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June 1, 1997Anesthesia & Analgesia

A Comparison of Multiport and Uniport Epidural Catheters in Laboring Patients

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Key result

Multiport epidural catheters reduced the incidence of inadequate epidural analgesia and required less manipulation compared to uniport catheters in laboring patients.

Why the study?

Does a multiport epidural catheter reduce technical difficulties and inadequate analgesia compared to a uniport epidural catheter in laboring patients?

Population

500 laboring patients (parturients)

Comparison

Multiport epidural catheter inserted 6 cm into… vs Uniport epidural catheter inserted 6 cm into the…

Design

RCT, randomized

Authors

RDRobert DʼAngeloBeth Israel Deaconess HospitalMFMichael L. FossWake Forest UniversityCLChristopher H. LivesayAtrium Health Wake Forest Baptist

Discussion

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Implication

Multiport catheters should be preferred for labor epidurals; this RCT confirms reduced inadequate analgesia and manipulations versus uniport.

Study Design

Type

RCT (n=500)

Randomization

randomized

Structured PICO

Does a multiport epidural catheter reduce technical difficulties and inadequate analgesia compared to a uniport epidural catheter in laboring patients?

P
Population
500 parturients undergoing epidural catheter insertion randomized to receive either a multiport or uniport epidural catheter.
I
Intervention
Multiport epidural catheter (three lateral ports) inserted 6 cm into the epidural space
C
Comparator
Uniport epidural catheter (single distal port) inserted 6 cm into the epidural space
O
Outcome
Incidence of technical difficulties (inadequate analgesia, manipulation, intravenous cannulation, subsequent catheter dislodgement, and catheter replacement)

Multiport epidural catheters are preferable for laboring patients as they reduce the incidence of inadequate analgesia and need for manipulation compared to uniport catheters.

Cite This Study

DʼAngelo et al. (1997) conducted an RCT in Labor (n=500). Multiport epidural catheter vs. Uniport epidural catheter was evaluated on Incidence of inadequate analgesia and need for manipulation. Multiport epidural catheters reduced the incidence of inadequate epidural analgesia and required less manipulation compared to uniport catheters in laboring patients.

synapsesocial.com/papers/6a93b761bda3c58f3b45407fhttps://doi.org/10.1097/00000539-199706000-00019
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Also Consider

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

  1. 1Misplacement of multihole epidural catheters‐a report of two cases1996 · 10 citations
  2. 2Epidural Catheters for Obstetrics: Terminal Hole or Lateral Eyes?1994 · 33 citations
  3. 3The Optimal Distance That a Multiorifice Epidural Catheter Should Be Threaded into the Epidural Space1995 · 137 citations
  4. 4Differential flow from multihole epidural catheters1988 · 53 citations
  5. 5Prospective Examination of Epidural Catheter Insertion1996 · 96 citations