Patient-controlled analgesia in labour using remifentanil in two parturients with platelet abnormalities

Citation
Ja. Thurlow et P. Waterhouse, Patient-controlled analgesia in labour using remifentanil in two parturients with platelet abnormalities, BR J ANAEST, 84(3), 2000, pp. 411-413
Citations number
11
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
BRITISH JOURNAL OF ANAESTHESIA
ISSN journal
00070912 → ACNP
Volume
84
Issue
3
Year of publication
2000
Pages
411 - 413
Database
ISI
SICI code
0007-0912(200003)84:3<411:PAILUR>2.0.ZU;2-T
Abstract
Two term parturients with documented platelet abnormalities presented to th e delivery suite in labour. Because regional analgesic techniques were cont raindicated, we elected to use patient-controlled i.v. remifentanil for pai n relief The patient-controlled analgesia (PCA) device was programmed to gi ve a bolus dose of remifentanil 20 mu g over 20 s with a lockout time of 3 min, and no background infusion. Analgesia was reported as very good by the mothers and by the attending midwives. There were no adverse neonatal sequ elae. if there are facilities to monitor the neonate and mother, this metho d of analgesia may prove useful in those patients where regional techniques are not possible, but further research is needed to ascertain its safety a nd appropriateness in such circumstances.