Programmed intermittent epidural bolus versus continuous epidural infusion for XXXX relief during termination of pregnancy: a prospective, double-blind, randomized trial.

@entity1 @entity616 @entity390 @entity158
BACKGROUND: @entity158 is a major concern during medical abortion but no evidence-based recommendations for optimal analgesia during medical termination of pregnancy are available. We compared two methods of epidural analgesia during second trimester termination of pregnancy, with the primary aim of assessing the incidence of @entity616 . METHODS: @entity1 were randomly assigned to receive continuous epidural infusion (CEI Group; n=52) or programmed intermittent epidural bolus (PIEB Group; n=52). Assessment of @entity616 was performed every hour. @entity1 with a modified Bromage score <6 were considered to have @entity616 . RESULTS: Motor block occurred more frequently in the CEI Group compared with the PIEB Group (46.2% vs. 5.8%, P<0.001). @entity158 scores were low and comparable between groups. @entity1 in the CEI Group experienced @entity390 more frequently than those in the PIEB Group (34.6% vs. 13.5%, P=0.022). The degree of satisfaction was higher in the PIEB Group compared with the CEI Group. CONCLUSIONS: During second trimester termination of pregnancy in our @entity1 groups, a programmed intermittent epidural bolus technique was associated with less @entity616 and greater @entity1 satisfaction than continuous epidural infusion. Both techniques had similar analgesic efficacy.
