Ambulatory extradural analgesia in labour and mode of delivery
نویسندگان
چکیده
منابع مشابه
Posterior column sensory impairment during ambulatory extradural analgesia in labour.
Ambulatory or "walking" extradural analgesia in labour has recently gained popularity because of preservation of motor function and subjective somatic sensation in the lower limbs, resulting in increased maternal satisfaction. This is produced by combining dilute concentrations (e.g. 0.1%) of bupivacaine with opioids. Detailed clinical neurological examination after mobile extradural analgesia ...
متن کاملPosture and the spread of extradural analgesia in labour.
Thirty-five patients kept in a sitting position for 5 min after a standard extradural injection in labour were compared with 54 patients maintained in the left lateral position throughout. The mean upper limit of analgesia was unchanged. A significant shift of the mean lower limit occurred in the sitting patients (P = 0.05, two-tailed), but contrary to classical teaching this was in a cephalad ...
متن کاملExtradural analgesia in the first stage of labour.
We have studied 42 healthy parturients with singleton vertex pregnancies, who were in the first stage of labour and requesting extradural analgesia. They were allocated randomly in a double-blind fashion to receive either 0.125% bupivacaine plain or 0.125% bupivacaine with clonidine 120 micrograms. Efficacy of analgesia was evaluated using linear visual analogue scoring (VAS), sensory block was...
متن کاملExtradural analgesia in labour: complications of three techniques of administration.
We have studied the complications associated with three techniques used to maintain extradural analgesia in labour: midwife top-up doses of 0.25% bupivacaine 10 ml, continuous infusion of 0.125% bupivacaine 10 ml h-1 and patient-controlled extradural analgesia (PCEA) with self-administered 3-ml bolus doses of 0.25% bupivacaine. A significantly higher intervention rate by an anaesthetist was req...
متن کاملCardiovascular changes in labour associated with extradural analgesia using bupivacaine.
Cardiovascular changes were monitored continuously in 13 women during stimulated labour conducted under extradural analgesia with bupivacaine. Three solutions of bupivacaine (0.5% plain, 0.25% with adrenaline and 0.5% with adrenaline) were administered in a random fashion. The results show that the plain solution of bupivacaine was associated with a decrease in central venous pressure and an in...
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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 1997
ISSN: 0007-0912
DOI: 10.1093/bja/78.6.776-b