Article
Anesthesiology
H. Mohamed, N. McAuliffe, R. O'Connor, A. Ceballos Salazar, M. Zohaib Aslam, K. Kallidaikurichi Srinivasan, G. Iohom, G. Shorten
Summary: PbP training in epidural placement for novice trainees showed high success rates in labor epidural catheter insertions, making it feasible to implement in a busy tertiary hospital setting. Patient satisfaction rates were also reported to be high.
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
(2021)
Article
Medicine, General & Internal
Nadir Sharawi, Matthew Williams, Waseem Athar, Caroline Martinello, Kyle Stoner, Cameron Taylor, Nan Guo, Pervez Sultan, Jill M. Mhyre
Summary: This study aimed to compare the anesthesia effect of dural-puncture epidural (DPE) and standard epidural in cesarean delivery. The results showed that DPE technique resulted in a faster onset and better quality of anesthesia compared to the standard epidural technique. Therefore, in scheduled cesarean delivery, the DPE technique can provide better anesthesia effect.
Article
Obstetrics & Gynecology
Yoshiko Yamamoto, Nagayoshi Umehara, Yoko Yamashita, Masaki Sato, Kenji Takehara, Haruhiko Sago
Summary: Rupture of the membrane and advanced dilated cervix are risk factors for fetal heart rate abnormalities after combined spinal-epidural analgesia (CSEA).
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Integrative & Complementary Medicine
Huang Min-li, Fang Chang-ping, Zhao Hai-yan, Zhang Zi-jing, Wu Shu-zhen, Yi Wei, Li Shang-rong, Wu Ling-ling
Summary: The study demonstrated that acupoint injection combined with CSEA plus PCEA for labor analgesia can reduce anesthetic consumption, improve analgesic quality, and decrease adverse reactions in parturients.
CHINESE JOURNAL OF INTEGRATIVE MEDICINE
(2022)
Article
Medicine, General & Internal
Zhang Jian, Ran Longqing, Wei Dayuan, Jia Fei, Liu Bo, Zhang Gang, Zhu Siying, Gao Yan
Summary: This study summarizes the process of converting epidural labour analgesia to anaesthesia for caesarean delivery and explores the relationship between the duration of labour analgesia and conversion failure. The results show that prolonged duration of epidural labour analgesia is an independent risk factor for conversion failure, especially when it exceeds 8 hours.
ANNALS OF MEDICINE
(2022)
Article
Medicine, General & Internal
Ming Yan, Qiao Wang, Yufeng Zhang, Jing Zhou, Enhui Cui, Jian Sun
Summary: This study demonstrates that the dural puncture epidural technique combined with programmed intermittent epidural bolus mode for labor analgesia provides faster analgesia, reduces the consumption of ropivacaine, and decreases the incidence of incomplete analgesia and intrapartum fever compared to conventional methods.
Article
Obstetrics & Gynecology
Shimiao Feng, Juan Gu
Summary: This case report discusses fetal heart rate decelerations and relaxation of pelvic muscles observed after initiating epidural labor analgesia. Transperineal ultrasound showed relaxation of pelvic muscles and rapid descent of the fetal head, which may have contributed to the fetal heart rate deceleration.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Obstetrics & Gynecology
Chan Shen, Lin Chen, Chengjin Yue, Jing Cheng
Summary: This study investigated the effectiveness of extending epidural analgesia for intrapartum cesarean section. The results showed that using a well-functioning epidural catheter for extending epidural analgesia may be a reliable and effective anesthetic method.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2022)
Article
Medicine, General & Internal
Motaz Hamed, Harun Asoglu, Tim Lampmann, Lena Marie Winkelmann, Abdallah Salemdawod, Martin Mueller, Hartmut Vatter, Mohammed Banat, Lars Eichhorn
Summary: This study compared epidural analgesia (EA) with systemic analgesia (SA) for pain reduction and early postoperative complications after SDI. The SA group had significantly lower pain rating scores and lower cumulative opioid use compared to the EA group. There were no differences in infection, length of hospital stay, or surgery-related complications between the two groups.
Review
Chemistry, Medicinal
Panu Piirainen, Hannu Kokki, Merja Kokki
Summary: Epidural administration of oxycodone has advantageous pharmacokinetics and higher efficacy compared to intravenous administration, making it a potential option for epidural analgesia.
Article
Medicine, General & Internal
Ru-Ying Pang, Yao-Hua Shen, Xiao-Qin Jin, Hai-Feng Xu, Yang Wang, Bin-Xiang Zhu, Su-Feng Lin, Fei Xiao
Summary: This study evaluated the efficacy of combining different doses of dexmedetomidine or fentanyl with ropivacaine for labor analgesia. The results showed that dexmedetomidine (0.3 and 0.4 μg/ml) reduced the amount of ropivacaine administered and minimized opioid-related side effects. This study provided evidence for the potential of dexmedetomidine as an alternative to opioids for labor analgesia, and further research is needed to confirm its benefits.
FRONTIERS IN MEDICINE
(2022)
Article
Anesthesiology
Sharon Orbach-Zinger, Leonid. A. Eidelman, Susan A.Wazwaz, Avi Ben-Haroush, Shlomo Fireman, Michael Heesen, Eran Hadar, Carolyn F. Weiniger, Evgeniya Kornilov
Summary: This study evaluated the association between resited and non-resited epidurals and the need for operative delivery, finding that replacing labor epidural catheters did not appear to be associated with instrumental or cesarean delivery based on this single-center cohort analysis.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2021)
Article
Anesthesiology
Carl Chauvin, Gregory Klar, Wilma M. Hopman, Leopoldo Muniz da Silva, Andrew G. Day, Rachel Phelan, Michael McMullen, Kai Chen, Rodrigo Moreira E. Lima, Glenio B. Mizubuti
Summary: The study showed that epidural waveform analysis (EWA) is useful in assessing the position of thoracic epidural catheters in the immediate postoperative period, with high sensitivity and specificity as well as robust inter-rater reliability. EWA may provide a useful adjunct for assessing epidural functionality in patients in whom sensory block to ice cannot be reliably assessed postoperatively.
JOURNAL OF CLINICAL ANESTHESIA
(2022)
Review
Medicine, General & Internal
Dmitriy Viderman, Karina Tapinova, Fatima Nabidollayeva, Ramil Tankacheev, Yerkin G. Abdildin
Summary: This study compares the use of intravenous and epidural routes for patient-controlled analgesia in abdominal surgery. The results show that there is no significant difference in pain control and side effects between the two methods. However, epidural analgesia is associated with a shorter length of hospital stay, while intravenous analgesia is associated with fewer episodes of hypotension.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Malia S. Q. Murphy, Robin Ducharme, Steven Hawken, Daniel J. Corsi, William Petrcich, Darine El-Chaar, Lise Bisnaire, Daniel I. McIsaac, Deshayne B. Fell, Shi Wu Wen, Mark C. Walker
Summary: This study found that intrapartum epidural analgesia was associated with a small increase in the risk of ASD in offspring. However, the biological plausibility of this association remains unclear, and caution should be exercised when interpreting the findings.