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
To epidural or not to epidural. That is the question.
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 current 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: