RT Book, Section A1 Ciampa, Erin J. A1 Hess, Philip E. A2 Hess, Philip E. A2 Li, Yunping A2 Kowalczyk, John J. A2 Stiles, Justin K. SR Print(0) ID 1199674025 T1 Refractory Pain During Labor Epidural Analgesia T2 Obstetric Anesthesia: Quick References & Practical Guides YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781264671465 LK obgyn.mhmedical.com/content.aspx?aid=1199674025 RD 2024/10/07 AB The majority of patients achieve effective relief of labor pain with a standard infusion of a low-concentration local anesthetic and opioid mixture with a patient-controlled bolus option; however, some patients present with refractory pain. Determining the underlying reason for refractory pain is critical to guide effective treatment, and most cases can be resolved with appropriate intervention.