Programmed Intermittent Epidural Boluses (PIEB): A Superior Technique for Maitenance of Labor Analgesia

Allana Munro^{1

2}, Ronald B George^{1

2}

Affiliations

¹ Department of Women's and Obstetric Anesthesia, IWK Health Centre, Halifax NS, Canada.
² Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax NS, Canada.

Allana Munro et al. Turk J Anaesthesiol Reanim. 2017 Apr.

. 2017 Apr;45(2):67-69.

doi: 10.5152/TJAR.2017.09032. Epub 2017 Apr 1.

Allana Munro^{1

2}, Ronald B George^{1

2}

¹ Department of Women's and Obstetric Anesthesia, IWK Health Centre, Halifax NS, Canada.
² Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax NS, Canada.

No abstract available

Figures

Programmed Intermittent Epidural Boluses (PIEB) for Maintenance of Labor Analgesia: An Incremental Step Before the Next Paradigm Shift?
Carvalho B, Riley ET. Carvalho B, et al. Turk J Anaesthesiol Reanim. 2017 Apr;45(2):73-75. doi: 10.5152/TJAR.2017.09034. Epub 2017 Apr 1. Turk J Anaesthesiol Reanim. 2017. PMID: 28439436 Free PMC article. No abstract available.
Programmed intermittent epidural bolus as compared to continuous epidural infusion for the maintenance of labor analgesia: a prospective randomized single-blinded controlled trial.
Fidkowski CW, Shah S, Alsaden MR. Fidkowski CW, et al. Korean J Anesthesiol. 2019 Oct;72(5):472-478. doi: 10.4097/kja.19156. Epub 2019 Jun 20. Korean J Anesthesiol. 2019. PMID: 31216846 Free PMC article. Clinical Trial.

1. Kaynar AM, Shankar KB. Epidural infusion: continuous or bolus? Anesth Analg. 1999;89:534. https://doi.org/10.1213/00000539-199908000-00063. - DOI - PubMed
1. Hogan Q. Distribution of solution in the epidural space: examination by cryomicrotome section. Reg Anesth Pain Med. 2002;27:150–6. https://doi.org/10.1097/00115550-200203000-00007. - DOI - PubMed
1. Power I, Thorburn J. Differential flow from multihole epidural catheters. Anaesthesia. 1988;43:876–8. https://doi.org/10.1111/j.1365-2044.1988.tb05605.x. - DOI - PubMed
1. George RB, Allen TK, Habib AS. Intermittent epidural bolus compared with continuous epidural infusions for labor analgesia: a systematic review and meta-analysis. Anesth Analg. 2013;116:133–44. https://doi.org/10.1213/ANE.0b013e3182713b26. - DOI - PubMed
1. Fettes PD, Moore CS, Whiteside JB, McLeod GA, Wildsmith JA. Intermittent vs continuous administration of epidural ropivacaine with fentanyl for analgesia during labour. Br J Anaesth. 2006;97:359–64. https://doi.org/10.1093/bja/ael157. - DOI - PubMed