Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia

doi:10.12998/wjcc.v9.i21.5900

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World Journal of Clinical Cases

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Prospective Study

World J Clin Cases. Jul 26, 2021; 9(21): 5900-5908
Published online Jul 26, 2021. doi: 10.12998/wjcc.v9.i21.5900

Preprocedure ultrasound imaging combined with palpation technique in epidural labor analgesia

Jian-Ping Wu, Yuan-Zhang Tang, Liang-Liang He, Wen-Xing Zhao, Jian-Xiong An, Jia-Xiang Ni

Jian-Ping Wu, Yuan-Zhang Tang, Liang-Liang He, Jia-Xiang Ni, Department of Pain Management, Xuanwu Hospital of Capital Medical University, Beijing 100053, China

Jian-Ping Wu, Wen-Xing Zhao, Jian-Xiong An, Department of Anesthesiology and Pain Medicine, Aviation General Hospital of China Medical University, Beijing Institute of Translational Medicine, Chinese Academy of Sciences, Beijing 100012, China

Author contributions: Wu JP conceived this study, collected the data, analyzed the formal, and drafted the manuscript; Tang YZ, He LL, and Zhao WX contributed to the investigation, methodology and writing, reviewing, and editing of the manuscript; An JX contributed to the project administration and writing, reviewing, and editing of the manuscript; Ni JX supervised the study and contributed to the project administration, resources, software and writing, reviewing, and editing of the manuscript; All authors proofread and approved the revised manuscript.

Institutional review board statement: This study was reviewed and approved by the Aviation General Hospital of China Medical University Institutional Review Board.

Clinical trial registration statement: The study is registered at Chinese Clinical Trial Registry, using identifier ChiCTR1800014782.

Informed consent statement: Informed written consent was obtained from every parturient.

Conflict-of-interest statement: No conflict-of-interest.

Data sharing statement: No additional data are available.

CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.

Corresponding author: Jia-Xiang Ni, MD, Chief Doctor, Director, Professor, Department of Pain Management, Xuanwu Hospital of Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing 100053, China. nijiaxiang@263.net

Received: February 25, 2021
Peer-review started: February 25, 2021
First decision: April 14, 2021
Revised: April 19, 2021
Accepted: April 26, 2021
Article in press: April 26, 2021
Published online: July 26, 2021
Processing time: 145 Days and 21.6 Hours

ARTICLE HIGHLIGHTS

Research background

Rapid and effective epidural puncture is particularly important for parturients requiring labor analgesia.

Research motivation

To determine whether the combined technique increases the total duration of the epidural procedure and improves the success rate of the epidural analgesia.

Research objectives

Seventy-two parturient were assigned to two groups (combined or palpation group). All epidurals were performed by six anesthesiologists.

Research methods

Preprocedure ultrasound imaging combined with palpation technique was used in this study.

Research results

Total duration of the epidural procedure was similar between two groups. A significant improvement was demonstrated for epidural puncture and catheterization in the combined group.

Research conclusions

A significant improvement in epidural puncture and catheterization with preprocedure ultrasound was demonstrated.

Research perspectives

Ultrasound-guided epidural puncture and catheterization should be studied in future.