Combined spinal-epidural block for labor analgesia. Comparative study with continuous epidural block

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Combined spinal-epidural versus epidural labor analgesia.

BACKGROUND Despite the growing popularity of combined spinal-epidural analgesia in laboring women, the exact role of intrathecal opioids and the needle-through-needle technique remains to be determined. The authors hypothesized that anesthetic technique would have little effect on obstetric outcome or anesthetic complications. METHODS Data were prospectively collected from 2,183 laboring wome...

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Combined spinal-epidural analgesia in labor.

Background: Combined spinal-epidural (CSE) analgesia is becoming increasingly used to provide pain relief during labor. It combines both the rapid onset of the spinal analgesia and the flexibility of the epidural catheter. Intrathecal sufentanil provides rapid-onset and profound analgesia during the first stage of labor. The dose required to produce this effect can be associated with maternal r...

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[Meningitis after combined spinal-epidural analgesia for labor: case report].

BACKGROUND AND OBJECTIVES Meningitis is a serious complication, although rare in regional anesthesia. This report aimed at presenting a case which evolved to meningitis after combined labor spinal-epidural analgesia. CASE REPORT Laboring patient, 25 years old, second gestation and previous c-section. Combined labor spinal-epidural analgesia was induced with double-puncture. Twenty-four hours ...

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Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases.

BACKGROUND Combined spinal-epidural analgesia provides rapid-onset analgesia with minimal motor block, but it is a more invasive technique than epidural analgesia and the risk of complications may be increased. This study compared the safety and effect on delivery of combined spinal-epidural and epidural analgesia in labor. METHODS A retrospective observational study was performed. Data were ...

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Continuous spinal anesthesia versus combined spinal epidural block for major orthopedic surgery: prospective randomized study.

CONTEXT AND OBJECTIVES In major orthopedic surgery of the lower limbs, continuous spinal anesthesia (CSA) and combined spinal epidural anesthesia (CSE) are safe and reliable anesthesia methods. In this prospective randomized clinical study, the blockading properties and side effects of CSA were compared with single interspace CSE, among patients scheduled for major hip or knee surgery. DESIGN...

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ژورنال

عنوان ژورنال: Brazilian Journal of Anesthesiology (English Edition)

سال: 2019

ISSN: 0104-0014

DOI: 10.1016/j.bjane.2018.08.003