RT Book, Section
A1 Sween, Lindsay K.
A2 Hess, Philip E.
A2 Li, Yunping
A2 Kowalczyk, John J.
A2 Stiles, Justin K.
SR Print(0)
ID 1199674050
T1 Intravenous Analgesia
T2 Obstetric Anesthesia: Quick References & Practical Guides
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264671465
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1199674050
RD 2024/04/19
AB Intravenous  patient-controlled  analgesia  (PCA)  with  fentanyl  or  remifentanil  is  an  option  for  labor  analgesia  in  patients  for  whom  neuraxial  anesthesia  is  contraindicated  (e.g.,  platelet  disorders,  coagulopathy,  or  patient’s  refusal).1  Both  remifentanil  and  fentanyl  PCA  have  significantly  lower  visual  analog  scale  pain  scores  1  hour  after  treatment  initiation  compared  to  baseline,  with  pain  score  reduction  being  significantly  greater  with  remifentanil  compared  to  fentanyl.1,2  Patients’  pain  scores  with  fentanyl  and  remifentanil  PCA  return  to  baseline  by  3  hours  after  treatment  initiation,  likely  reflecting  increased  pain  levels  with  advancing  labor.1