“THE position of woman in any civilization is an index of the advancement of that civilization; the position of woman is gauged by the care given her at the birth of her child.” Although many developments have occurred in obstetric anesthesia since this quote’s first publication in 1929, advances in the subspecialty have been complicated by medicolegal, financial, maternal, and fetal considerat...

Improvements in pain management techniques over the past decade have had a significant impact on the outcomes of total knee arthroplasty. Of these techniques, multimodal approaches have shown potential. The purpose of this study was to compare the results of periarticular injection (PAI) to a combination of patient-controlled epidural analgesia and femoral nerve block (PCEA/FNB). Ninety patient...

BACKGROUND Patient-controlled epidural analgesia (PCEA) is a relatively new method of maintaining labour analgesia. There have been many studies performed that have compared the efficacy of PCEA with continuous epidural infusion (CEI). The purpose of this systematic review is to compare the efficacy and safety of PCEA and CEI. METHODS All randomized controlled trials that compared PCEA, witho...

BACKGROUND Multimodal analgesia is achieved by combining different analgesics and different methods of analgesic administration, synergistically providing superior pain relief when compared with conventional analgesia. Multimodal analgesia can also result in reductions in the side effects and complications of analgesia, thereby improving patient safety. Preventive analgesia, treatment before in...

The practice of obstetric anaesthesia and analgesia has been surveyed nationally and regionally in parts of Canada] ,2 the USA, 3 the UK 4 and various constituent parts, s-7 Sweden, 8,9 Finland 1° and Western Australia.ll The main purpose of our investigation was to obtain information regarding the availability and organization of epidural services in obstetric units throughout Switzerland. Ins...

The PEC block is a new and innovative technique for the various perioperative procedures. It provides analgesia anesthesia breast other chest surgeries. Since evolution in USG guided nerve became famous due to easy approach very good providing analgesia. There are two ways types provide discussed this review.

BACKGROUND AND OBJECTIVES To compare the use of patient-controlled analgesia to intermittent intramuscular injections of morphine following major gynecological laparoscopic procedures in order to assess differences in level of pain, sedation, episodes of nausea and/or vomiting, hospitalization time and patient satisfaction with their postoperative analgesia. METHODS Seventy-two patients under...

This study assessed frequency, safety and efficacy of prehospital fentanyl analgesia during 6 months' adult and pediatric helicopter trauma scene transports (213 doses in 177 patients). We reviewed flight records for pain assessment and analgesia provision, effect, and complications. Analgesia was administered to 46/49 (93.9%) intubated patients. In non-intubated patients, pain assessment was d...

Regional analgesia has become the most common method of pain relief used during labor in the United States. Epidural and spinal analgesia are two types of regional analgesia. With epidural analgesia, an indwelling catheter is directed into the epidural space, and the patient receives a continuous infusion or multiple injections of local anesthetic. Spinal injections are usually single injection...

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 ...