Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 931-933
WANG Guang-long, ZHANG Cong-li, YIN Feng-wei, ZHANG Yun-chun. Observation on the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance[J]. Chinese Journal of General Practice, 2022, 20(6): 931-933. doi: 10.16766/j.cnki.issn.1674-4152.002490
Citation: WANG Guang-long, ZHANG Cong-li, YIN Feng-wei, ZHANG Yun-chun. Observation on the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance[J]. Chinese Journal of General Practice, 2022, 20(6): 931-933. doi: 10.16766/j.cnki.issn.1674-4152.002490
shu

Observation on the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance

doi: 10.16766/j.cnki.issn.1674-4152.002490

  • Department of Anesthesiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2020A0581

  • Received Date: 2022-01-18
    Available Online: 2022-09-21
    Abstract
  •   Objective  To observe the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance.  Methods  Total 100 obstetric patients who received labour analgesia in the Obstetrics Department of the First Affiliated Hospital of Bengbu Medical College from October 2019 to December 2020 were selected. They were divided into conventional group and ultrasound group by random number table method, with 50 cases in each group. In the conventional group, the epidural catheter was placed 4 cm, and in the ultrasound group, the epidural catheter was placed in the L2 vertebral body length. The range of anaesthesia plane block at 15 min after epidural injection, VAS score at 30, 60 and 90 min after pump operation, adverse reactions of catheter, local anaesthetic dosage, pump pressing times, maternal delivery mode, neonatal 1 and 2 min Apgar score, and maternal adverse reactions were compared between the two groups.  Results  The range of anaesthesia plane block in the ultrasound group [(5.24±1.89) segments] was higher than that in the conventional group [(4.26±1.86) segments, P < 0.05]. The 30, 60 and 90 min VAS scores of the ultrasound group [(4.38±1.74) points, (3.52±1.92) points, (3.28±1.88) points] were lower than those of the conventional group [(5.50±2.10) points, (4.46±1.98) points, (4.30±1.91) points], all P < 0.05. The incidence rate of catheter adverse reactions, local anaesthetic dosage and pump pressing times in the ultrasound group [10.0%, (21.96±12.01) mL and (3.48±1.88) times] were lower than those in the conventional group [64.0%, (38.14±9.10) mL and (4.38±1.74) times], all P < 0.05, and other indicators showed no significant difference.  Conclusion  Ultrasound-guided epidural catheterisation with individualised length for labour analgesia can reduce the dosage of local anaesthesia, adverse reactions of catheter and number of pump compressions, do not affect the outcome of mother and child, and has a good analgesic effect.

     

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    • References(19)
  • [1]
    徐艳伟. 硬膜外置管长度对剖宫产麻醉效果的影响分析[J]. 中国社区医师, 2016, 32(15): 72-73. doi: 10.3969/j.issn.1007-614x.2016.15.40

    XU Y W. Effect analysis of length of epidural tube on the anesthetic effect in cesarean section[J]. Chinese Community Doctors, 2016, 32(15): 72-73. doi: 10.3969/j.issn.1007-614x.2016.15.40
    [2]
    靳永强, 赵年章, 宗银东, 等. 柔性钢丝加强型导管在硬膜外腔不同预置深度变向情况探讨[J]. 实用医学杂志, 2020, 36(5): 597-601. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ202005011.htm

    JIN Y Q, ZHAO N Z, ZONG Y D, et al. Discussion on the retraction of flexible wire-reinforced catheter with different preset depths in epidural space[J]. The Journal of Practical Medicine, 2020, 36(5): 597-601. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ202005011.htm
    [3]
    LAUDANI A, LEYKIN Y. Failed spinal anesthesia with hyperbaric bupivacaine[J]. Minerva Anestesiol, 2016, 82(12): 1360.
    [4]
    BACHMAN S A, TAENZER A H. Thoracic caudal epidural catheter localization using ultrasound guidance[J]. Paediatr Anaesth, 2020, 30(2): 194-195. doi: 10.1111/pan.13796
    [5]
    刘梦雪, 刘霞, 许婷. 妊娠合并重度脊柱侧弯行超声引导下硬膜外麻醉一例[J]. 临床麻醉学杂志, 2021, 37(2): 219-220. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202102032.htm

    LIU M X, LIU X, XU T. Pregnancy complicated with severe scoliosis underwent ultrasound guided epidural anesthesia: A case report[J]. Journal of Clinical Anesthesiology, 2021, 37(2): 219-220. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202102032.htm
    [6]
    ELSHARKAWY H, SAASOUH W, BABAZADE R, et al. Real-time ultrasound-guided lumbar epidural with transverse interlaminar view: Evaluation of an in-plane technique[J]. Pain Med, 2019, 20(9): 1750-1755. doi: 10.1093/pm/pnz026
    [7]
    SHOKRPOUR M, REZA P, SHARIFI M, et al. Prevalence of cesarean section and analysis of neonatal apgar score and the mean time of second phase of labor in pregnant women[J]. Med Arch, 2019, 73(6): 399-403. doi: 10.5455/medarh.2019.73.399-403
    [8]
    徐亚雄, 曹静, 应小燕. 瑞芬太尼静脉自控式给药用于分娩过程中的镇痛效果以及安全性评估[J]. 中华全科医学, 2019, 17(7): 1150-1153. doi: 10.16766/j.cnki.issn.1674-4152.000887

    XU Y X, CAO J, YING X Y. Evaluation of the efficacy and safety of patient-controlled intravenous analgesia with remifentanil during labor[J]. Chinese Journal of General Practice, 2019, 17(7): 1150-1153. doi: 10.16766/j.cnki.issn.1674-4152.000887
    [9]
    COCCOLUTO A, CAPOGNA G, CAMORCIA M, et al. Analysis of epidural waveform to determine correct epidural catheter placement after CSE labor analgesia[J]. Local Reg Anesth, 2021, 14: 103-108. doi: 10.2147/LRA.S312194
    [10]
    BOSSCHER H A, GROZDANOV P N, WARRAICH I I, et al. The anatomy of the peridural membrane of the human spine[J]. Anat Rec (Hoboken), 2021, 304(4): 677-691. doi: 10.1002/ar.24476
    [11]
    林森, 黄振兴, 徐敏, 等. 实时超声引导下硬膜外阻滞在老年前列腺电切手术中的应用[J]. 包头医学院学报, 2021, 37(6): 33-35. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX202106011.htm

    LIN S, HUANG Z X, XU M, et al. The application of real-time ultrasound-guided epidural block in elderly patients undergoing electroprostatectomy[J]. Journal of Baotou Medical College, 2021, 37(6): 33-35. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX202106011.htm
    [12]
    林旭林, 杨铎, 李雪丹. 超声引导下连续硬膜外穿刺麻醉在瘢痕子宫剖宫产手术的应用[J]. 中国医药科学, 2019, 9(12): 122-124. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX201912041.htm

    LIN X L, YANG D, LI X D. Application of ultrasound-guided continuous epidural puncture anesthesia in cesarean section of scar uterus[J]. China Medicine and Pharmacy, 2019, 9(12): 122-124. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX201912041.htm
    [13]
    WEINIGER C F, COBB B, WANG R R, et al. Observational study using ultrasound to assess midline labor epidural analgesia placement and analgesic efficacy[J]. J Ultrasound Med, 2018, 37(7): 1693-1699. doi: 10.1002/jum.14517
    [14]
    刘莉萍, 宣荣荣, 朱虹, 等. 硬膜外分娩镇痛对产妇炎症因子、补体及免疫功能的影响分析[J]. 中华全科医学, 2019, 17(2): 241-244. doi: 10.16766/j.cnki.issn.1674-4152.000650

    LIU L P, XUAN R R, ZHU H, et al. Effect of labor analgesia on inflammatory factors, complement and immune function of parturient[J]. Chinese Journal of General Practice, 2019, 17(2): 241-244. doi: 10.16766/j.cnki.issn.1674-4152.000650
    [15]
    汪胜友, 史景发, 谢雷, 等. 不同浓度纳布啡联合舒芬太尼和罗哌卡因用于硬膜外分娩镇痛效果比较[J]. 上海医学, 2021, 44(10): 754-759. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYX202110018.htm

    WANG S Y, SHI J F, XIE L, et al. Efficacy of different concentrations of nalbuphine combined with sufentanil and ropivacaine on epidural analgesia in labor[J]. Shanghai Medical Journal, 2021, 44(10): 754-759. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYX202110018.htm
    [16]
    李欢欢, 韩婧, 王杰洋, 等. 硬膜外导管螺旋式固定在分娩镇痛中的应用[J]. 中国当代医药, 2021, 28(7): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202107035.htm

    LI H H, HAN J, WANG J Y, et al. Application of epidural catheter spiral fixation in labor analgesia[J]. China Modern Medicine, 2021, 28(7): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202107035.htm
    [17]
    NI X, LI M Z, ZHOU S Q, et al. Accuro ultrasound-based system with computer-aided image interpretation compared to traditional palpation technique for neuraxial anesthesia placement in obese parturients undergoing cesarean delivery: A randomized controlled trial[J]. J Anesth, 2021, 35(4): 475-482. doi: 10.1007/s00540-021-02922-y
    [18]
    MITAL T, KAMAL M, KUMAR M, et al. Comparison of landmark and real-time ultrasound-guided epidural catheter placement in the pediatric population: A prospective randomized comparative trial[J]. Anesth Pain Med (Seoul), 2021, 16(4): 368-376. doi: 10.17085/apm.21035
    [19]
    曹宇飞, 曹剑, 卢孙山, 等. 超声引导下硬膜外阻滞在老年髋关节置换手术中的应用[J]. 现代生物医学进展, 2021, 21(6): 1073-1076. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX202106017.htm

    CAO Y F, CAO J, LU S S, et al. Ultrasound-guided epidural blockade in elderly hip replacement surgery[J]. Progress in Modern Biomedicine, 2021, 21(6): 1073-1076. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX202106017.htm
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