UNLABELLED The purpose of this study was to describe the dose-response relationship of epidural morphine for postcesarean analgesia for quality of analgesia and relation to the side effects of pruritus, nausea, and vomiting. Sixty term parturients undergoing nonurgent cesarean delivery were enrolled and randomized to receive a single dose of epidural morphine after delivery (0,1.25, 2.5, 3.75, ...

Women in labor who receive epidural analgesia are more likely to experience hyperthermia and overt clinical fever. The gradual development of modest hyperthermia observed in laboring women with epidural analgesia is not seen in those electing other forms of analgesia or unmedicated labor. Clinical fever is also far more likely in women laboring with epidural analgesia. It is possible that the o...

Epidural analgesia has become increasingly popular as a form of labour analgesia in Ireland. However obtaining true inform consent has always been difficult. Our study recruited 100 parturients who had undergone epidural analgesia for labour, aimed to determine the information they received prior to regional analgesia, and to ascertain their preferences regarding informed consent. Only 65 (65%)...

BACKGROUND There is a legal obligation to explain the procedure and use of epidural analgesia in labor primarily due to the possibility of potential risks and associated complications. The present study details on the survey carried out to ascertain the current status of obtaining informed consent (IC) for explaining the epidural analgesia in labor. METHODS The present study is based on a sur...

OBJECTIVES Effective analgesia and blockade of the perioperative stress response may improve outcome and epidural analgesia plays a role in the reduction of pulmonary complications following thoracic surgery. In this study, we assessed preoperative and postoperative thoracic epidural analgesia (Preop-TEA and Postop-TEA) techniques on post-thoracotomy pain in 61 patients undergoing posterolatera...

BACKGROUND Regional anesthesia and analgesia attenuate or prevent perioperative factors that favor minimal residual disease after removal of the primary carcinoma. Therefore, the authors evaluated prostate cancer recurrence in patients who received either general anesthesia with epidural anesthesia/analgesia or general anesthesia with postoperative opioid analgesia. METHODS In a retrospective...

OBJECTIVE Review of the literature regarding the relation between the timing of epidural analgesia and the rate of caesarean or instrumental vaginal deliveries. SEARCH STRATEGY Pubmed, Embase and the Cochrane Library were searched for articles published until 31 July 2010. SELECTION CRITERIA Studies were selected in which the effects of early latent phase (defined as a cervical dilatation o...

Providing safe and effective analgesia to laboring parturients presents a challenge to anesthesia providers in small hospitals. The necessary time commitment and additional staff needed to provide coverage for the obstetrical area can strain resources. Offering the spinal opioid block as the first choice for labor analgesia and the combined spinal epidural block in selected cases permits a labo...

One of the most useful applications of epidural analgesia is in the old dogs. When combined with effective sedation, epidural analgesia is definitely safer than general anaesthesia in old patients. Epidural analgesia can be routinely considered in all ages of dogs in select cases of caesarian section, hysterectomy, painful manipulation of the hind limbs and rectal, vaginal or perineal surgery (...

Objectives: To compare the effects of different labor analgesia in controlling childbirth pain and seek more effective and reliable pain management strategy during natural childbirth in order to reduce maternal pain and promote natural childbirth. Methods: 400 cases of successful delivery with labor analgesia in our hospital during 2010 and 2014 were enrolled in this study, including 200 cases ...