Why the study?
Does continuous epidural infusion of 0.075% bupivacaine improve pain relief in women requesting epidural analgesia during labour compared to intermittent top-ups of 0.5% bupivacaine?
Population
73 women who requested epidural analgesia during labour
Comparison
Continuous epidural infusion of 0.075%… vs Intermittent top-ups of 0.5% bupivacaine
Design
RCT, randomly allocated
Follow-up
during labour (hourly assessments)
Authors
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Continuous dilute bupivacaine infusion improves labor analgesia without added dose; extends RCT evidence favoring continuous over intermittent techniques.
Does continuous epidural infusion of 0.075% bupivacaine improve pain relief in women requesting epidural analgesia during labour compared to intermittent top-ups of 0.5% bupivacaine?
Continuous epidural infusion of 0.075% bupivacaine provides significantly better pain relief during labour compared to intermittent top-ups, without increasing the total dose of bupivacaine.
Hicks et al. (1988) studied this question.
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