The authors regret that errors were present in Table 2. The correct table appears below.
Table 2.
Common dosing regimens for neuraxial analgesia in labour.
| LABOUR SPINAL DOSING | |
|---|---|
| Local anaesthetic | Opioid |
| Bupivacaine 2.5 mg | Fentanyl 10–15 mcg |
| Ropivacaine 2.5–3.5 mg |
Sufentanil 1.5–5 mcg |
|
EPIDURAL (DPE) LOADING DOSE | |
| Local Anaesthetic | Opioid |
| 10–15 ml bupivacaine 0.125% | Fentanyl 50–100 mcg (50 mcg probably enough) |
| 10–15 ml ropivacaine 0.2% | Sufentanil 10 mcg |
| EPIDURAL INFUSION (10–15 ml h−1) | |
| Bupivacaine 0.0625–0.125% with fentanyl 2 mcg ml−1 or sufentanil 0.2–0.5 mcg ml−1 | |
| Ropivacaine 0.10–0.20% with fentanyl 2 mcg ml−1 or sufentanil 0.2–0.5 mcg ml−1 | |
| PCEA recipes (patient-controlled epidural analgesia) | |
| 4–6 ml of infusion drug, lockout 5–10 min, maximum 30–35 ml h−1 total infusion plus boluses | |
| PIEB strategy (essentially replace 10–12 ml h−1 infusion with timed bolus, similar hourly dose) | |
| 6–8 ml q 30 min | |
| 9–10 ml q 45 min | |
| 12 ml q 60 min | |
Note: In Europe, levobupivacaine (not available in the US) may be substituted for bupivacaine at comparable doses.
The authors would like to apologise for any inconvenience caused.
DOI of original article: 10.1016/j.bjae.2019.11.006.