title: [The comparison of epidural continuous infusion and epidural patient controlled bolus administration in labor analgesia].
abstract: OBJECTIVE
  We aimed to compare the efficacies of patient controlled bolus administration and continuous infusion of low dose Fentanyl and Levobupivacaine combination by epidural catheter during vaginal labor on mother, baby and the duration of labor.
  
  
  METHODS
  The 45 pregnant women involved in the study were divided randomly into two groups, Group HKEB (patient controlled epidural bolus) and Group SEI (continuous epidural infusion). Hemodynamic parameters and VAS values of the pregnant women, fetal heart rate, Apgar scores, duration of labor stages, types of delivery and side effects were recorded. Time to reach the T10 dermatome was determined. Motor block was evaluated with modified Bromage scale. Additional analgesic needs were followed up and total drug consumptions were compared.
  
  
  RESULTS
  Drug consumption was found to be significantly lower in HKEB administration (p<0.01).
  
  
  CONCLUSIONS
  Bolus administration of a basal dose that will keep the analgesia level constant and additional drugs administered upon patient requests will prevent pregnant women from experiencing a painful period, and will provide confidence and comfort to patients who need to ask for drugs according to their pain characteristics.
authors.affiliation: Tekirdağ Malkara State Hospital, Anesthesiology and Reanimation Clinic, Tekirdağ, Turkey. dondugencm@gmail.com
authors.forename: Döndü
authors.initials: D
authors.lastname: Genç Moralar
authors.forename: Ulkü
authors.initials: U
authors.lastname: Aygen Türkmen
authors.forename: Aysel
authors.initials: A
authors.lastname: Altan
authors.forename: Resul
authors.initials: R
authors.lastname: Arısoy
authors.forename: Emre
authors.initials: E
authors.lastname: Tahaoğlu
authors.forename: Ekrem
authors.initials: E
authors.lastname: Ozakın
mesh_terms: D000293:Adolescent; D000328:Adult; D015360:Analgesia, Epidural; D016058:Analgesia, Patient-Controlled; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D001034:Apgar Score; D002045:Bupivacaine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D004359:Drug Therapy, Combination; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage*; D006801:Humans; D007231:Infant, Newborn; D048949:Labor Pain / Q000188:drug therapy*; D007743:Labor, Obstetric; D000077554:Levobupivacaine; D010147:Pain Measurement; D011247:Pregnancy; D011256:Pregnancy Outcome; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D000077554:Levobupivacaine; D005283:Fentanyl; D002045:Bupivacaine