April 13, 2019Current Opinion in Anaesthesiology

Epidural test dose in obstetric patients

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Why the study?

Epidural test doses in obstetrics have been linked to serious adverse maternal and foetal events, making the decision whether to test controversial amid unclear guidelines and heterogeneous practice.

Does an epidural test dose prevent complications or cause harm in obstetric patients?

Design

Review

Authors

CMChristina MassothApple (Israel)MWManuel WenkGoethe University Frankfurt

Discussion

Member takes

Overview

May warrant avoiding test doses in obstetrics; leaves open need for RCTs on fractionated dosing safety.

Structured PICO

Does an epidural test dose prevent complications or cause harm in obstetric patients?

Population

Obstetric patients (parturients) undergoing epidural catheter insertion during pregnancy and labour

Intervention

Epidural test dose (traditional test agents such as epinephrine or local anaesthetic)

Comparator

Waiving of a test dose or simple fractionated administration of the initial analgesic dose

Outcome

Maternal and foetal outcomes, including serious adverse events and detection of vascular or intrathecal insertionsafety

Traditional epidural test doses in obstetric patients may cause more harm than good, and fractionated administration of the initial analgesic dose is recommended instead.

Cite This Study

Massoth et al. (2019) studied this question.

synapsesocial.com/papers/6a8802db6304c7fd8e4deca3 https://doi.org/10.1097/aco.0000000000000721

View Full Paper

Ask AI

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April 13, 2019Current Opinion in Anaesthesiology

Epidural test dose in obstetric patients

View Full Paper

Ask AI

Bookmark

Why the study?

Epidural test doses in obstetrics have been linked to serious adverse maternal and foetal events, making the decision whether to test controversial amid unclear guidelines and heterogeneous practice.

Does an epidural test dose prevent complications or cause harm in obstetric patients?

Design

Review

Authors

CMChristina MassothApple (Israel)MWManuel WenkGoethe University Frankfurt

Discussion

Member takes

Overview

May warrant avoiding test doses in obstetrics; leaves open need for RCTs on fractionated dosing safety.

Structured PICO

Does an epidural test dose prevent complications or cause harm in obstetric patients?

Population

Obstetric patients (parturients) undergoing epidural catheter insertion during pregnancy and labour

Intervention

Epidural test dose (traditional test agents such as epinephrine or local anaesthetic)

Comparator

Waiving of a test dose or simple fractionated administration of the initial analgesic dose

Outcome

Maternal and foetal outcomes, including serious adverse events and detection of vascular or intrathecal insertionsafety

Traditional epidural test doses in obstetric patients may cause more harm than good, and fractionated administration of the initial analgesic dose is recommended instead.

Cite This Study

Massoth et al. (2019) studied this question.

synapsesocial.com/papers/6a8802db6304c7fd8e4deca3 https://doi.org/10.1097/aco.0000000000000721

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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