• Anesthesia and analgesia · Apr 2017

    A Survey of Intravenous Remifentanil Use for Labor Analgesia at Academic Medical Centers in the United States.

    • Jaime Aaronson, Sharon Abramovitz, Richard Smiley, Virginia Tangel, and Ruth Landau.
    • From the *Department of Anesthesiology, Weill Cornell Medicine, New York, New York; and †Department of Anesthesiology, Columbia University Medical Center, New York, New York.
    • Anesth. Analg. 2017 Apr 1; 124 (4): 1208-1210.

    AbstractRemifentanil is most commonly offered when neuraxial labor analgesia is contraindicated. There is no consensus regarding the optimal administration, dosing strategy, or requirements for maternal monitoring, which may pose a patient safety issue. This exploratory survey evaluated the current practices regarding remifentanil use for labor analgesia at academic centers in the United States. Of 126 obstetric anesthesia directors surveyed, 84 (67%) responded. In 2014 to 2015, an estimated 36% (95% confidence interval: 25.7-46.3) of centers used remifentanil, most of which did so less than 5 times. Some serious maternal and neonatal respiratory complications occurred, emphasizing that clinical protocols and adequate monitoring are key to ensure maternal and neonatal safety.

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