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August 16, 2016Anesthesia & Analgesia

Failure to Extend Epidural Labor Analgesia for Cesarean Delivery Anesthesia: A Focused Review

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Key result

Extension of epidural labor analgesia for cesarean delivery may fail due to multiple factors, requiring alternative anesthetic options when surgical anesthesia is inadequate.

Population

Pregnant women requiring extension of epidural labor analgesia for cesarean delivery

Design

Review

Authors

SMSuzanne K. W. MankowitzAFAntonio Gonzalez FiolYale Cancer CenterRSRichard M. SmileyColumbia University

Discussion

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Implication

May require alternative techniques if labor epidural extension fails for cesarean; leaves open optimal rescue strategies.

Structured PICO

P
Population
Pregnant women requiring extension of epidural labor analgesia for cesarean delivery
I
Intervention
Extension of epidural labor analgesia
O
Outcome
Factors associated with labor epidural catheter failure and anesthetic options for inadequate surgical epidural anesthesia

This review discusses factors associated with the failure to extend epidural labor analgesia for cesarean delivery and outlines alternative anesthetic options.

Cite This Study

Mankowitz et al. (2016) studied this question. Extension of epidural labor analgesia for cesarean delivery may fail due to multiple factors, requiring alternative anesthetic options when surgical anesthesia is inadequate.

synapsesocial.com/papers/6a90335fd30595a0c64dca5fhttps://doi.org/10.1213/ane.0000000000001437
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Also Consider

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

  1. 1Emergency Caesarean section: best practice*2006 · 64 citations
  2. 2Intraoperative Awareness During General Anesthesia for Cesarean Delivery2009 · 76 citations
  3. 3Anesthetic and Obstetric Outcome in Morbidly Obese Parturients1993 · 441 citations
  4. 4A Series of Anesthesia-related Maternal Deaths in Michigan, 1985–20032007 · 200 citations
  5. 5Continuous Spinal Anesthesia and Analgesia in Obstetrics2010 · 69 citations