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New England Journal of Medicine, 1997
In 1992, the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists issued a joint statement on pain during labor that included the following: “Labor resu...
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In 1992, the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists issued a joint statement on pain during labor that included the following: “Labor resu...
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Systemic Remifentanil for Labor Analgesia
Anesthesia & Analgesia, 2009There is a need for safe, effective, and easy-to-administer systemic analgesia that ideally has rapid onset and offset, matches the time course of uterine contractions, and does not compromise the fetus. Although neuraxial blockade is the "gold standard" for labor analgesia, systemic analgesia is useful in those cases in which neuraxial analgesia is ...
Anelia Hinova, Roshan Fernando
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Spinal Opioid Analgesia for Labor
International Anesthesiology Clinics, 1994Intrathecal opioids and the combined spinal/epidural technique provide new tools for the obstetrical anesthesiologist. With intrathecal opioids, we can rapidly and safely relieve the pain of labor without maternal sedation or motor blockade. Intrathecal sufentanil 10 micrograms provides 1 to 2 hours of excellent analgesia during the first stage of ...
Valerie A. Arkoosh, Mark C. Norris
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Labor pain and labor analgesia
Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 2004Journal de Gynecologie Obstetrique et Biologie de la Reproduction - Vol.
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Labor Analgesia for the Obese Parturient
Obstetric Anesthesia Digest, 2012Obese parturients present obstetric anesthesia providers with multiple challenges, including increased incidence of maternal coexisting disease, labor complications, and potential for difficult initiation and failure of neuraxial labor analgesia. This focused review discusses these challenges, and suggests potential methods to increase labor analgesia ...
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Labor Epidural Analgesia and Breastfeeding
Obstetric Anesthesia Digest, 2017(Anesthesiology 2017;V:127) Breastfeeding is paramount for both maternal and neonatal well-being and incurs substantial long-term and short-term health benefits to the infant and the mother. A previous randomized controlled study observed that women receiving high-dose fentanyl labor epidural analgesia (cumulative dose >150 µg) were more ...
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Medicolegal Issues in Labor Analgesia
2015Within surgical disciplines, obstetrics and anesthesia carry a greater risk of medicolegal liability although with improved monitoring and practice standards issued by national scientific societies such as the American College of Obstetricians and Gynecologists (ACOG) and the American Society of Anesthesiologists (ASA).
Marchetti, Daniela +1 more
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Nitrous oxide for labor analgesia
JAAPA, 2018ABSTRACT Inhaled nitrous oxide (N2O) has been used worldwide for over 100 years as labor analgesia but has not gained widespread use in the United States. Nitrous oxide provides a noninvasive option for laboring women. This article outlines its efficacy and safety as an analgesic compared with epidural and IV pain medications.
Audrey Hellams +3 more
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Epidural Analgesia for Labor and Delivery
New England Journal of Medicine, 2010A 30-year-old pregnant woman is undergoing induction of labor and is experiencing severe pain despite intravenous opioid administration. Epidural analgesia is recommended. Epidural analgesia involves the injection of a local anesthetic agent and an opioid analgesic agent into the lumbar epidural space.
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Options for systemic labor analgesia
Current Opinion in Anaesthesiology, 2007This article reviews the challenging practice of systemic analgesia as an alternative to epidural analgesia for labor pain, and places remifentanil within the context of opioid analgesics suitable for managing for labor pain.Although systemic opioids have long been used for labor analgesia, they have become less popular because of frequent maternal and
Shmuel Evron, Tiberiu Ezri
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