Controversies in Obstetric Anesthesia and Analgesia
نویسندگان
چکیده
منابع مشابه
Pharmacogenetics and Obstetric Anesthesia and Analgesia
Approximately 50 years ago, pharmacogenetics emerged as a new field of medicine that may explain human drug action. Anesthesia, in particular, played a key role in these early investigations. An understanding of how an individual’s genetic footprint influences drug metabolism and effectiveness may allow tailored prescriptions, improving outcomes and safety; and such concepts, which form the bac...
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The widespread use of continuous spinal anesthesia (CSA) in obstetrics has been slow because of the high risk for post-dural puncture headache (PDPH) associated with epidural needles and catheters. New advances in equipment and technique have not significantly overcome this disadvantage. However, CSA offers an alternative to epidural anesthesia in morbidly obese women, women with severe cardiac...
متن کاملEpidural Analgesia in Labor - Controversies.
Labor pain is one of the most severe pains. Labor is a complex and individual process with varying maternal requesting analgesia. Labor analgesia must be safe and accompanied by minimal amount of unwanted consequences for both the mother and the child, as well as for the delivery procedure. Epidural analgesia is the treatment that best meets these demands. According to the American Congress of ...
متن کاملIncidence of epidural hematoma, infection, and neurologic injury in obstetric patients with epidural analgesia/anesthesia.
Of the 4 million annual births in the United States, 2.4 million involve epidural analgesia. Serious adverse events are rare but are important in young women. Robust estimates for the risk of harm are not available. Data for superficial and deep infections, hematoma, and transient and permanent neurologic injury were obtained from studies reporting adverse events with obstetric epidural analges...
متن کاملLabour 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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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 2012
ISSN: 0007-0912
DOI: 10.1093/bja/aes190