A 35-YR-OLD woman presented with a postdural puncture headache for epidural blood patch. The procedure was performed in the lateral position. A curvilinear ultrasound probe with sterile cover was used to visualize the epidural space. A 20-G epidural needle was used to identify the space by the loss-of-resistance technique. Blood was then injected into the epidural space under real-time ultrasou...

BACKGROUND Despite epidural analgesia increasingly being utilized in hospitals, very little research-based evidence is available about registered nurses' (RNs) and midwives' knowledge of this technique. OBJECTIVE To describe the current epidural knowledge levels of RNs and midwives in a multi-site setting. METHOD RNs and midwives at four, regional teaching facilities completed an epidural k...

BACKGROUND We report a prospective, randomized study to evaluate ultrasound guidance for epidural catheter placement in children 0-6 yr of age. METHODS Epidural catheters were placed at lumbar or thoracic cord levels in 64 children undergoing major surgery, using either ultrasonography or loss-of-resistance (LOR) for guidance. Using a 5-10 MHz linear ultrasound probe, the neuraxial structures...

34 Controversies in Breastfeeding Success: The Role of Epidural Analgesia and Epidural Fentanyl, A Meta-Analysis Abstract Type: Meta Analysis/Review of the Li Natalie C. Moreland, M.D.; Amy I. Lee, M.D.; Cynthia A. Wong, M.D.; Paloma Toledo, M.D., M.P.H. Northwestern University Feinberg School of MedicineType: Meta Analysis/Review of the Li Natalie C. Moreland, M.D.; Amy I. Lee, M.D.; Cynthia A...

conclusions the pil epidural injection is as effective as tf epidural injection in improving pain and functional status, in patients with chronic lumbosacral low back pain, due to disc degeneration. results effective pain relief [numeric rating scale (nrs) < 3] was observed in 77.3% (95% ci: 67‒90.5%) of patients in pil group and 74.2% (95% ci: 62.4 - 89.4%) of patients in the tf group (p = 0.3...

conclusions both intravenous and epidural analgesic techniques with combination of analgesics provide proper postoperative pain control after major gynecologic cancer surgeries without any significant complications. regarding lower sedative and respiratory depressant effects of epidural analgesia, it seems that this method is a safer technique for postoperative pain relief in these patients. re...

BACKGROUND Continuous epidural analgesic infusions provide superior analgesia as compared to other forms of labor analgesia. However, inadequate analgesia after labor epidurals is not uncommon and has been found to be as high as 24% in some studies. The mechanism of these failures include inappropriate epidural catheter location, tissue compartmentalization within epidural space, delayed migrat...

Spontaneous Spinal Epidural Hematoma (SSEH) is a rare spinal condition. Early surgical intervention is generally indicated to prevent serious permanent neurological deficits. We encountered a case of spontaneous spinal epidural hematomas associated with motor weakness that was treated successfully by surgical evacuation.

The aim of this study was to determine whether anesthesia consisting of sedation induced by intramuscular administration of xylazine-diazepam and lumbosacral analgesia induced by epidural administration of lidocaine and xylazine is satisfactory for castration and ovariohysterectomy in cats. Six adult (3 male and 3 female, 2.5 ± 0.5 years of age) cats (mean body weight ± SD, 2.2 ± 0.44 kg) were ...

background continuous epidural analgesia with catheterization is a useful technique, because it has a wide adaptation range and provides prolonged analgesia. problems that may arise from long-term epidural analgesia are changes in the analgesic area, duration of analgesia and catheter-related problems. few articles have evaluated gradual changes of long-term epidural analgesia. in the animal mo...