidural-and-combined-spinal-epidural-anesthesia-techniques
Browne IM, Birnbach DJ, Stein DJ, et al. A comparison of Espocan and Tuohy needles for the combined spinal-epidural technique for labor analgesia. Anesth Analg 2005; 101:535. McNaught AF, Stocks GM. Epidural volume extension and low-dose sequential combined spinal-epidural blockade: two ways to reduce spinal dose requirement for caesarean section.
https://clinicaltrials.gov/ct2/show/NCT03600272
Jul 26, 2018 · Comparison of Combined Spinal-epidural Analgesia Versus Epidural Analgesia for Pain Management During Labor. ... The investigators collect the data on the duration of three stages of labor, the mode of delivery, neonatal Apgar scores, VAS scores, modified Bromage scores. Study Design.
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