Background: Magnesium has antinociceptive effects in animal and human models of pain. Magnesium has been used as an adjuvant by various routes, including intravenous, intrathecal and epidural in different dosage regimens. Forty patients undergoing Total Knee Replacement surgery were enrolled to receive either fentanyl (Group F) or fentanyl plus magnesium sulphate (Group FM) post operatively for...

Despite widespread use of epidural analgesia during labor, no consensus has been reached among obstetric and anesthesia providers regarding its effects on breastfeeding. The purpose of this review was to examine the relationship between labor epidural analgesia and breastfeeding in the immediate postpartum period. PubMed, Cochrane Library, and Cumulative Index to Nursing and Allied Health Liter...

Background: The regional anaesthesia has lot of benefits compared to general for lower abdominaland limb surgeries. Epidural is an ideal anesthetic technique abdominal and lowerlimb additives are used with Anesthetics Early onset action, To prolong the duration ofaction, Analgesia Improving quality block.Aims Objectives: aim this study was clinical efficacy Dexmedetomidine versus Fentanylas add...

Remifentanil with appropriate pharmacological properties seems to be an ideal alternative to epidural analgesia during labour. A retrospective cohort study was undertaken to assess the efficacy and safety of remifentanil intravenous patient-controlled analgesia (IVPCA) compared with epidural analgesia. Medical records of 370 primiparas who received remifentanil IVPCA or epidural analgesia were ...

220 July 2016 P mediana dorsalis (PMD) has been rarely visualized but is occasionally implicated as a cause of unilateral epidural local anesthesia. Herein, we demonstrate PMD using epidurography. a normal anteroposterior epidurogram should show contrast outlining the lateral margins of the epidural space bilaterally.1 Herein, we show a unilateral epidurogram through a midline epidural catheter...

BACKGROUND Uncertainty remains over the risk of epidural space infection after neuraxial blockade in the presence of systemic sepsis. For many years, we have provided epidural analgesia to children undergoing thoracotomy for the decortication of parapneumonic empyemas. Following recent publications asserting that epidural analgesia is absolutely contraindicated in this situation, we audited our...

BACKGROUND Postpartum depression is a common psychiatric disorder in parturients after delivery. The etiology remains unclear, and multiple factors may be involved. In this study, we investigated whether epidural labor analgesia was associated with a decreased risk of postpartum depression development. METHODS Two hundred fourteen parturients who were preparing for a vaginal delivery were enr...

OBJECTIVE To determine the efficacy and safety of intradural-epidural analgesia in comparison with continuous epidural analgesia during labor and childbirth. PATIENTS AND METHOD Forty-two women whose labor began spontaneously were enrolled and distributed randomly in two groups. The intradural-epidural analgesia group (IEA, n = 21) received 25 microgram of intradural fentanyl with 2.5 mg of i...

The pediatric epidural is an accepted method of advanced analgesia in children. Newer techniques have now superseded pediatric epidural analgesia (PEA), being as effective and safer, especially with the advances in ultrasonography. PEA is, however, still an important technique to master and employ, and it may be that the indications for this mode of analgesia have now become more defined.