title: Remifentanil as analgesia for labor.
abstract: OBJECTIVE
  The neuraxial techniques currently represent the most effective methods for pain control during labor and the epidural block using ultradiluted anesthetic solutions is considered the gold standard promoting adequate pain relief with minimum side effects. In some situations however the use of these techniques is limited by the existence of maternal contraindications, or structural or material obstacles. In these cases, the alternatives are still precarious and scarce offering little optimistic results and of dubious effectiveness.
  
  
  BACKGROUND
  This article presents through a literature review the available information on the use of remifentanil as an alternative technique for analgesia during labor discussing aspects of pharmacokinetics, analgesia efficacy, maternal satisfaction and maternal/fetal side effects.
  
  
  CONCLUSIONS
  The initial data show that remifentanil is a promising option to be employed in situations where the parturient cannot or does not want to receive the neuraxial analgesia.
authors.affiliation: Hospital Municipal Odilon Behrens, Belo Horizonte, MG. elianecssoares@gmail.com
authors.forename: Eliane C S
authors.initials: EC
authors.lastname: Soares
authors.forename: Michelle R
authors.initials: MR
authors.lastname: Lucena
authors.forename: Renata C
authors.initials: RC
authors.lastname: Ribeiro
authors.forename: Letícia L
authors.initials: LL
authors.lastname: Rocha
authors.forename: Walkíria W
authors.initials: WW
authors.lastname: Vilas Boas
mesh_terms: D016362:Analgesia, Obstetrical; D000701:Analgesics, Opioid / Q000494:pharmacology / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D010880:Piperidines / Q000494:pharmacology / Q000627:therapeutic use*; D011247:Pregnancy; D000077208:Remifentanil
chemical_list: D000701:Analgesics, Opioid; D010880:Piperidines; D000077208:Remifentanil