Journal of Tongji University(Medical Science), Volume. 46, Issue 3, 464(2025)

Research progress of dural punctured epidural technique in optimized labor analgesia

SONG Yujie and XU Zhendong*
Author Affiliations
  • Department of Anesthesiology, Obstetrics and Gynecology Hospital, School of Medicine, Tongji University, Shanghai 200092, China
  • show less
    References(28)

    [2] [2] SULTAN P. A narrative review of the literature relevant to obstetric anesthesiologists: the 2023 Gerard W. Ostheimer lecture[J]. Int J Obstet Anesth, 2024, 58: 103973.

    [3] [3] TOLEDANO R D, LEFFERT L. What's new in neuraxial labor analgesia[J]. Curr Anesthesiol Rep, 2021, 11(3): 340-347.

    [4] [4] TAHA B, RICHEY C J, TSEN L C. The dural puncture epidural technique: an investigation with porcine epidural and spinal spaces[J/OL]. [2024-11-01] https://www.abstractsonline.com/pp8/#!/9085/presentation/6171, 2020.

    [5] [5] CAPPIELLO E, O'ROURKE N, SEGAL S, et al. A randomized trial of dural puncture epidural technique compared with the standard epidural technique for labor analgesia[J]. Anesth Analg, 2008, 107(5): 1646-1651.

    [6] [6] SONG Y J, DU W J, ZHOU S Q, et al. Effect of dural puncture epidural technique combined with programmed intermittent epidural bolus on labor analgesia onset and maintenance: a randomized controlled trial[J]. Anesth Analg, 2021, 132(4): 971-978.

    [7] [7] WILSON S H, WOLF B J, BINGHAM K, et al. Labor analgesia onset with dural puncture epidural versus traditional epidural using a 26-gauge whitacre needle and 0.125% bupivacaine bolus: a randomized clinical trial[J]. Anesth Analg, 2018, 126(2): 545-551.

    [8] [8] NARANG A, YADAV P, KUMARI I, et al. Comparison of dural puncture epidural technique versus conventional epidural technique for labor analgesia in primigravida[J]. J Obstet Anaesth Crit Care, 2018, 8(1): 24.

    [9] [9] WANG J, ZHANG L X, ZHENG L H, et al. A randomized trial of the dural puncture epidural technique combined with programmed intermittent epidural boluses for labor analgesia[J]. Ann Palliat Med, 2021, 10(1): 404-414.

    [10] [10] CHAU A, BIBBO C, HUANG C C, et al. Dural puncture epidural technique improves labor analgesia quality with fewer side effects compared with epidural and combined spinal epidural techniques: a randomized clinical trial[J]. Anesth Analg, 2017, 124(2): 560-569.

    [11] [11] FRASSANITO L, FILETICI N, PIERSANTI A, et al. Sacral sensory blockade from 27-gauge pencil-point dural puncture epidural analgesia or epidural analgesia in laboring nulliparous parturients: a randomized controlled trial[J]. Int J Obstet Anesth, 2024, 60: 104217.

    [12] [12] YAO H Q, QIAN J, DONG F Y, et al. Comparison of the dural puncture epidural and the standard epidural techniques in patients having labor analgesia maintained using programmed epidural boluses: a prospective double-blinded randomized clinical trial[J]. Reg Anesth Pain Med, 2024: rapm-2024-105468.

    [13] [13] BERGER A A, JORDAN J, LI Y, et al. Epidural catheter replacement rates with dural puncture epidural labor analgesia compared with epidural analgesia without dural puncture: a retrospective cohort study[J]. Int J Obstet Anesth, 2022, 52: 103590.

    [14] [14] ZORRILLA-VACA A, MATHUR V, WU C L, et al. The impact of spinal needle selection on postdural puncture headache: a meta-analysis and metaregression of randomized studies[J]. Reg Anesth Pain Med, 2018, 43(5): 502-508.

    [15] [15] MAEDA A, VILLELA-FRANYUTTI D, LUMBRERAS-MARQUEZ M I, et al. Labor analgesia initiation with dural puncture epidural versus conventional epidural techniques: a randomized biased-coin sequential allocation trial to determine the effective dose for 90% of patients of bupivacaine[J]. Anesth Analg, 2024, 138(6): 1205-1214.

    [16] [16] YAO H Q, HUANG J Y, DENG J L, et al. Randomized assessment of the optimal time interval between programmed intermittent epidural boluses when combined with the dural puncture epidural technique for labor analgesia[J]. Anesth Analg, 2023, 136(3): 532-539.

    [17] [17] XIAO F, YAO H Q, QIAN J, et al. Determination of the optimal volume of programmed intermittent epidural bolus when combined with the dural puncture epidural technique for labor analgesia: a random-allocation graded dose-response study[J]. Anesth Analg, 2023, 137(6): 1233-1240.

    [18] [18] SHARAWI N, WILLIAMS M, ATHAR W, et al. Effect of dural-puncture epiduralvsstandard epidural for epidural extension on onset time of surgical anesthesia in elective cesarean delivery: a randomized clinical trial[J]. JAMA Netw Open, 2023, 6(8): e2326710.

    [19] [19] TAN H S, REED S E, MEHDIRATTA J E, et al. Quality of labor analgesia with dural puncture epidural versus standard epidural technique in obese parturients: a double-blind randomized controlled study[J]. Anesthesiology, 2022, 136(5): 678-687.

    [20] [20] SONG Y J, DU W J, TAO Y Y, et al. Optimum programmed intermittent epidural bolus interval time between 8 mL boluses of Ropivacaine 0.1% with sufentanil 0.3 g/mL with dural puncture epidural technique for labor analgesia: a biased-coin up-and-down sequential allocation trial[J]. J Clin Anesth, 2022, 79: 110698.

    [21] [21] WIESMANN C, HORKY A, HENTRICH A, et al. The influence of epidural analgesic techniques on obstetrical outcomes[J]. Arch Gynecol Obstet, 2024, 310(5): 2399-2403.

    [22] [22] SONG Y J, SONG Y C, SHENG Z H, et al. Exploration of the optimal programmed intermittent epidural bolus volume with the dural puncture epidural technique for labour analgesia: a biased-coin up-and-down sequential allocation study[J]. Can J Anesth Can D'anesthsie, 2025, 72(2): 254-261.

    [23] [23] MUNRO A, GEORGE R B, ANDREOU P. An innovative approach to determine programmed intermittent epidural bolus pump settings for labor analgesia: a randomized controlled trial[J]. Anesth Analg, 2024, 139(3): 545-554.

    [24] [24] BERNARDS C M, KOPACZ D J, MICHEL M Z. Effect of needle puncture on morphine and lidocaine flux through the spinal meninges of the monkeyin vitro.Implications for combined spinal-epidural anesthesia[J]. Anesthesiology, 1994, 80(4): 853-858.

    [25] [25] THOMAS J A, PAN P H, HARRIS L C, et al. Dural puncture with a 27-gauge Whitacre needle as part of a combined spinal-epidural technique does not improve labor epidural catheter function[J]. Anesthesiology, 2005, 103(5): 1046-1051.

    [26] [26] CONTRERAS F, MORALES J, BRAVO D, et al. Dural puncture epidural analgesia for labor: a randomized comparison between 25-gauge and 27-gauge pencil point spinal needles[J]. Reg Anesth Pain Med, 2019: rapm-2019-100608.

    [27] [27] LAYERA S, BRAVO D, ALISTE J, et al. A systematic review of DURAL puncture epidural analgesia for labor[J]. J Clin Anesth, 2019, 53: 5-10.

    [28] [28] DU W J, LIU Z Q. Dural puncture epidural in obese parturients: comment[J]. Anesthesiology, 2022, 137(5): 653-654.

    [29] [29] RAO W Y, XU F, DAI S B, et al. Comparison of dural puncture epidural, epidural and combined spinalepidural anesthesia for cesarean delivery: a randomized controlled trial[J]. Drug Des Devel Ther, 2023, 17: 2077-2085.

    Tools

    Get Citation

    Copy Citation Text

    SONG Yujie, XU Zhendong. Research progress of dural punctured epidural technique in optimized labor analgesia[J]. Journal of Tongji University(Medical Science), 2025, 46(3): 464

    Download Citation

    EndNote(RIS)BibTexPlain Text
    Save article for my favorites
    Paper Information

    Category:

    Received: Nov. 3, 2024

    Accepted: Aug. 26, 2025

    Published Online: Aug. 26, 2025

    The Author Email: XU Zhendong (btxzdl23@126.com)

    DOI:10.12289/j.issn.2097-4345.24447

    Topics