1/14/2024 0 Comments Epidural side effects after birth![]() Most research around remifentanil considers it as an alternative to other opioids, which have their own side effects. So it is hard to compare outcomes with labours that do not use these forms of stronger pain relief. Effectiveness varies, and some people choose to use gas and air as well (OAA, 2016). Research suggests it reduces the need for epidurals more than pethidine does (Wilson et al, 2018). In research, women report that remifentanil is more effective for pain relief than other opioids, like pethidine or diamorphine, but less effective than an epidural (Freeman et al, 2015 Weibel et al, 2017 Wilson et al, 2018 Moran et al, 2019). It takes 10 to 15 minutes to set up and then works in a few minutes (OAA, 2016). ![]() ![]() This is called patient-controlled intravenous analgesia (PCIA). You can press a button to give yourself a dose when you feel a contraction (OAA, 2016). Small doses of remifentanil are given from a pump and through a tube that is inserted into a vein in your hand or arm (OAA, 2017 NHS, 2020). Remifentanil may also be considered as an alternative to other opioids, such as pethidine (Wilson et al, 2018). Reasons for not being able to have an epidural could include allergies, blood clotting issues or an irregularity with the spine that would prevent an epidural from being administered (Hernandez and Singh, 2021). Your caregiver might suggest remifentanil as an alternative to an epidural if you can’t have one or don't want one (OAA, 2017). It acts very quickly and wears off very fast so it can be used to manage each contraction during labour (OAA, 2017 Wilson et al, 2018). ![]() Remifentanil is an opioid painkiller that has a strong effect on pain. ![]()
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