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Maintenance of Labor Analgesia

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Epidural Labor Analgesia

Abstract

In the late 1970s by starting to use a low concentration of local anesthetic solution (bupivacaine 0.125 %) in a rather large volume (10 mL), most of the potential objections to the use of epidural analgesia in childbirth were overcome [1]. In fact, with this relatively low-dose, low-concentration solution, epidural analgesia was able to provide satisfactory analgesia with minimal motor block, without leading to a prolonged expulsion time, and with the maternal and neonatal plasma concentration of local anesthetic well below the toxic level. A few years later it was demonstrated that with the addition of one opioid to the above solution, the duration of analgesia was prolonged and the quality of analgesia was improved [2].

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Authors and Affiliations

  1. Department of Anesthesiology, Città di Roma Hospital, Via Maidalchini 20, Rome, 00152, Italy

    Giorgio Capogna

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  1. Giorgio Capogna
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Correspondence to Giorgio Capogna .

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  1. Dept of Anesthesiolgy, Città di Roma Hospital, Rome, Italy

    Giorgio Capogna

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Capogna, G. (2015). Maintenance of Labor Analgesia. In: Capogna, G. (eds) Epidural Labor Analgesia. Springer, Cham. https://doi.org/10.1007/978-3-319-13890-9_8

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  • DOI: https://doi.org/10.1007/978-3-319-13890-9_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13889-3

  • Online ISBN: 978-3-319-13890-9

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