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Options for systemic labor analgesia

Current Opinion in Anaesthesiology, 2007
This 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
openaire   +3 more sources

Effect of Epidural Infusion Bolus Delivery Rate on the Duration of Labor Analgesia: A Randomized Clinical Trial

Anesthesiology, 2018
Background: Programmed intermittent boluses of local anesthetic have been shown to be superior to continuous infusions for maintenance of labor analgesia.
E. Lange   +6 more
semanticscholar   +1 more source

Neuraxial labor analgesia: Initiation techniques.

Bailliere's Best Practice & Research. Clinical Anaesthesiology, 2022
A. Chau, L. Tsen
semanticscholar   +1 more source

Complications of Labor Analgesia

2018
This chapter discusses the complications encountered during labor analgesia, such as unintentional dural puncture, unintentional intravascular or subarachnoid injection, and epidural hematoma. Furthermore, it discusses various causes of postpartum headache and neurologic complications of labor analgesia.
Quy Tran   +3 more
openaire   +2 more sources

Neuraxial labor analgesia: a focused narrative review of the 2017 literature

Current Opinion in Anaesthesiology, 2018
Purpose of review Neuraxial labor analgesia remains the most effective and one of the most commonly utilized methods for pain relief during labor. This narrative review article is a summary of the literature published in 2017 on neuraxial analgesia for ...
M. Kocarev   +3 more
semanticscholar   +1 more source

Continuous intravenous analgesia in labor

American Journal of Obstetrics and Gynecology, 1967
Abstract How safe and effective is the continuous intravenous administration of analgesics during labor? Sixty-five women in labor received intravenous meperidine, promethazine, and scopolamine by this route in an attempt to answer this question. Relatively low dosages were necessary to relieve pain during the first two stages of labor and this was ...
John M. Esposito   +2 more
openaire   +3 more sources

Newer techniques of labor analgesia

Anesthesiology Clinics of North America, 2003
In maternity units in which central neuraxial techniques are frequently used, newer methods of epidural drug delivery (continuous infusion, patient-controlled) are well established and combined spinal-epidural analgesia is commonly used. Continuous spinal analgesia has reemerged as a useful approach after accidental dural puncture.
Michael J. Paech, Michael J. Paech
openaire   +3 more sources

Mechanisms of Labor Analgesia

2018
Labor pain is perceived as moderate to severe pain by the majority of parturients. Untreated labor pain can activate the sympathetic nervous system and increase catecholamine levels. Increased catecholamines can cause uterine vasoconstriction, tocolysis and cardiorespiratory stimulation. Untreated labor pains can have psychological consequences such as
Jagan Devarajan, Beth H. Minzter
openaire   +2 more sources

Epidural analgesia and labor

European Journal of Pain Supplements, 2009
AbstractWhilst women vary in their needs and desire for analgesia in labor it must be acknowledged that neuraxial analgesia is the only technique that can completely relieve the pain of labor. However the technique is not without its own inherent complications, both for the mother and for the process of labor and delivery.
openaire   +2 more sources

Premature labor and meperidine analgesia

American Journal of Obstetrics and Gynecology, 1967
Abstract Published scientific laboratory and clinical data indicate that analgesia during premature labor is detrimental to the newborn. An anterospective study of 1,002 premature labors in which meperidine, scopolamine, and a placebo were given is analyzed.
openaire   +3 more sources

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