{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:15:42Z","timestamp":1777666542617,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2011,7,1]],"date-time":"2011-07-01T00:00:00Z","timestamp":1309478400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:p>Remifentanil patient-controlled analgesia (PCA) was introduced to a small maternity unit where an extensive epidural service was difficult to provide. This was a new service and the New Zealand College of Midwives had serious doubts about the efficacy and safety of remifentanil, so auditing its use was important.<\/jats:p>\n                  <jats:p>In a two-stage audit, clinical notes of 244 consecutive remifentanil users were studied between January 2008 and November 2009. We developed a questionnaire to assess the parturients\u2019 satisfaction with remifentanil PCA and designed a proforma to evaluate it against four standards of best practice.<\/jats:p>\n                  <jats:p>During the two audit periods, timely commencement of PCA was achieved in 65% and 82% of cases, respectively. A 70% compliance rate with monitoring standards fell to 10% after the withdrawal of supervision by an acute pain team, but improved to 91% following implementation of regular midwifery training sessions and a redesigned partogram and prescription flowchart. Ninety-four percent of women rated remifentanil PCA as excellent, very good or good. Maternal side-effects were nausea, pruritus and drowsiness. A comparison of Apgar scores of consecutive neonates born by normal vaginal delivery to women receiving no analgesia, with those born to women using remifentanil PCA, demonstrated no difference.<\/jats:p>\n                  <jats:p>As a result of our audit, remifentanil PCA is now viewed by our midwives as an effective and safe method when accompanied by 1:1 care and appropriate monitoring. With our input other maternity units have introduced it, especially where epidural service provision is limited, and for patients in whom epidural analgesia is contraindicated.<\/jats:p>","DOI":"10.1177\/0310057x1103900421","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T23:39:02Z","timestamp":1548200342000},"page":"666-670","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Remifentanil Patient-Controlled Analgesia for Labour: A Complete Audit Cycle"],"prefix":"10.1177","volume":"39","author":[{"given":"U.","family":"Buehner","sequence":"first","affiliation":[{"name":"Department of Anaesthetics, Rotorua Hospital, Rotorua, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. R.","family":"Broadbent","sequence":"additional","affiliation":[{"name":"Department of Anaesthetics, Rotorua Hospital, Rotorua, New Zealand"},{"name":"Anaesthetic Department, Wellington Regional Hospital."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Chesterfield","sequence":"additional","affiliation":[{"name":"Department of Anaesthetics, Rotorua Hospital, Rotorua, New Zealand"},{"name":"Anaesthetic Department, Wellington Regional Hospital."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,7,1]]},"reference":[{"key":"bibr1-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000143351.64538.BC"},{"key":"bibr2-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200204000-00026"},{"key":"bibr3-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep359"},{"key":"bibr4-0310057X1103900421","first-page":"S43","volume":"16","author":"Laird R.","year":"2007","journal-title":"Int J Obstet Anesth"},{"key":"bibr5-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/62.3.316"},{"key":"bibr6-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2007.01509.x"},{"key":"bibr7-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2007.11.004"},{"key":"bibr8-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2004.03975.x"},{"key":"bibr9-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022956"},{"key":"bibr10-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181acc6fc"},{"key":"bibr11-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2005.00639.x"},{"key":"bibr12-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0b013e3282f8e26c"},{"key":"bibr13-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1007\/BF02481730"},{"key":"bibr14-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1995.tb15101.x"},{"key":"bibr15-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200204000-00027"},{"key":"bibr16-0310057X1103900421","doi-asserted-by":"publisher","DOI":"10.1007\/BF03019731"},{"key":"bibr17-0310057X1103900421","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1097\/00000542-199806000-00008","volume":"88","author":"Khan R.E.","year":"1998","journal-title":"Anesthesiology"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X1103900421","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X1103900421","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:09:17Z","timestamp":1777367357000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X1103900421"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,7]]}},"alternative-id":["10.1177\/0310057X1103900421"],"URL":"https:\/\/doi.org\/10.1177\/0310057x1103900421","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7]]}}}