A.329 Obstetric cause for unblocked segments in extradural analgesia for labour

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Labour analgesia and obstetric outcomes.

Neuraxial analgesic techniques are the gold standards for pain relief during labour and delivery. Despite the increased use and known benefits of neuraxial labour analgesia, there has been significant controversy regarding the impact of neuraxial analgesia on labour outcomes. Review of the evidence suggests that effective neuraxial labour analgesia does not increase the rate of Caesarean delive...

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Prolonged block with recovery after extradural analgesia for labour.

A patient had a prolonged block after continuous extradural analgesia in labour. The block was unilateral, but 60 min after a second block there was bilateral sensory and motor loss. The original unblocked side did not recover fully until more than 60 hr. The local anaesthetic agent was 18 ml of bupivacine 0.5% plain.

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Continuous pump infusions for extradural analgesia during labour.

1. Carlson RI, Classen KL, Gollan F, Gobbel, WC, Sherman DE, Christensen RO. Pulmonary edema following the rapid re-expansion of a totally collapsed lung due to a pneumothorax. Surgical Forum 1959; 9: 367-371. 2. Kassis E, Philipsen E, Clausen H. Unilateral pulmonary oedema following spontaneous pneumothorax. European Journal of Respiratory Disease 1981; 62: 102-106. 3. Trapnell DH, Thurston JG...

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Extradural analgesia in the first stage of labour.

We have studied 42 healthy parturients with singleton vertex pregnancies, who were in the first stage of labour and requesting extradural analgesia. They were allocated randomly in a double-blind fashion to receive either 0.125% bupivacaine plain or 0.125% bupivacaine with clonidine 120 micrograms. Efficacy of analgesia was evaluated using linear visual analogue scoring (VAS), sensory block was...

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Posterior column sensory impairment during ambulatory extradural analgesia in labour.

Ambulatory or "walking" extradural analgesia in labour has recently gained popularity because of preservation of motor function and subjective somatic sensation in the lower limbs, resulting in increased maternal satisfaction. This is produced by combining dilute concentrations (e.g. 0.1%) of bupivacaine with opioids. Detailed clinical neurological examination after mobile extradural analgesia ...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1996

ISSN: 0007-0912

DOI: 10.1016/s0007-0912(18)31184-x