Today, I’m on call covering OB.
A&A 2013: A Randomized Controlled Comparison of Epidural Analgesia and Combined Spinal-Epidural Analgesia in a Private Practice Setting: Pain Scores During First and Second Stages of Labor and at Delivery
Lately, I’ve been changing my regimen for pain control with PCEA. It seems most of my partners use a 10ml/hr basal rate, 5ml bolus dose, 10 minute lockout, and 30 ml/hr max.
My strategy for PCEA (0.0625% bupi + 2mcg/ml fentanyl):
- 5ml/hr basal rate
- 10ml bolus
- 20 minute lockout
- 35 ml/hr max
Neuraxial anesthesia in the non-pregnant patient
From my blog: