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Journal articles on the topic 'Epidural Patient-Controlled Analgesia'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Wu, Christopher L., Seth R. Cohen, Jeffrey M. Richman, et al. "Efficacy of Postoperative Patient-controlled and Continuous Infusion Epidural Analgesia versus Intravenous Patient-controlled Analgesia with Opioids." Anesthesiology 103, no. 5 (2005): 1079–88. http://dx.doi.org/10.1097/00000542-200511000-00023.

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The authors performed a meta-analysis and found that epidural analgesia overall provided superior postoperative analgesia compared with intravenous patient-controlled analgesia. For all types of surgery and pain assessments, all forms of epidural analgesia (both continuous epidural infusion and patient-controlled epidural analgesia) provided significantly superior postoperative analgesia compared with intravenous patient-controlled analgesia, with the exception of hydrophilic opioid-only epidural regimens. Continuous epidural infusion provided statistically significantly superior analgesia ver

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2

Kelleci, Yavuz, Ruslan Abdullayev, Beliz Bilgili, Ayten Saraçoğlu, and Tümay Umuroğlu. "Epidural versus intravenous analgesia for pain control in kidney donors, a retrospective cohort study. Is there a kinship relationship?" Eurasian Journal of Anesthesiology and Intensive Care 1, no. 1 (2024): 1–5. http://dx.doi.org/10.51271/eajaic-0001.

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Aims: Best care must be provided for live kidney donors, including postoperative pain control. Treatment options include iv intermittent analgesics, iv or epidural patient-controlled analgesia (PCA). In this study we aimed to compare these modalities with respect to their analgesic efficacy. Methods: A retrospective analysis of fifty-eight live donor nephrectomy patients operated in a 7-year-period in a university hospital performed. Investigational Review Board approval has been obtained. Data of the patients’ postoperative analgesia methods, degree of kinship with the recipient, postoperativ

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3

Ortiz, Javier, Thomas Hammerl, Maria Wasmaier, et al. "Influence of Different Methods of Intrapartum Analgesia on the Progress of Labour and on Perinatal Outcome." Geburtshilfe und Frauenheilkunde 79, no. 04 (2019): 389–95. http://dx.doi.org/10.1055/a-0774-8617.

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Abstract Background Various methods of intrapartum analgesia are available these days. Pethidine, meptazinol and epidural analgesia are among the most commonly used techniques. A relatively new one is patient-controlled intravenous analgesia with remifentanil, although the experiences published so far in Germany are limited. Our goal was to study the influence of these analgesic techniques (opioids vs. patient-controlled intravenous analgesia with remifentanil vs. epidural analgesia) on the second stage of labour and on perinatal outcome. Material and Methods We conducted a retrospective study

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4

Ferrante, F. Michael, Louise Lu, Stephen B. Jamison, and Sanjay Datta. "Patient-Controlled Epidural Analgesia." Anesthesia & Analgesia 73, no. 5 (1991): 547???552. http://dx.doi.org/10.1213/00000539-199111000-00006.

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Parker, Robert K., and Paul F. White. "Epidural Patient-Controlled Analgesia." Anesthesia & Analgesia 75, no. 2 (1992): 245???251. http://dx.doi.org/10.1213/00000539-199208000-00016.

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Parker, Robert K., Yuko Sawaki, and Paul F. White. "Epidural Patient-Controlled Analgesia." Anesthesia & Analgesia 75, no. 5 (1992): 740???746. http://dx.doi.org/10.1213/00000539-199211000-00015.

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7

FERRANTE, F. MICHAEL, LOUISE LU, STEPHEN B. JAMISON, and SANJAY DATTA. "Patient-Controlled Epidural Analgesia." Obstetrical & Gynecological Survey 47, no. 7 (1992): 480. http://dx.doi.org/10.1097/00006254-199207000-00011.

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8

Parker, Robert K., Barbel Holtmann, and Paul F. White. "Patient-Controlled Epidural Analgesia." Anesthesia & Analgesia 84, no. 4 (1997): 757–63. http://dx.doi.org/10.1097/00000539-199704000-00011.

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9

Parker, Robert K., Barbel Holtmann, and Paul F. White. "Patient-Controlled Epidural Analgesia." Anesthesia & Analgesia 84, no. 4 (1997): 757–63. http://dx.doi.org/10.1213/00000539-199704000-00011.

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10

Sharma, Shiv K., Elaine J. Sidawi, Susan M. Ramin, Michael J. Lucas, Kenneth J. Leveno, and Gary F. Cunningham. "Cesarean Delivery." Anesthesiology 87, no. 3 (1997): 487–94. http://dx.doi.org/10.1097/00000542-199709000-00006.

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Background Reports indicate that the administration of epidural analgesia for pain relief during labor interferes with labor and increases cesarean deliveries. However, only a few controlled trials have assessed the effect of epidural analgesia on the incidence of cesarean delivery. The authors' primary purpose in this randomized study was to evaluate the effects of epidural analgesia on the rate of cesarean deliveries by providing a suitable alternative: patient-controlled intravenous analgesia. Methods Seven hundred fifteen women of mixed parity in spontaneous labor at full term were randoml

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Zhou, Rouxuan, Daili Chen, Yuantao Li, Xiaolei Huang, Mingguang Wu, and Qihua Lin. "Effect of dural puncture epidural technique combined with programmed intermittent epidural bolus on labor analgesia: A randomized, double-blind, parallel-group, controlled clinical trial." Medicine 103, no. 45 (2024): e40327. http://dx.doi.org/10.1097/md.0000000000040327.

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Background: Labor analgesia can be achieved by different approaches. The efficacy and safety of combined dural puncture epidural (DPE) with program intermittent epidural bolus (PIEB) are not well characterized. This study aimed to compare the efficacy and safety of DPE combined with PIEB vs epidural (EP) combined with PIEB for labor analgesia. Methods: We performed a prospective, randomized, double-blind, parallel-group, controlled clinical trial. Eligible pregnant nulliparous women received either DPE combined with PIEB (group D) or epidural combined with PIEB (group E) for labor analgesia. A

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12

Miguel, R., and G. Trimble. "A795 PATIENT-CONTROLLED EPIDURAL ANALGESIA." Anesthesiology 73, no. 3A (1990): NA. http://dx.doi.org/10.1097/00000542-199009001-00793.

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13

Park, Jun-Mo. "Analgesic Efficacy of Epidural Patient-Controlled Analgesia on Cancer Pain: A Retrospective Observational Study." Pain Physician Journal 27, no. 1 (2024): 79–88. http://dx.doi.org/10.36076/ppj.2024.27.79.

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BACKGROUND: In patients with severe cancer pain, systemic analgesics are often refractory or have limited application due to the side effects of opioids. In these cases, epidural analgesia may be effective. However, data on the effects of epidural patient-controlled analgesia (PCA) on cancer pain are limited. OBJECTIVES: To evaluate the analgesic efficacy of epidural PCA in patients with cancer pain through a retrospective chart review. STUDY DESIGN: Retrospective analysis. SETTING: A single academic center in Daegu, South Korea. METHODS: The analgesic efficacy of epidural PCA on cancer pain w

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14

DE LEON-CASASOLA, OSCAR A., BRIAN M. PARKER, MARK J. LEMA, RONALD I. GROTH, and JASMIN ORSINI-FUENTES. "Epidural Analgesia versus Intravenous Patient-Controlled Analgesia." Survey of Anesthesiology 39, no. 2 (1995): 123. http://dx.doi.org/10.1097/00132586-199504000-00049.

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DE LEON-CASASOLA, OSCAR A., BRIAN M. PARKER, MARK J. LEMA, RONALD I. GROTH, and JASMIN ORSINI-FUENTES. "Epidural Analgesia versus Intravenous Patient-Controlled Analgesia." Survey of Anesthesiology 39, no. 2 (1995): 123. http://dx.doi.org/10.1097/00132586-199504000-00050.

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16

Hansdottir, Vigdis, Julia Philip, Monika Fagevik Olsen, Christina Eduard, Erik Houltz, and Sven-Erik Ricksten. "Thoracic Epidural versus Intravenous Patient-controlled Analgesia after Cardiac Surgery." Anesthesiology 104, no. 1 (2006): 142–51. http://dx.doi.org/10.1097/00000542-200601000-00020.

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Background Perioperative thoracic epidural analgesia reduces stress response and pain scores and may improve outcome after cardiac surgery. This prospective, randomized trial was designed to compare the effectiveness of patient-controlled thoracic epidural analgesia with patient-controlled analgesia with intravenous morphine on postoperative hospital length of stay and patients' perception of their quality of recovery after cardiac surgery. Methods One hundred thirteen patients undergoing elective cardiac surgery were randomly assigned to receive either combined thoracic epidural analgesia and

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17

Wang, FuZhou, XiaoFeng Shen, XiRong Guo, YuZhu Peng, and XiaoQi Gu. "Epidural Analgesia in the Latent Phase of Labor and the Risk of Cesarean Delivery." Anesthesiology 111, no. 4 (2009): 871–80. http://dx.doi.org/10.1097/aln.0b013e3181b55e65.

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Background The optimal timing of epidural analgesia has been a controversial issue, and how early women can benefit from epidural analgesia is still debated. The objective of this trial was to test the hypothesis that patient-controlled epidural analgesia given at cervical dilation of 1.0 cm or more does not increase the risk of prolonged labor or Cesarean delivery. Methods After institutional review board approval and patient consent, 12,793 nulliparous patients requesting neuraxial analgesia were enrolled and randomized to an early epidural (cervical dilation at least 1.0 cm) or delayed epid

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18

von Plato, Hanna, Vesa Kontinen, and Katri Hamunen. "Efficacy and safety of epidural, continuous perineural infusion and adjuvant analgesics for acute postoperative pain after major limb amputation – a systematic review." Scandinavian Journal of Pain 18, no. 1 (2018): 3–17. http://dx.doi.org/10.1515/sjpain-2017-0170.

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AbstractBackground and aims:Treatment of pain following major limb amputations is often a clinical challenge in a patient population consisting mainly of elderly with underlying diseases. Literature on management of acute post-amputation pain is scarce. We performed a systematic review on this topic to evaluate the efficacy and safety of analgesic interventions for acute pain following major limb amputation.Methods:A literature search was performed in PubMed, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews using the following key words: [(amputation)

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19

Lavand’homme, Patricia, Marc De Kock, and Hilde Waterloos. "Intraoperative Epidural Analgesia Combined with Ketamine Provides Effective Preventive Analgesia in Patients Undergoing Major Digestive Surgery." Anesthesiology 103, no. 4 (2005): 813–20. http://dx.doi.org/10.1097/00000542-200510000-00020.

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Background As a broader definition of preemptive analgesia, preventive analgesia aims to prevent the sensitization of central nervous system, hence the development of pathologic pain after tissular injury. To demonstrate benefits from preventive treatment, objective measurement of postoperative pain such as wound hyperalgesia and persistent pain should be evaluated. The current study assessed the role and timing of epidural analgesia in this context. Methods In a randomized, double-blinded trial, 85 patients scheduled to undergo neoplastic colonic resection were included. All the patients rece

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20

Roofthooft, E., N. Filetici, M. Van Houwe, et al. "High-Volume Patient-Controlled Epidural Versus Programmed Intermittent Epidural Bolus for Labor Analgesia: A Randomized Controlled Study." Obstetric Anesthesia Digest 44, no. 2 (2024): 106–7. http://dx.doi.org/10.1097/01.aoa.0001016108.83972.5a.

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(Anaesthesia. 2023;78(9):1129–1138) Neuraxial labor analgesia is a well-established and effective method for managing pain during labor. The initiation of analgesia through epidural or combined spinal-epidural methods can be followed by various maintenance techniques, including continuous epidural infusion, manual intermittent boluses, patient-controlled epidural analgesia (PCEA), programmed intermittent epidural bolus (PIEB), or a combination of these approaches. Adding PCEA to a continuous infusion was long-favored, demonstrating benefits such as reduced breakthrough pain incidents, lower lo

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21

Gupta, Anil, Federica Fant, Kjell Axelsson, et al. "Postoperative Analgesia after Radical Retropubic Prostatectomy." Anesthesiology 105, no. 4 (2006): 784–93. http://dx.doi.org/10.1097/00000542-200610000-00025.

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Background Postoperative pain after radical retropubic prostatectomy can be severe unless adequately treated. Low thoracic epidural analgesia and patient-controlled intravenous analgesia were compared in this double-blind, randomized study. Methods Sixty patients were randomly assigned to receive either low thoracic epidural analgesia (group E) or patient-controlled intravenous analgesia (group P) for postoperative pain relief. All patients had general anesthesia combined with thoracic epidural analgesia during the operation. Postoperatively, patients in group E received an infusion of 1 mg/ml

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22

Duncan, M. A., J. Savage, and A. P. Tucker. "Prospective Audit Comparing Intrathecal Analgesia (Incorporating Midazolam) with Epidural and Intravenous Analgesia after Major Open Abdominal Surgery." Anaesthesia and Intensive Care 35, no. 4 (2007): 558–62. http://dx.doi.org/10.1177/0310057x0703500415.

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Potentiation of opioid analgesia can be achieved by the addition of midazolam intrathecally. At our institution, analgesia following open abdominal surgery is provided by continuous infusion of analgesic solutions either intravenously, intrathecally (incorporating midazolam) or epidurally. We report the results of a study comparing outcomes with these three analgesic regimens following major open abdominal surgery. This was an unblinded prospective audit of pain service intervention rates, pain scores and other outcomes after intravenous, intrathecal and epidural analgesia after open abdominal

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23

Wydall, S., D. Zolger, A. Owolabi, B. Nzekwu, D. Onwochei, and N. Desai. "Comparison of Different Delivery Modalities of Epidural Analgesia and Intravenous Analgesia in Labor: A Systematic Review and Network Meta-analysis." Obstetric Anesthesia Digest 43, no. 4 (2023): 206–7. http://dx.doi.org/10.1097/01.aoa.0000990476.70585.20.

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(Can J Anesth/J Can Anesth. 2023;70:406–442) There is still no preferred method of delivering neuraxial analgesia to pregnant patients. There are options such as continuous epidural infusion (CEI) and intermittent epidural bolus which can be controlled by a machine (programmed intermittent epidural bolus—PIEB), demand from an anesthesia provider (demand intermittent epidural bolus—DIEB), or the patient themselves (patient-controlled epidural analgesia—PCEA). The use of opioids for labor analgesia is also common in those who cannot receive spinal analgesia. This study aimed to compare the relat

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24

Liu, Spencer S., Hugh W. Allen, and Gayle L. Olsson. "Patient-controlled Epidural Analgesia with Bupivacaine and Fentanyl on Hospital Wards." Anesthesiology 88, no. 3 (1998): 688–95. http://dx.doi.org/10.1097/00000542-199803000-00020.

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Background The efficacy and safety of patient-controlled epidural analgesia (PCEA) for postoperative analgesia on hospital wards was studied. Methods Postoperative analgesia was provided for 1,030 patients with PCEA using 0.05% bupivacaine and fentanyl, 4 microg/ml, in a standardized manner. Patients were seen at least twice a day by the staff of the anesthesia pain management service. Prospectively gathered data included verbal pain scores at rest and activity (0-10); consumption of bupivacaine and fentanyl; and incidences of pruritus, nausea, sedation, hypotension, motor block, and respirato

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Tsueda, Kentaro, Phillip J. Mosca, Michael F. Heine, et al. "Mood during Epidural Patient-controlled Analgesia with Morphine or Fentanyl." Anesthesiology 88, no. 4 (1998): 885–91. http://dx.doi.org/10.1097/00000542-199804000-00006.

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Background Mood states during epidural opioids are not known. The authors studied the change in mood during the 48-h period of epidural morphine and epidural fentanyl in 47 patients after elective hip or knee joint arthroplasty. Methods An epidural catheter was inserted at the L2-L3 or L3-L4 interspace. Anesthesia was induced with thiopenthal and maintained with isoflurane and nitrous oxide. One hour before the conclusion of the operation, patients received an epidural bolus injection of 2 mg morphine (n = 23) or 100 microg fentanyl (n = 24), followed by the same opiate (125 microg/ml morphine

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Erstad, Brian L., Beth A. Snyder, and Thomas H. Kramer. "Epidural, Intrathecal, and Patient-Controlled Analgesic Use in a University Medical Center." Journal of Pharmacy Technology 9, no. 4 (1993): 141–43. http://dx.doi.org/10.1177/875512259300900402.

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Objective To determine the number and profile of surgical patients receiving epidural, intrathecal, and patient-controlled analgesia. Design Two-month audit of epidural, intrathecal, and patient-controlled analgesia. Setting A 300-bed, tertiary care, university medical center. Patients All patients undergoing surgery and receiving epidural, intrathecal, or patient-controlled analgesia. Results Of 1123 operations performed during the two-month audit, 185 patients (16 percent) received one of the three forms of analgesia studied. Sixty-three percent of the 185 patients received patient-controlle

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Lin, Y. C. "Patient controlled analgesia (PCA), nurse controlled analgesia (NCA), or epidural controlled analgesia (ECA)." Anaesthesia 57, no. 5 (2002): 501–21. http://dx.doi.org/10.1046/j.1365-2044.2002.262629.x.

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28

Missant, C., A. Teunkens, E. Vandermeersch, and M. Van De Velde. "Patient-controlled Epidural Analgesia following Combined Spinal-epidural Analgesia in Labour: The Effects of Adding a Continuous Epidural Infusion." Anaesthesia and Intensive Care 33, no. 4 (2005): 452–56. http://dx.doi.org/10.1177/0310057x0503300405.

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Patient-controlled epidural analgesia (PCEA) is used to maintain epidural analgesia following initial intrathecal analgesia. This trial investigated whether a continuous background infusion with PCEA provides superior analgesia to PCEA alone among patients who received combined spinal-epidural (CSE) analgesia during labour. Eighty parturients were randomized to either PCEA alone (PCEA) or PCEA with a background infusion of ropivacaine 0.15% with sufentanil 0.75 μg/ml at 2 ml/h (PCEA+CEI). PCEA settings were a bolus of 4 ml of the same analgesic solution with a lockout interval of 15 minutes. S

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Paech, Michael. "Patient-Controlled Epidural Analgesia for Labor." Anesthesia & Analgesia 80, no. 5 (1995): 1064. http://dx.doi.org/10.1097/00000539-199505000-00050.

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Ferrante, F. Michael. "Patient-Controlled Epidural Analgesia for Labor." Anesthesia & Analgesia 80, no. 5 (1995): 1064–65. http://dx.doi.org/10.1097/00000539-199505000-00051.

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31

Smiley, Richard M., and LeRoi Stephenson. "Patient-controlled Epidural Analgesia for Labor." International Anesthesiology Clinics 45, no. 1 (2007): 83–98. http://dx.doi.org/10.1097/aia.0b013e31802b8b90.

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Halpern, S. H., and B. Carvalho. "Patient-controlled Epidural Analgesia for Labor." Obstetric Anesthesia Digest 29, no. 4 (2009): 170–71. http://dx.doi.org/10.1097/01.aoa.0000362046.74623.4b.

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Lysak, Steven Z., James C. Eisenach, and Christopher E. Dobson. "Patient-controlled Epidural Analgesia during Labor." Anesthesiology 72, no. 1 (1990): 44–49. http://dx.doi.org/10.1097/00000542-199001000-00009.

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34

Cohen, Shaul, David Amar, Carol B. Pantuck, et al. "Postcesarean Delivery Epidural Patient-controlled Analgesia." Anesthesiology 78, no. 3 (1993): 486–91. http://dx.doi.org/10.1097/00000542-199303000-00012.

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35

Paech, Michael J., Timothy J. G. Pavy, Christopher E. P. Orlikowski, and Sharon F. Evans. "Patient-Controlled Epidural Analgesia in Labor." Regional Anesthesia and Pain Medicine 25, no. 1 (2000): 34–40. http://dx.doi.org/10.1097/00115550-200001000-00007.

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Etches, Richard C., Terri-Lynn Gammer, and Rebecca Cornish. "Patient-Controlled Epidural Analgesia After Thoracotomy." Anesthesia & Analgesia 83, no. 1 (1996): 81–86. http://dx.doi.org/10.1097/00000539-199607000-00014.

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VISCOMI, C., and J. C. KISKNACH. "Patient-Controlled Epidural Analgesia During Labor." Survey of Anesthesiology XXXV, no. 5 (1991): 277. http://dx.doi.org/10.1097/00132586-199110000-00020.

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Paech, Michael. "Patient-Controlled Epidural Analgesia for Labor." Anesthesia & Analgesia 80, no. 5 (1995): 1064. http://dx.doi.org/10.1213/00000539-199505000-00050.

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39

Ferrante, F. Michael. "Patient-Controlled Epidural Analgesia for Labor." Anesthesia & Analgesia 80, no. 5 (1995): 1064–65. http://dx.doi.org/10.1213/00000539-199505000-00051.

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Etches, Richard C., Terri-Lynn Gammer, and Rebecca Cornish. "Patient-Controlled Epidural Analgesia After Thoracotomy." Anesthesia & Analgesia 83, no. 1 (1996): 81–86. http://dx.doi.org/10.1213/00000539-199607000-00014.

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Birmingham, P. K., M. Wheeler, S. Suresh, et al. "PATIENT CONTROLLED EPIDURAL ANALGESIA IN CHILDREN." Anesthesiology 89, Supplement (1998): 1167A. http://dx.doi.org/10.1097/00000542-199809190-00096.

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Assad, Sam A., Sheldon A. Isaacson, and Christopher L. Wu. "Update on patient-controlled epidural analgesia." Techniques in Regional Anesthesia and Pain Management 7, no. 3 (2003): 127–32. http://dx.doi.org/10.1016/s1084-208x(03)00042-9.

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van der Vyver, Martin, and Stephen Halpern. "Patient-controlled epidural analgesia in labor." Techniques in Regional Anesthesia and Pain Management 5, no. 1 (2001): 14–17. http://dx.doi.org/10.1053/trap.2001.21644.

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&NA;. "Patient-Controlled Epidural Analgesia for Labor." Survey of Anesthesiology 53, no. 6 (2009): 261–62. http://dx.doi.org/10.1097/01.sa.0000360607.52589.9f.

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Paech, M. J. "Patient-controlled epidural analgesia in obstetrics." International Journal of Obstetric Anesthesia 5, no. 2 (1996): 115–25. http://dx.doi.org/10.1016/s0959-289x(96)80010-0.

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Viscomi, C., and JC Eisenach. "Patient-controlled epidural analgesia during labor." International Journal of Gynecology & Obstetrics 37, no. 2 (1992): 156. http://dx.doi.org/10.1016/0020-7292(92)90522-k.

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Baum, Victor C. "Patient-Controlled Epidural Analgesia in Children." Survey of Anesthesiology 47, no. 6 (2003): 328–29. http://dx.doi.org/10.1097/01.sa.0000101101.18180.0b.

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Lysak, S. Z., J. C. Eisenach, and C. Dobson II. "Patient-Controlled Epidural Analgesia During Labor." Obstetric Anesthesia Digest 10, no. 3 (1990): 157. http://dx.doi.org/10.1097/00132582-199010000-00041.

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Halpern, Stephen H., and Brendan Carvalho. "Patient-Controlled Epidural Analgesia for Labor." Anesthesia & Analgesia 108, no. 3 (2009): 921–28. http://dx.doi.org/10.1213/ane.0b013e3181951a7f.

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Paech, Michael. "Patient-Controlled Epidural Analgesia during Labor." Clinical Journal of Pain 12, no. 1 (1996): 79. http://dx.doi.org/10.1097/00002508-199603000-00017.

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