191 posters, 5 topics, 20 sessions, 393 authors, 116 institutions
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Obstetric Anaesthesia Annual Scientific Meeting 2023
18 - 19 May, 2023 | EICC Edinburgh
5789814
Optimising labour analgesia: Introducing a two-tier programmed intermittent epidural bolus approach.
Poster Presenter
Part of Topic
Service Evaluation
Optimising Labour Analgesia:
Introducing a Two-Tier Programmed Intermittent Epidural Bolus Approach
R. Snooks, M. Nordblad, A. Prichard , E. Cumber, I. Pavlu, S. Shah, C. Papageorgiou
Introducing a Two-Tier Programmed Intermittent Epidural Bolus Approach
R. Snooks, M. Nordblad, A. Prichard , E. Cumber, I. Pavlu, S. Shah, C. Papageorgiou
•Programmed Intermittent Epidural Bolus (PIEB) analgesia for labour has been shown in the literature to provide superior pain control and reduces the risk of motor weakness.1
•It appears to be evolving into the preferred method of epidural analgesia delivery in the US.2, 3And now is becoming a more popular choice in the UK.
•We have used the same PIEB Standard Protocol (SP) since 2015 in over 8000 deliveries.
•In 2022 a second Enhanced Protocol (EP) was introduced, with higher doses of local anaesthetic, with the aim of reducing call-backs and maintaining low side effect profiles, for those requiring higher doses ofanalgesia, providing more a personalised approach.