DO/UMDA NÖRAKS

Bu çalışmada epidural ve kombine spinal epidural (KSE) tekniklerini içeren standart nöraksiyel doğum analjezisi ile yeni birnöraksiyel yaklaşım olan dural ponksiyonlu epidural (DPE) tekniğinin karşılaştırılması sunulmuştur. Nöraksiyel analjeziyönetimine kısaca değindikten sonra standart nöroaksiyel teknikler ile yeni yaklaşımların avantaj ve dezavantajlarını özetleyerekkarşılaştırdık. Son yıllardaki kanıtlara göre DPE, daha uygun risk yarar oranı sunmaktadır. Fakat hangi nöraksiyel tekniğinseçileceği obstetrik risk faktörleri, hastanın tercihi, doğumun gelişim süreci, hastanedeki imkanlar da göz önünde bulundurularak kişiye özel planlanmalıdır.

NEURAXIAL ANALGESIA FOR LABOR: STANDARD TECHNIQUES VERSUS NOVEL APPROACH

Standard neuraxial labor analgesia techniques that include epidural and combined spinal epidural (CSE) and comparison ofthese standard techniques with novel neuraxial approach which is dural puncture epidural (DPE) are presented. After brief overviewof neuraxial analgesia management, advantages and disadvantages of standard neuraxial techniques versus novel approach aresummarized. Based on the latest evidences, DPE appears to offer favorable risk benefit ratio for labor analgesia. However, choiceof a specific neuraxial technique should be individualized based on the anesthetic and obstetric risk factors, patient preferences,progress of labor and resources of the facility.

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