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Systemic Remifentanil for Labor Analgesia

Anesthesia & Analgesia, 2009
There 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, 1994
Intrathecal 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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Alternatives to neuraxial analgesia for labor

Current Opinion in Anaesthesiology, 2011
Although millions of parturients profit from neuraxial analgesia for labor, there are far more of those who do not have this choice for one reason or another. They need alternative ways to relieve labor pain.Paracervical block gives less efficient analgesia compared with single-shot spinal in a sample of multiparae at active labor but is associated ...
Jouni Ahonen   +2 more
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Labor pain and labor analgesia

Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 2004
Journal de Gynecologie Obstetrique et Biologie de la Reproduction - Vol.
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Dural puncture epidural versus conventional epidural block for labor analgesia: a systematic review of randomized controlled trials.

International journal of obstetric anesthesia, 2019
INTRODUCTION Dural puncture epidural analgesia (DPE) is a modification of conventional epidural analgesia that involves the intentional puncture of the dura with a spinal needle through the needle placed in the epidural space, without a medication being ...
M. Heesen   +3 more
semanticscholar   +1 more source

Labor Analgesia for the Obese Parturient

Obstetric Anesthesia Digest, 2012
Obese 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

2015
Within 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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Epidural Analgesia for Labor and Delivery

New England Journal of Medicine, 2010
A 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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Neuraxial Labor Analgesia Utilization, Incidence of Postdural Puncture Headache, and Epidural Blood Patch Placement for Privately Insured Parturients in the United States (2008–2015)

Anesthesia and Analgesia, 2019
BACKGROUND: Neuraxial analgesia is the gold standard for labor analgesia in the United States, and postdural puncture headache (PDPH) is one of the most common complications. PDPH is frequently treated with an epidural blood patch (EBP), but conservative
C. Delgado   +2 more
semanticscholar   +1 more source

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