Infrared thermographic assessment of cutaneous temperature changes during labour epidural analgesia initiation: an observational pilot study
Authors' conclusion
Sympathetic blockade associated with a successful analgesic epidural block produces cutaneous temperature elevation at the plantar surface of the hallux.
Study context
- Population
- Patients attending for induction of labour, tertiary obstetric centre, January 2021 to March 2024
- Participants
- 38 vs 11
- Exposure
- Foot temperature changes with labour epidural analgesia vs no epidural; successful vs failed epidurals
- Epiduraln = 38
- Controln = 11reference
- Outcome
- Relationship between foot temperature changes (infrared thermography, bilateral, every 5 min for 30 min) and successful epidural (adequate analgesia in 45 min)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Epidural success and foot temperature
- Maximum rate of increase between 5 and 15 minutes, both sides (°C per minute)
- 0.5 (0.1)
Observational data: associations, not effects.
Original publication
Infrared thermographic assessment of cutaneous temperature changes during labour epidural analgesia initiation: an observational pilot study. Int J Obstet Anesth. Published 4 December 2024. doi:10. 1016/ j. ijoa. 2024. 104304
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