Comparison of the dural puncture epidural and the standard epidural techniques in patients having labor analgesia maintained using programmed epidural boluses: a prospective double-blinded randomized clinical trial
Primary result · Ropivacaine consumptionResult — go to the resultMean difference −0.724 mg 95% CI −1.450 to 0.001Authors' conclusion
Our findings suggest that when labor analgesia is maintained using the programmed intermittent epidural bolus method, there is no significant advantage to initiating analgesia using the dural puncture epidural compared with the standard epidural technique.
Study context
- Population
- Parturients requesting epidural labor analgesia, maintained with ropivacaine 0.1% and sufentanil 0.5 µg/mL via programmed intermittent epidural boluses (8 mL every 40 min)339 completed and analysed
- Participants
- 400 participants
- Comparison
- Dural puncture epidural vs Standard epidural
Methodological detailsprospective, double-blinded
- Prospective
- Double-blinded
Primary result
Ropivacaine consumption
Mean difference
−0.724 mg
95% CI −1.450 to 0.001
P = 0.051
Dural puncture epidural vs Standard epidural
mean difference −0.724 mg (95% CI −1.450 to 0.001); P = 0.051
As reported in the abstract
Further findings
Pain scores, time to first and number of programmed boluses, number of manual boluses, obstetric and neonatal outcomes
- No differences between groups
Patient satisfaction
- Statistically higher in the dural puncture epidural group but absolute difference small
Original publication
Comparison of the dural puncture epidural and the standard epidural techniques in patients having labor analgesia maintained using programmed epidural boluses: a prospective double-blinded randomized clinical trial. Reg Anesth Pain Med. Published 24 April 2024. doi:10.
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