Pain Clinical Trial
Official title:
Incidence and Characteristics of Breakthrough Pain in Parturients Using Computer Integrated Patient Controlled Epidural Analgesia
The computer-integrated patient controlled epidural analgesia (CIPCEA) system can automatically adjust the background infusion rate during combined spinal-epidural (CSE) analgesia based on the parturient's need as labour progresses. Analysis of parturients experiencing breakthrough pain may identify associated factors that can also be related to obstetric or foetal outcomes
Computer integrated patient controlled epidural analgesia (CIPCEA) is a novel epidural
analgesic delivery system that is currently used in daily practice in KK Women's and
Children's Hospital. It has enabled us to monitor the infusion pumps through wireless
connection to a central monitoring system and hence, collect pump utilisation data
electronically. The CIPCEA system is programmed to analyse the LA usage across the last hour
and adjust the background infusion rate according to a preset algorithm.
Breakthrough pain is defined as maternal complaint of pain or pressure that required and was
successfully treated with supplemental epidural medications. we investigated the potential
factors associated with breakthrough pain in patients who receive CSE epidural analgesia
with CIPCEA, with the aim of elucidating the important associated factors.
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Observational Model: Cohort, Time Perspective: Retrospective
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