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Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia

BACKGROUND: For parturients with paroxysmal uterine contraction pain, rapid analgesia is needed. We used preprocedure ultrasound imaging combined with the palpation technique in epidural analgesia for labor, and evaluated the usefulness of this technique in epidural labor analgesia. AIM: To evaluate...

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Autores principales: Wu, Jian-Ping, Tang, Yuan-Zhang, He, Liang-Liang, Zhao, Wen-Xing, An, Jian-Xiong, Ni, Jia-Xiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316939/
https://www.ncbi.nlm.nih.gov/pubmed/34368308
http://dx.doi.org/10.12998/wjcc.v9.i21.5900
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author Wu, Jian-Ping
Tang, Yuan-Zhang
He, Liang-Liang
Zhao, Wen-Xing
An, Jian-Xiong
Ni, Jia-Xiang
author_facet Wu, Jian-Ping
Tang, Yuan-Zhang
He, Liang-Liang
Zhao, Wen-Xing
An, Jian-Xiong
Ni, Jia-Xiang
author_sort Wu, Jian-Ping
collection PubMed
description BACKGROUND: For parturients with paroxysmal uterine contraction pain, rapid analgesia is needed. We used preprocedure ultrasound imaging combined with the palpation technique in epidural analgesia for labor, and evaluated the usefulness of this technique in epidural labor analgesia. AIM: To evaluate the usefulness of preprocedure ultrasound imaging in epidural analgesia for labor. METHODS: In this prospective randomized observational study, 72 parturients were assigned to two groups (combined or palpation group). The target interspace of all parturients was first identified by the palpation technique. Then in the combined group, preprocedure ultrasound imaging was used before epidural puncture. In the palpation group, only the traditional anatomical landmarks technique (palpation technique) was performed. The primary outcome was total duration of the epidural procedure (for the ultrasound group, the duration of the preprocedure ultrasound imaging was included). The secondary outcomes were the number of skin punctures, the success rate at first needle pass, the number of needle passes, the depth from the skin to epidural space, and the complications of the procedure. RESULTS: Total duration of the epidural procedure was similar between the two groups (406.5 ± 92.15 s in the combined group and 380.03 ± 128.2 s in the palpation group; P = 0.318). A significant improvement was demonstrated for epidural puncture and catheterization in the combined group. The number of needle passes was 1.14 in the combined group and 1.72 in the palpation group (P = 0.001). The number of skin puncture sites was 1.20 in the combined group and 1.25 in the palpation group (P = 0.398). The success rate at first needle pass was 88.89% in the combined group and 66.67% in the palpation group (P = 0.045). CONCLUSION: This study demonstrated that the total duration of epidural procedures with preprocedure ultrasound imaging combined with the palpation technique was not longer than the traditional anatomical landmarks technique, which were performed by six experienced anesthesiologists in parturients with normal weights undergoing labor analgesia.
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spelling pubmed-83169392021-08-05 Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia Wu, Jian-Ping Tang, Yuan-Zhang He, Liang-Liang Zhao, Wen-Xing An, Jian-Xiong Ni, Jia-Xiang World J Clin Cases Prospective Study BACKGROUND: For parturients with paroxysmal uterine contraction pain, rapid analgesia is needed. We used preprocedure ultrasound imaging combined with the palpation technique in epidural analgesia for labor, and evaluated the usefulness of this technique in epidural labor analgesia. AIM: To evaluate the usefulness of preprocedure ultrasound imaging in epidural analgesia for labor. METHODS: In this prospective randomized observational study, 72 parturients were assigned to two groups (combined or palpation group). The target interspace of all parturients was first identified by the palpation technique. Then in the combined group, preprocedure ultrasound imaging was used before epidural puncture. In the palpation group, only the traditional anatomical landmarks technique (palpation technique) was performed. The primary outcome was total duration of the epidural procedure (for the ultrasound group, the duration of the preprocedure ultrasound imaging was included). The secondary outcomes were the number of skin punctures, the success rate at first needle pass, the number of needle passes, the depth from the skin to epidural space, and the complications of the procedure. RESULTS: Total duration of the epidural procedure was similar between the two groups (406.5 ± 92.15 s in the combined group and 380.03 ± 128.2 s in the palpation group; P = 0.318). A significant improvement was demonstrated for epidural puncture and catheterization in the combined group. The number of needle passes was 1.14 in the combined group and 1.72 in the palpation group (P = 0.001). The number of skin puncture sites was 1.20 in the combined group and 1.25 in the palpation group (P = 0.398). The success rate at first needle pass was 88.89% in the combined group and 66.67% in the palpation group (P = 0.045). CONCLUSION: This study demonstrated that the total duration of epidural procedures with preprocedure ultrasound imaging combined with the palpation technique was not longer than the traditional anatomical landmarks technique, which were performed by six experienced anesthesiologists in parturients with normal weights undergoing labor analgesia. Baishideng Publishing Group Inc 2021-07-26 2021-07-26 /pmc/articles/PMC8316939/ /pubmed/34368308 http://dx.doi.org/10.12998/wjcc.v9.i21.5900 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Prospective Study
Wu, Jian-Ping
Tang, Yuan-Zhang
He, Liang-Liang
Zhao, Wen-Xing
An, Jian-Xiong
Ni, Jia-Xiang
Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia
title Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia
title_full Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia
title_fullStr Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia
title_full_unstemmed Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia
title_short Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia
title_sort preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia
topic Prospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316939/
https://www.ncbi.nlm.nih.gov/pubmed/34368308
http://dx.doi.org/10.12998/wjcc.v9.i21.5900
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