Prophylactic intravenous preloading for regional analgesia in labour

Lateral positioning for regional analgesia during labour.

Sir,—We were interested to read the editorial by Peek and Firmin1 arguing for the greater use of extracorporeal membrane oxygenation (ECMO) in the management of severe acute lung injury. Their results in Leicester seem impressive (although apparently unpublished elsewhere) and the authors issue a challenge to other units to match their 34% hospital survival rate in a similar group of patients. ...

Intravenous Regional Analgesia: an Appraisal.

Intravenous regional analgesia in a patient with Glanzmann thrombastenia.

Glanzmann thrombastenia (GT) is a rare condition of an inherited autosomal recessive gene characterized with bleeding tendency. The condition is rarely met in the OR. and therefore it is essential that anesthesiologist be cognizant of the risk involved and be prepared with all necessary precautionary measures. We present a GT case in a 27-year-old male with a mass in the anticubital region of r...

Advances in labour analgesia

women. The ideal labour analgesia technique should dramatically reduce the pain of labour, while allowing the parturient to actively participate in the birthing experience. In addition, it should have minimal effect on the fetus or the progress of labour. New labour analgesia techniques approach this goal. This lecture will review these new methods of pain relief for the parturient and will hig...

Inhaled analgesia for pain management in labour.

The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and childbirth and to stimulate discussion on the relevance and implications of the review for practice. The Cochrane Collaboration is an international organisation that prepares and maintains high quality systematic reviews to help people make well informed decisions about health care and he...