Which opioid is best for the management of labor pain?. Issue 2 (February 2015)

• Record Type: Journal Article
• Authors: Okonkwo, Adaobi; Satre, Thomas
• Is Part Of: Evidence-based practice. Volume 18:Issue 2(2015)
• Publication Date: 2015-02
• DOI: 10.1097/01.EBP.0000540906.21540.da
• Languages: English
• ISSNs: 1095-4120

Abstract

Abstract : Evidence‐Based Answer : It is unclear which opioid is the most effective when given by patient‐controlled analgesia (PCA): remifentanil may be more effective than fentanyl (SOR: B, single RCT) and nalbuphine may be more effective than meperidine (SOR: B, single RCT), yet remifentanil is equally effective as meperidine (SOR: A, meta‐analysis). Given as needed intravenously (IV), butorphanol is more effective than either IV fentanyl or IV meperidine (SOR: B, single RCTs).