Actualización en analgesia epidural para el trabajo de parto.

  1. Sánchez Quirós, Belén 1
  2. López Herrero, Rocio
  3. Lomo Montero, Francisco Javier 2
  1. 1 MIR Anestesiología y Reanimación. Hospital Clínico Universitario de Valladolid
  2. 2 FEA Anestesiología y Reanimación Hospital Clínico Universitario de Valladolid
Revista electrónica AnestesiaR

ISSN: 1989-4090

Year of publication: 2021

Issue Title: Revista Electrónica de AnestesiaR

Volume: 13

Issue: 12

Type: Article

DOI: 10.30445/REAR.V13I12.933 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista electrónica AnestesiaR


The pain of labor produces not only emotional suffering but also physiological alterations that affect the mother and the fetus such as: hyperventilation, severe respiratory alkalosis, increased catecholamines and stress hormones, fetal-placental hypoxia and fetal acidosis and psychological alterations and stress post-traumatic. Currently, neuraxial anesthesia and more specifically epidural analgesia is the main recommendation as a pharmacological method of analgesia in labor. We have mainly focused on two methods of infusion. On the one hand, the traditional, continuous epidural infusion (CEI) plus patient-controlled epidural analgesia (PCEA) and on the other; programmed intermittent epidural bolus (PIEB) which is a method of infusing drugs into the epidural space that consists of the administration of fixed boluses at determined intervals.

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