Are labor epidural catheters after a combined spinal epidural ( combined spinal epidural (CSE) ) technique more reliable than after a traditional epidural? A retrospective review of 9153 labor epidural catheters
Main finding · Epidural catheter failure rateResult — go to the resultOdds ratio 1.42 CI 1.16–1.75Authors' conclusion
CSE technique was not associated with a better survival rate of epidural catheters for provision of analgesia or epidural top-up anesthesia for intrapartum CD.
Study context
- Population
- Parturients with labor epidural catheters
- Participants
- 9,153 participants
- Exposure
- CSE vs traditional epidural for initiation of labor neuraxial analgesia
- CSEn = 3,201
- Traditional epiduraln = 5,952reference
- Outcome
- Epidural catheter failure rate (replacement by new regional analgesia procedure or GA during intrapartum cesarean delivery)
Methodological detailsone-year retrospective
- One-year retrospective
Main finding
Epidural catheter failure rate
Odds ratio
1.42
CI 1.16–1.75
Events by group
CSE vs Traditional epidural
OR 1.42 (CI 1.16–1.75)
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
Time until epidural catheter failure
P < 0.001
Cervical dilatation progression between primary neuraxial analgesia and catheter replacement
- CSE: from 4.3 (1.4) to 6.4 (2.1) cm
- Traditional epidural: from 5.1 (1.5) to 6.7 (1.7) cm
Cofactors for catheter failure
- Earlier onset of analgesia, obesity, induced labor, anesthesiologist experience and cesarean delivery significant cofactors
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Are labor epidural catheters after a combined spinal epidural ( CSE ) technique more reliable than after a traditional epidural? A retrospective review of 9153 labor epidural catheters. Acta Anaesthesiol Scand. Published 29 October 2024. doi:10.
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