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( Int J Obstet Anesth . 2023:54:103649) Approximately 3% to 4% of pregnancies involve a fetus in the breech position. External cephalic version (ECV) is supported and recommended to reduce the cesarean delivery rate. Neuraxial analgesia for ECV can improve the success rate; however, there are associated risks with the use of neuraxial analgesia in these cases. Remifentanil has recently been proposed as an alternative to neuraxial analgesia for ECV. This study aimed to assess and analyze the use of remifentanil in cases where ECV is necessary, as well as compare it to outcomes in ECV with other forms of analgesia.
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Lomas et al. (2024) studied this question.
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