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Handheld ultrasound-assisted versus palpation-guided combined spinal-epidural for labor analgesia: a randomized controlled trial
DC Field | Value | Language |
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dc.contributor.author | 박선경 | - |
dc.contributor.author | 김영원 | - |
dc.date.accessioned | 2024-01-16T01:59:38Z | - |
dc.date.available | 2024-01-16T01:59:38Z | - |
dc.date.issued | 2023-12 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/197814 | - |
dc.description.abstract | Preprocedural ultrasound assistance can enhance the efficacy of neuraxial anesthesia in obstetrics. We investigated whether the use of handheld ultrasound can shorten the procedural time of labor combined spinal-epidural (CSE) analgesia compared with conventional landmark-guided methods. Eighty-four women requesting labor analgesia were randomly assigned to either handheld ultrasound-assisted or palpation-guided CSE analgesia. Primary outcome was procedure time of the CSE analgesia. Secondary outcomes included identification time, performance time, number of needle manipulations required for epidural/spinal success, first-attempt success rate,periprocedural pain scores, the incidence of accidental dural puncture, and patient satisfaction. Total procedure time did not significantly differ between the ultrasound and palpation groups (median [IQR], 191.5 [167–224] vs. 204.5 [163–358] s; P = 0.442). However, the performance time was significantly shorter in the ultrasound group (134.5 [115–177] vs. 183 [129–296] s; P = 0.011), although identification time was longer in the ultrasound group (53 [41–72] vs. 30.5 [21–45] s; P < 0.001). The epidural success rate at first insertion attempt was higher in the ultrasound group (85.7% vs. 59.5%, P = 0.014). Preprocedural handheld ultrasound assistance resulted in equivalent total procedure times but reduced performance times and higher first-attempt success rates. Therefore, clinicians may consider this technique for labor CSE analgesia. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Nature Publishing Group | - |
dc.relation.isPartOf | SCIENTIFIC REPORTS | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Analgesia, Epidural* / methods | - |
dc.subject.MESH | Anesthesia, Spinal* / methods | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Palpation | - |
dc.subject.MESH | Pregnancy | - |
dc.subject.MESH | Spinal Puncture | - |
dc.subject.MESH | Ultrasonography, Interventional / methods | - |
dc.title | Handheld ultrasound-assisted versus palpation-guided combined spinal-epidural for labor analgesia: a randomized controlled trial | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Jinyoung Bae | - |
dc.contributor.googleauthor | Youngwon Kim | - |
dc.contributor.googleauthor | Seokha Yoo | - |
dc.contributor.googleauthor | Jin-Tae Kim | - |
dc.contributor.googleauthor | Sun-Kyung Park | - |
dc.identifier.doi | 10.1038/s41598-023-50407-7 | - |
dc.contributor.localId | A06339 | - |
dc.relation.journalcode | J02646 | - |
dc.identifier.eissn | 2045-2322 | - |
dc.identifier.pmid | 38155223 | - |
dc.contributor.alternativeName | Park, Sun-Kyung | - |
dc.contributor.affiliatedAuthor | 박선경 | - |
dc.citation.volume | 13 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 23009 | - |
dc.identifier.bibliographicCitation | SCIENTIFIC REPORTS, Vol.13(1) : 23009, 2023-12 | - |
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