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The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor

BACKGROUND: Individual parturients experience pain differently, and it is unknown how these differences affect their requirements for labor analgesics. MATERIALS AND METHODS: Cuff algometry of the upper limb was used to determine the pain thresholds and temporal summation of pain scores in nulliparo...

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Autores principales: Moore, AR, Shan, W Li Pi, el-Bahrawy, A, Nekoui, A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3409945/
https://www.ncbi.nlm.nih.gov/pubmed/22869942
http://dx.doi.org/10.4103/0970-9185.98333
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author Moore, AR
Shan, W Li Pi
el-Bahrawy, A
Nekoui, A
author_facet Moore, AR
Shan, W Li Pi
el-Bahrawy, A
Nekoui, A
author_sort Moore, AR
collection PubMed
description BACKGROUND: Individual parturients experience pain differently, and it is unknown how these differences affect their requirements for labor analgesics. MATERIALS AND METHODS: Cuff algometry of the upper limb was used to determine the pain thresholds and temporal summation of pain scores in nulliparous women about to undergo induction of labor. Analgesia was provided, upon request, with a patient controlled epidural analgesia infusion of bupivacaine and fentanyl. Nurse-administered epidural boluses of bupivacaine or lidocaine were given for breakthrough pain. Partial Spearman correlations were used to correlate the cuff algometry measurements with the amount of analgesic medication required by the patient. RESULTS: There was no significant correlation between any of the algometry measurements and the number of patient or nurse administered bupivacaine boluses. There was a correlation of 0.7 (P = 0.001) between the temporal summation scores and the hourly number of nurse-administered epidural lidocaine boluses; however, this was based on only 3 patients who required lidocaine boluses. CONCLUSIONS: The use of pre-labor cuff algometry of the upper limb does not correlate with the patient epidural analgesic requirements and subsequent analgesia administration.
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spelling pubmed-34099452012-08-06 The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor Moore, AR Shan, W Li Pi el-Bahrawy, A Nekoui, A J Anaesthesiol Clin Pharmacol Original Article BACKGROUND: Individual parturients experience pain differently, and it is unknown how these differences affect their requirements for labor analgesics. MATERIALS AND METHODS: Cuff algometry of the upper limb was used to determine the pain thresholds and temporal summation of pain scores in nulliparous women about to undergo induction of labor. Analgesia was provided, upon request, with a patient controlled epidural analgesia infusion of bupivacaine and fentanyl. Nurse-administered epidural boluses of bupivacaine or lidocaine were given for breakthrough pain. Partial Spearman correlations were used to correlate the cuff algometry measurements with the amount of analgesic medication required by the patient. RESULTS: There was no significant correlation between any of the algometry measurements and the number of patient or nurse administered bupivacaine boluses. There was a correlation of 0.7 (P = 0.001) between the temporal summation scores and the hourly number of nurse-administered epidural lidocaine boluses; however, this was based on only 3 patients who required lidocaine boluses. CONCLUSIONS: The use of pre-labor cuff algometry of the upper limb does not correlate with the patient epidural analgesic requirements and subsequent analgesia administration. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3409945/ /pubmed/22869942 http://dx.doi.org/10.4103/0970-9185.98333 Text en Copyright: © Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Moore, AR
Shan, W Li Pi
el-Bahrawy, A
Nekoui, A
The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor
title The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor
title_full The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor
title_fullStr The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor
title_full_unstemmed The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor
title_short The correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor
title_sort correlation of antepartum upper extremity cuff algometry with epidural analgesic requirements for labor
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3409945/
https://www.ncbi.nlm.nih.gov/pubmed/22869942
http://dx.doi.org/10.4103/0970-9185.98333
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