In this study, we aimed to determine the effects of combined spinal-epidural block on low back pain incidence after vaginal delivery. 198 patients included into the study. Patients were separated into two groups regarding labor analgesia request. Combined spinal-epidural analgesia was performed in sitting position for the first group (CSE Group, n=104). The second group consisted of women who h...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

To the Editor:—I read with interest the report of epidural anesthesia in a parturient with a lumboperitoneal shunt. Paravertebral lumbar sympathetic block is another method of providing labor analgesia in patients with a history of back surgery or spine disease. The technique is well-described. The block is performed at the L1 or L2 level. This method eliminates the theoretical concern of epidu...

The management of a patient presenting with unsatisfactory labor epidural analgesia poses a severe challenge for the anesthetist wanting to provide safe anesthetic care for a cesarean delivery. Early recognition of unsatisfactory labor analgesia allows for replacement of the epidural catheter. The decision to convert labor epidural analgesia to anesthesia for cesarean delivery is based on the u...

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 ...

The new local anesthetics have been poorly studied for intrathecal use during Cesarean section surely in low doses and in combination with an opioid substance. The purpose of the present study was to compare bupivacaine and the newer local anesthetics in equipotent doses. During the induction of combined spinal-epidural anesthesia, 91 elective Cesarean section patients were randomly assigned to...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

We present a case of complex regional pain syndrome (CRPS) Type 1 in a 12-year-old girl. The patient did not respond to the usual therapeutic modalities used to treat CRPS, including physical therapy, lumbar sympathetic block, epidural local anesthetic block, intravenous lidocaine infusion, or other oral medications. Of note is the fact that, during epidural block, the patient demonstrated a re...

a t i AIN AFTER thoracotomy and thoracoscopic surgery can cause patient distress, impair respiratory function, and deay recovery.1,2 Epidural analgesia is generally regarded as a tandard of care for patients undergoing thoracotomy,1,3 but pidural block is probably not warranted for less invasive horacic surgery. Sometimes, however, the extent of surgery is nclear until histopathology results ar...